赋能心理模式对机械通气患者创伤后应激障碍及睡眠状况的影响  

Effect of psychological empowerment mode on post-traumatic stress disorder and sleep state in patients with mechanical ventilation

作　　者：施金雷 李国宏[2] SHI Jinlei;LI Guohong(Nanjing Hospital Affiliated to Nanjing University of traditional Chinese Medicine(School of nursing,Nanjing University of traditional Chinese Medicine),Nanjing 210009,China)

机构地区：[1]南京中医药大学附属南京医院(南京中医药大学护理学院),210009 [2]东南大学附属中大医院

出　　处：《中国健康心理学杂志》2020年第12期1774-1778,共5页China Journal of Health Psychology

摘　　要：目的:对机械通气患者开展赋能心理模式干预模式,分析该种模式对患者创伤后应激障碍与睡眠状况的影响,旨在为临床该类患者的护理模式提供参考依据。方法:选择2018年1月至2019年10月在某院ICU接受机械通气的120例患者,根据随机对照原则将其分为对照组(n=60)与观察组(n=60),对照组接受常规护理干预,观察组开展赋能心理模式干预,对比干预后两组创伤后应激障碍症状检查量表(PCL-17)、医院焦虑抑郁量表(HADS)[包括HADS-A、HADS-D分量表]、理查兹-坎贝尔睡眠量表(RCSQ)及护理满意度。结果:干预前,观察组PCL-17、HADS-A、HADS-D、RCSQ总评分与对照组差异无统计学意义;干预后,观察组PCL-17、HADS-A、HADS-D评分均低于对照组,差异有统计学意义(t=-19.580,-25.491,-18.768;P<0.01);观察组睡眠深度、睡眠潜伏期、夜间觉醒、重回睡眠、睡眠质量及总分均高于对照组各指标评分,差异有统计学意义(t=10.581,13.385,16.979,13.879,28.986,12.127;P<0.01);观察组护理满意度评分高于对照组护理满意度评分,差异有统计学意义(t=-14.137,P<0.01)。结论:机械通气患者开展赋能心理模式干预模式,可缓解患者负性心理,改善患者创伤后应激状态与睡眠障碍。Objective:To analyze the effect of psychological empowerment mode intervention on post-traumatic stress disorder and sleep state in patients with mechanical ventilation,and to provide reference for clinical nursing mode of this kind of patients.Methods:A total of 120 patients with mechanical ventilation in the hospital from January 2018 to October 2019 were divided into control group(n=60)and observation group(n=60)according to randomized controlled method.Control group was given routine nursing intervention,and observation group was given psychological empowerment mode intervention.After intervention,the PTSD Checklist(PCL-17),Hospital Anxiety and Depression Scale(HADS),Richards-Campbell Sleep Questionnaire(RCSQ)and nursing satisfaction were compared between two groups.Results:Before intervention,there was no statistical difference in the PCL-17,HADS-A、HADS-D,RCSQ score between observation group and control group;After intervention,the PCL-17 and HADS-A,HADS-D scores in observation group were significantly lower than those in control group(t=-19.580,-25.491,-18.768;P<0.01);The scores of depth of sleep,sleep latency,awakening during the night,back to sleep,sleep quality and total score in observation group were significantly higher than those in control group(t=10.581,13.385,16.979,13.879,28.986,12.127;P<0.01);The score of nursing satisfaction in observation group was higher than that in control group,and the difference was statistically significant(t=14.137,P<0.01).Conclusion:Psychological empowerment mode intervention for patients with mechanical ventilation can relieve negative emotion,improve post-traumatic stress disorder and sleep disorder,which is worthy of promotion and application in clinical nursing mode.

关 键 词：机械通气 创伤 应激障碍 赋能心理模式 睡眠障碍 

分 类 号：R749.5[医药卫生—神经病学与精神病学]