眼动脱敏与再加工治疗对呼吸机相关性肺炎患者ICU记忆和创伤后应激障碍的干预效果  

Effects of eye movement desensitization and reprocessing on ICU memory and post-traumatic stress disorder among patients with ventilator associated pneumonia

作　　者：刘雪娟 陈兴华 Liu Xuejuan;Chen Xinghua(Department of ICU,Guangzhou Red Cross Hospital,Guangzhou 510000,China)

机构地区：[1]广州市红十字会医院重症医学科,广州510000

出　　处：《中国实用护理杂志》2022年第35期2761-2767,共7页Chinese Journal of Practical Nursing

摘　　要：目的探讨眼动脱敏与再加工治疗(EMDR)对呼吸机相关性肺炎患者ICU记忆和创伤后应激障碍(PTSD)的干预效果。方法选取2017年8月至2020年8月广东省广州市红十字会医院收治的66例呼吸机相关性肺炎患者,按照随机数字表法分为干预组和对照组各33例。对照组给予常规护理和认知训练,干预组在常规护理基础上实施8次EMDR治疗。干预前和干预后,采用ICU记忆量表(ICUMS)和创伤后应激障碍量表平民版(PCL-C)评价干预效果。结果干预后,干预组ICUMS中事实记忆、情感记忆、妄想性记忆维度得分和总分分别为(19.48±5.14)、(10.45±2.62)、(7.06±2.62)、(37.00±6.12)分,对照组分别为(24.58±7.38)、(13.58±4.07)、(9.48±3.57)、(47.64±9.99)分,2组比较差异有统计学意义(t值为3.14~5.22,均P<0.05)。干预组PCL-C量表中警觉性增高、回避/麻木、重新体验症状群得分和总分分别为(8.09±2.13)、(10.42±2.62)、(7.24±2.69)、(25.76±4.25)分,对照组分别为(9.30±2.35)、(12.73±2.11)、(9.24±2.51)、(31.27±4.97)分,2组比较差异有统计学意义(t值为2.20~4.85,均P<0.05)。结论EMDR治疗可有效减弱呼吸机相关性肺炎患者ICU记忆和改善PTSD症状。Objective To investigate eye movement desensitization and reprocessing on ICU memory and post-traumatic stress disorder among patients with ventilator associated pneumonia.Methods Totally,66 cases of ICU patients with ventilator associated pneumonia enrolled at Guangzhou Red Cross Hospital from August 2017 to August 2020 were collected as research object,they were randomly divided into intervention group and control group,with 33 cases in each groups.The control group received routine nursing care and cognitive training,in the intervention group,patients implemented EMDR therapy for 8 times.Before and after intervention,the effect was assessed by ICU memory scale and PTSD Checklist-Civilian Version,respectively.Results After intervention,the scores of factual memories,emotional memories,delusional memories dimension and total ICUMS were(19.48±5.14),(10.45±2.62),(7.06±2.62)and(37.00±6.12)in the intervention group,those scores in the control group were(24.58±7.38),(13.58±4.07),(9.48±3.57)and(47.64±9.99),the difference was statically significant(t values were 3.14-5.22,all P<0.05).The re-experiencing,avoidance,hyperarousal dimensions scores and total PCL-C scores were(8.09±2.13),(10.42±2.62),(7.24±2.69)and(25.76±4.25)in the intervention group,and in the control group those scores were(9.30±2.35),(12.73±2.11),(9.24±2.51)and(31.27±4.97),the difference was statically significant(t values were 2.20-4.85,all P<0.05).Conclusions Eeye movement desensitization and reprocessing therapy can effectively alleviate ICU memory and improve PTSD symptoms of patients with ventilator associated pneumonia.

关 键 词：肺炎 呼吸机相关性 应激障碍 创伤后 眼动脱敏再加工 ICU记忆 

分 类 号：R473[医药卫生—护理学]