个性化心理视频干预在ICU患者心理护理中的应用效果  

Effects of personalized psychological video intervention on mental nursing in ICU

作　　者：林玉珍[1] 高明珠[2] 罗玉珍[2] 汪海芹[2] 余新英[2] 张清[2] 李润华[2] 

机构地区：[1]中山大学附属江门医院外科门诊,529030 [2]中山大学附属江门医院重症医学科,529030

出　　处：《中华现代护理杂志》2015年第23期2774-2777,共4页Chinese Journal of Modern Nursing

基　　金：江门市科技计划项目（[2014]71号）

摘　　要：目的：探讨个性化心理视频干预在 ICU患者心理护理中的应用效果。方法2013年12月—2014年10月将符合标准的124例ICU清醒患者随机分为对照组和观察组,每组各62例。对照组采用常规的心理护理方法,观察组采用个性化心理视频进行心理干预,两组患者分别于入住第2天、干预后第7天,采用症状自评量表（SCL-90）、睡眠问卷（PSQI）及满意度问卷进行评估和比较。结果干预后观察组患者SCL-90躯体化、强迫症状、人际关系、抑郁、焦虑、敌对、恐怖、偏执、精神病性评分分别为（1.34±0.21）,（1.62±0.36）,（1.63±0.34）,（1.56±0.22）,（1.60±0.38）,（1.43±0.51）,（1.26±0.30）,（1.50±0.48）,（1.36±0.33）分,均优于对照组,差异有统计学意义（t值分别为2.108,2.934,2.884,2.335,2.775,2.696,2.365,2.005,1.999；P〈0.05）。干预后两组患者的PSQI各项评分均有所下降,观察组患者PSQI各项评分低于对照组,差异有统计学意义（ t值分别为3.129,2.635,2.116,2.568,3.221,3.227,2.548,2.494；P〈0.05）。结论个性化心理视频护理方案能有效缓解ICU清醒患者的负性情绪,改善睡眠障碍,提高患者的满意度。Objective To evaluate the effects of personalized psychological video intervention on patients of mental nursing in ICU. Methods A total of 124 conscious patients in ICU were divided into control and experiment group equally from December 2013 to October 2014. Common mental nursing was used in the control group while personalized psychological video intervention was used in the experiment group. The effects were evaluated and compared by SCL-90, PSQI and satisfaction questionnaire after 2 days admission and after 7 days nursing interventions. Results After intervention in the experimental group, the somatization, obsessive system, interpersonal relationship, depression, anxiety, hostile, terror, crankiness and psychosis of SCL-90 were （1. 34 ± 0. 21）, （1. 62 ± 0. 36）, （1. 63 ± 0. 34）, （1. 56 ± 0. 22）, （1. 60 ± 0. 38）, （1. 43 ± 0. 51）, （1.26±0.30）,（1.50±0.48）,（1.36±0.33） respectively（t=2.108,2.934,2.884,2.335,2.775, 2. 696, 2. 365, 2. 005, 1. 999;P 〈 0. 05）. After intervention, the scores of each PSQI dimensions was decreased in two groups, and the scores of experimental group were lower than those in the control group （ t=3. 129, 2. 635, 2. 116, 2. 568, 3. 221, 3. 227, 2. 548, 2. 494;P 〈0. 05）. Conclusions Personalized psychological video intervention can effectively reduce conscious patients negative emotions in ICU, and improve the sleep quality and the satisfaction.

关 键 词：ICU 心理护理 负性情绪 视频 

分 类 号：R472.2[医药卫生—急诊医学]