多元化健康教育联合情感支持对ICU清醒患者的影响  

Effect of diversified health education and emotional support on conscious patients in ICU

作　　者：王红[1] 毛雪娟 WANG Hong;MAO Xuejuan(Department of Intensive Medicine,Huai’an Fourth People’s Hospital,Jiangsu Province,Huai’an 223000,China)

机构地区：[1]江苏省淮安市第四人民医院重症医学科,江苏淮安223000

出　　处：《中国医药导报》2021年第4期172-175,共4页China Medical Herald

基　　金：江苏省“333”工程科研资助计划项目(BRA2016187)。

摘　　要：目的探讨多元化健康教育联合情感支持对重症监护室(ICU)清醒患者情绪状态及谵妄发生的影响。方法选择2018年1月—2019年12月江苏省淮安市第四人民医院收治的ICU清醒患者169例,采用方便抽样方法将接受多元化健康教育及情感支持的86例患者作为观察组,将接受常规健康教育及护理干预的83例患者作为对照组,比较两组患者干预前后的情绪状态、谵妄发生率及满意度情况。结果干预后,两组紧张-焦虑、抑郁-沮丧、愤怒-敌意、疲乏-迟钝、迷惑-混乱评分明显低于同组干预前,精力-活力评分明显高于同组干预前(P<0.01),观察组紧张-焦虑、抑郁-沮丧、愤怒-敌意、疲乏-迟钝、迷惑-混乱评分均明显低于同组干预前及对照组(P<0.01),精力-活力评分明显高于同组干预前及对照组(P<0.01);观察组谵妄发生率明显低于对照组(P<0.05);满意度明显高于对照组(P<0.05)。结论多元化健康教育联合情感支持有助于改善ICU清醒患者情绪状态,减少谵妄发生率,提高患者满意度。Objective To explore the effect of diversified health education and emotional support on the emotional status and delirium incidence of conscious patients in intensive care unit(ICU).Methods A total of conscious 169 patients in ICU between January 2018 and December 2019 were selected to Huai’an Fourth People’s Hospital.A total of 86 patients receiving diversified health education and emotional support were selected as the observation group and 83 patients receiving routine health education and nursing intervention were selected as the control group by convenience sampling method,the emotional status,delirium incidence and satisfaction were compared between the two groups before and after intervention.Results After intervention,both groups had significantly lower scores of tension-anxiety,depression-depression,anger-enmity,fatigue-dullness,confusion-disturbance than before intervention the energy-vigor score was significantly higher than that before intervention(P<0.01),the scores of graded emotional status in treatment group:nervous-anxiety,depression-frustration,anger-hostility,fatigue-inactivity,confusion-disorder,were significantly lower than those before intervention and the control group(P<0.01);the energy-vigor score was significantly higher than that before intervention and the control group(P<0.01);the incidence of delirium in the treatment group was significantly lower than that in the control group(P<0.05);the satisfaction rate was significantly higher than that of the control group(P<0.05).Conclusion Diversified health education combined with emotional support can help improve the emotional state of ICU conscious patients,reduce the incidence of delirium,and improve patient satisfaction.

关 键 词：重症监护室 清醒 健康教育 情感支持 情绪状态 谵妄 

分 类 号：R473.6[医药卫生—护理学]