模块化护理干预对呼吸重症监护室重症肺炎患者睡眠质量、心理状态的影响陈溢玲林婷婷钟丽琴李颖  

Effect of Modular Nursing Intervention on Sleep Quality and Psychological Status of Patients with Severe Pneumonia in Respiratory Intensive Care Unit

作　　者：陈溢玲[1] 林婷婷 钟丽琴[1] 李颖彬[1] 曾桃霞 Chen Yi-ling;Lin Ting-ting;Zhong Li-qin;Li Ying-bin;Zeng Tao-xia(The First Affiliated Hospital of Guangdong Pharmaceutical University,Guangzhou 510080,Guangdong Province,China)

机构地区：[1]广东药科大学附属第一医院,广东广州510080

出　　处：《中外医药研究》2022年第1期120-122,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析模块化护理干预对呼吸重症监护室(RICU)重症肺炎患者睡眠质量、心理状态的影响。方法:选取2021年1-12月在广东药科大学附属第一医院RICU住院的80例重症肺炎患者作为研究对象,根据随机数表法分为两组,各40例。对照组给予常规护理,观察组在对照组基础上给予模块化护理干预,对比两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、匹兹堡睡眠质量指数(PSQI)评分、氧分压(PaO_(2))、血氧饱和度(SaO_(2))、二氧化碳分压(PaCO_(2))、呼吸机相关性肺炎发生率、机械通气时间及RICU入住时间。结果:护理后,观察组SAS、SDS、PSQI评分均低于对照组,差异有统计学意义(P<0.05);护理后,观察组PaO_(2)、SaO_(2)均高于对照组,PaCO_(2)低于对照组,差异有统计学意义(P<0.05);观察组呼吸机相关性肺炎发生率低于对照组,差异有统计学意义(P<0.05);观察组机械通气时间、RICU入住时间均短于对照组,差异有统计学意义(P<0.05)。结论:模块化护理干预可有效减轻RICU重症肺炎患者不良情绪,改善动脉血气指标、睡眠质量,缩短治疗时间,促进机体康复。Objective:To analyze the effect of modular nursing intervention on the sleep quality and psychological status of patients with severe pneumonia in respiratory intensive care unit(RICU).Methods:A total of 80 patients with severe pneumonia who were hospitalized in the RICU of the First Affiliated Hospital of Guangdong Pharmaceutical University from January 2021 to December 2021 were selected as the research subjects,and divided into two groups with 40 cases in each group according to the random number table method.The control group was given routine nursing,and the observation group was given modular nursing intervention on the basis of the control group.The scores of Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)and Pittsburgh Sleep Quality Index(PSQI),partial pressure of oxygen(PaO_(2)),blood oxygen saturation(SaO_(2)),partial pressure of carbon dioxide(PaCO_(2)),incidence of ventilator-associated pneumonia,duration of mechanical ventilation and duration of RICU stay were compared between the two groups.Results:After nursing,the SAS,SDS and PSQI scores of the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05).After nursing,the PaO_(2)and SaO_(2)of the observation group were higher than those of the control group,and the PaCO_(2)was lower than that of the control group,and the difference was statistically significant(P<0.05).(P<0.05);The incidence of ventilator-associated pneumonia in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The mechanical ventilation time and RICU stay time in the observation group were shorter than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:Modular nursing intervention can effectively reduce the bad mood of RICU patients with severe pneumonia,improve the arterial blood gas index and sleep quality,shorten the treatment time,and promote the body recovery.

关 键 词：模块化护理干预 呼吸重症监护病房 重症肺炎 睡眠质量 心理状态 

分 类 号：R47[医药卫生—护理学]