基于循证理论的护理干预对ICU病房危重症患者负面情绪及生存质量的影响  

Influence of evidence theory-based nursing intervention on negative emotion and survival quality of ICU critical patients

作　　者：丁岚 

机构地区：[1]湖北省宜昌市第二人民医院,宜昌市443000

出　　处：《护理实践与研究》2017年第6期16-18,共3页Nursing Practice and Research

摘　　要：目的:探讨基于循证理论的护理干预对ICU病房危重症患者负面情绪及生存质量的影响。方法:选取我院2013年5月~2016年5月ICU病房收治的清醒患者136例,将其随机等分为观察组和对照组,对照组给予常规的护理措施,观察组在对照组的基础上给予基于循证理论的护理干预,对两组护理模式对患者负面情绪及生存质量的影响进行分析。结果:与护理干预前比较,护理干预后第1周、第2周、第4周两组患者HAMD评分均有不同程度的提高,且观察组高于对照组(P<0.05)。两组患者心理领域、生理领域、环境领域和社会关系领域等评分均有不同程度的提高,且观察组明显高于对照组(P<0.05)。观察组患者不良事件发生率明显低于对照组(P<0.05);观察组患者依从性明显高于对照组患者(P<0.05)。结论:基于循证理论的护理干预可有效改善ICU病房危重症患者的负面情绪,提高其生存质量,值得临床推广使用。Objective To discuss the influence of evidence theory - based nursing intervention on negative emotion and survival quality of ICU critical patients. Methods ： Selected 136 conscious patients admitted in ICU ward of our hospital from May 2013 to May 2016, and they were equally divided into observation group and control group, where conventional nursing measures were taken for the patients in the control group, and evidence theory - based nursing intervention was given to the patients in the observation group on the basis of the control group, and patients in the two groups were analyzed in negative emotion and survival quality. Results：The HAMD scores of patients in both groups 1 week, 2nd week and 4th week after intervention nursing intervention improved to varying degrees compared with those before nursing intervention, and the scores of patients in the observation group were higher than those of the patients in the control group （P〈0.05）. The scores in psychological field, physiological field, environmental field and social relation field of patients in both groups were improved to varying degrees, and those of patients in the observation group were significantly higher than those of patients in the control group （P 〈 0. 05）. The incidence rate of adverse events of patients in the observation group was significantly lower than that of patients in the control group （P 〈 0.05） ; and the compliance of patients in the observation group was significantly higher than that of patients in the control group （P 〈 0. 05）. Conclusion ：The evidence theory - based nursing intervention could effectively improve the negative emotion of ICU critical patients, improve their survival quality, and was worth promoting clinically.

关 键 词：循证理论 ICU病房 负面情绪 生存质量 

分 类 号：R472.2[医药卫生—急诊医学] R-03[医药卫生—护理学]