早期综合护理干预对老龄患者ICU综合征、ICU环境压力程度、心理状态的影响  

Effect of early comprehensive nursing intervention on ICU syndrome,ICU environmental stress level,and psychological status in elderly patients

作　　者：朱蓓蓓 黄为连 邱艺 韩家裕 ZHU Beibei;HUANG Weilian;QIU Yi;HAN Jiayu(Ganzhou Women and Children's Health Care Hospital,Jiangxi Province,Ganzhou 341000,China;Intensive Care Unit,Second Affiliated Hospital of Gannan Medical University,Jiangxi Province,Xinfeng 341400,China)

机构地区：[1]江西省赣州市妇幼保健院,江西赣州341000 [2]赣南医学院第二附属医院ICU,江西信丰341400

出　　处：《中国当代医药》2023年第21期188-191,共4页China Modern Medicine

基　　金：江西省赣州市指导性科技计划项目(GZ2020ZSF103)。

摘　　要：目的研究早期综合护理干预对老龄患者重症监护病房(ICU)综合征、ICU环境压力程度、心理状态的影响。方法选取2021年1月至12月赣南医学院第二附属医院收治的60例老龄ICU患者作为研究对象,采用单双号分组法将其分为对照组(30例)与研究组(30例),对照组患者采用常规护理,研究组患者采用常规护理联合早期综合护理,比较两组患者ICU综合征发生情况、ICU环境压力程度、心理状态。结果研究组干预后ICU综合征发生率及ICU环境压力源量表(ICUESS)评分均低于对照组,住ICU时间短于对照组,差异有统计学意义(P<0.05)。研究组干预后正面情绪指标评分均高于对照组,负面情绪指标评分均低于对照组,差异有统计学意义(P<0.05)。研究组、对照组干预后POMS正面情绪指标评分均高于本组干预前,负面情绪指标评分均低于本组干预前,差异有统计学意义(P<0.05);研究组干预后简明健康调查量表(SF-36)各维度评分均高于对照组,差异有统计学意义(P<0.05)。结论早期综合护理可有效改善患者心理状态,减少ICU综合征的发生。Objective To study the effects of early comprehensive nursing intervention on elderly patients with intensive care unit(ICU)syndrome,ICU environmental stress level,and psychological state.Methods Sixty elderly ICU patients ad-mitted to Second Affiliated Hospital of Gannan Medical University from January to December 2021 were selected as the research subjects.They were divided into control group(n=30)and study group(n=30)using an odd or even number method.In the control group,patients received routine care,while in the study group,patients received routine care combined with early comprehensive nursing.The incidence of ICU syndrome,the level of ICU environmental stress,and psychological status of the two groups were compared.Results After intervention,the incidence of ICU syndrome and intensive care unit environmental stressor scale(ICUESS)score in the study group were lower than those in the control group,the duration of stay in ICU in the study group was shorter than that in the control group,with statistical differences(P<0.05).After inter-vention,the scores of positive emotional indicators of profile of mood state in the study group were higher than those in the control group,while the scores of negative emotional indicators were lower than those in the control group,with statistical significances(P<0.05).After intervention,the scores of positive emotional indicators(POMS)in the study group and control group were higher than those before intervention in the corresponding group,while the scores of negative emotional indicators were lower than those before intervention in the corresponding group,with statistically significant differences(P<0.05).The the short-form 36 item health survey questionnaire(SF-36)scores in all dimensions after intervention were higher than those of the control group,with statistically significant differences(P<0.05).Conclusion Early comprehensive nursing can effectively improve patients'psychological state and reduce the occurrence of ICU syndrome.

关 键 词：ICU综合征 早期综合护理 心理状态 护理满意度 

分 类 号：R473[医药卫生—护理学]