前瞻性护理干预改善ICU清醒患者睡眠质量的临床效果  

Value of Prospective Nursing Intervention to Improve Sleep Quality in ICU Awake Patients

作　　者：方梦琳 余秀[1] FANG Menglin;YU Xiu(The First Affiliated Hospital,Fujian Medical University.,Fuzhou 350000,China)

机构地区：[1]福建医科大学附属第一医院,福州350000

出　　处：《世界睡眠医学杂志》2022年第7期1321-1323,共3页World Journal of Sleep Medicine

摘　　要：目的:探究前瞻性护理干预改善重症监护病房(ICU)清醒患者睡眠质量的临床效果,旨在为前瞻性护理应用于ICU清醒患者提供科学依据。方法:选取2019年1月至2020年12月福建医科大学附属第一医院收治的ICU清醒患者98例作为研究对象,随机分为对照组和观察组,每组49例。对照组给予常规护理干预,观察组给予前瞻性护理干预,比较2组患者负面情绪评分、睡眠质量评分及护理满意度。结果:干预前,2组患者SAS、SDS、PSQI评分比较,差异均无统计学意义(均P>0.05);干预后,2组患者SAS、SDS、PSQI评分均降低,且观察组各项评分均低于对照组,2组比较差异均有统计学意义(均P<0.05)。对照组护理满意度为81.63%、观察组护理满意度为95.92%,2组比较差异有统计学意义(P<0.05)。结论:前瞻性护理干预可更好地改善ICU清醒患者的睡眠质量和负面情绪,且患者满意度较高应用价值较大,建议推荐使用。Objective:To explore the application value of prospective nursing intervention to improve the sleep quality of conscious patients in ICU,in order to provide more content for clinical nursing of conscious patients in ICU.Methods:From January 2019 to December 2020,98 conscious patients in ICU were randomly divided into two groups:the control group and the observation group.They were given routine nursing intervention and prospective nursing intervention respectively,the scores of negative emotion,sleep quality and nursing satisfaction between the two groups were compared and analyzed.Results:1)The score of negative emotion:The comparison between the two groups before Nursing Intervention(P>0.05);After nursing intervention,the scores of SAS and SDS in the two groups decreased,and the score of the observation group was lower than that of the control group,the difference was significant(P<0.05).2)The score of sleep quality:The comparison between the two groups before Nursing Intervention(P>0.05);After nursing intervention,the PSQI scores of the two groups decreased,and the score of the observation group was lower than that of the control group,the difference was significant(P<0.05).3)Nursing Satisfaction:The care satisfaction of the reference and observation group was 81.63%and 95.92%,respectively,and the latter was higher than the former(95.92%vs 81.63%)(P<0.025).Conclusion:Prospective nursing intervention has timeliness in improving sleep quality in ICU awake patients,can improve patient negative emotions,improve patient sleep quality,high patient satisfaction,great application value,and recommended use.

关 键 词：ICU 清醒患者 前瞻性护理干预 负面情绪 睡眠质量 护理满意度 

分 类 号：R473.5[医药卫生—护理学]