护理干预对ICU清醒患者不良情绪和睡眠质量的影响探析  

Exploration of influence of nursing intervention on unhealthy mood and sleep quality of ICU conscious patients

作　　者：张清[1] 姚小红[1] 汪海芹[1] 

机构地区：[1]江门市中心医院,529030

出　　处：《中国实用医药》2017年第8期169-171,共3页China Practical Medicine

摘　　要：目的分析护理干预对重症加强护理病房(ICU)清醒患者不良情绪和睡眠质量的影响。方法 72例ICU清醒患者,随机分为对照组及观察组,每组36例。对照组行常规性护理,观察组在常规性护理基础上行针对性护理干预,对比两组患者的护理效果。结果观察组汉密尔顿焦虑量表(HAMA)评分(6.9±2.3)分、抑郁自评量表(SDS)评分(21.4±3.9)分均低于对照组(11.3±1.2)、(49.2±10.3)分,差异均具有统计学意义(t=10.176、15.145,P<0.05)。观察组入睡时间、睡眠质量、睡眠效率、催眠药物、时间功能、睡眠障碍、睡眠时间单项评分及总分均低于对照组,差异均具有统计学意义(t=32.199、16.971、4.243、10.733、12.728、21.213、10.733、16.443,P<0.05)。观察组总满意度97.2%高于对照组80.6%,差异具有统计学意义(χ~2=5.063,P<0.05)。结论对ICU清醒患者行护理干预可较好缓解患者的焦虑、不安等负面情绪,提高睡眠质量,进而促进患者的康复,有利于患者的预后,应用价值较高。Objective To analyze the influence of nursing intervention on unhealthy mood and sleep quality of intensive care unit （ICU） conscious patients. Methods A total of 72 ICU conscious patients were randomly divided into control group and observation gi＇oup, with 36 cases in each group. The control group received conventional nursing, and the observation group received targeted nursing intervention. Nursing effect was compared in two groups. Results The observation group had Hamilton anxiety scale （HAMA） score as （6.9 ± 2.3） points, self-rating depression scale （SDS） score as （21.4 ± 3.9） points which were all lower than （11.3 ± 1.2） and （49.2 ±10.3） points in the control group, and their difference had statistical significance （t=10.176, 15.145, P〈0.05）. The observation group had lower single score of sleep time, sleep quality, sleep efficiency and hypnotic drugs, time function, sleep disorder, sleep time and total score than the control group, and the difference had statistical significance （t=32.199, 16.971, 4.243, 10.733, 12.728, 21.213, 10.733, 16.443, P〈0.05）. The observation group had higher total satisfaction degree as 97.2% than 80.6% in the control group, and the difference had statistical significance （χ^2=5.063, P〈0.05）. Conclusion Nursing intervention can alleviate negative mood of anxiety and restlessness for ICU conscious patients, improve their sleep quality and promote their rehabilitation, which are all beneficial for prognosis of patients with high application value.

关 键 词：护理干预 重症加强护理病房 清醒患者 不良情绪 睡眠质量 

分 类 号：R472.2[医药卫生—急诊医学]