基于聚焦解决模式的ICU护理路径对脓毒症伴急性肾功能衰竭患者心理状态及睡眠质量的影响  

The Effects of ICU Care Pathway Based on Focused Solution Model on Mental State and Sleep Quality in Patients with Sepsis and Acute Renal Failure

作　　者：李琳婧 杨柳 LI Linjing;YANG Liu(The First Affiliated Hospital of Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门大学附属第一医院,福建厦门361000

出　　处：《中国医药指南》2023年第35期81-83,共3页Guide of China Medicine

摘　　要：目的探究聚焦解决模式(FSM)的重症加强护理病房(ICU)护理路径对脓毒症伴急性肾功能衰竭(SA-ARF)患者心理状态及睡眠质量的影响。方法将2020年3月至2022年3月厦门大学附属第一医院收治的72例SA-ARF患者作为研究对象,采用简单随机法分为对照组(n=36)及观察组(n=36)。对照组予以常规护理,观察组在对照组的基础上采用基于FSM模式的ICU护理路径进行干预。比较干预前、干预15 d后两组心理状态、睡眠质量、生活质量。结果干预后两组心理状态评分较干预前均有所改善,且观察组心理状态评分高于对照组(P<0.05);干预后两组睡眠质量评分较干预前均有所改善,且观察组睡眠质量评分高于对照组(P<0.05);干预后两组生活质量评分较干预前均有所改善,且观察组生活质量评分高于对照组(P<0.05)。结论FSM模式的ICU护理路径干预,对SA-ARF患者的心理状态以及睡眠质量有明显的改善,提高了患者的生活质量。Objective To explore the effect of intensive care unit(ICU)nursing pathway in focused solution mode(FSM)on mental state and sleep quality of patients with sepsis and acute renal failure(SA-ARF).Methods A total of 72 SA-ARF patients admitted to The First Affiliated Hospital of Xiamen University from March 2020 to March 2022 were selected as research objects and divided into control group(n=36)and observation group(n=36)by simple random method.The control group was given routine nursing,and the observation group was treated with ICU nursing of FSM on the basis of the control group.The differences in mental state,sleep quality and quality of life between the two groups were compared before intervention and 15 days after intervention.Results After 15 days of intervention,the score of mental resilience in CD-RISC results of SA-ARF patients in both groups was higher than before intervention,and the score of SA-ARF patients in the observation group was significantly better than that in the control group(P<0.05).RCSQ scores related to sleep quality of SA-ARF patients in both groups were lower than before intervention,and the score of SA-ARF patients in the observation group was significantly better than that in the control group(P<0.05).WHOQOL-BREF scores related to quality of life in the two groups of SA-ARF patients were higher than before intervention,and the score of SA-ARF patients in the observation group was significantly better than that in the control group,the difference was statistically significant(P<0.05).Conclusions FSM mode of ICU nursing pathway intervention can significantly improve the mental state and sleep quality of SA-ARF patients,and improve the quality of life of patients.

关 键 词：聚焦解决模式 脓毒症 急性肾功能衰竭 心理状态 睡眠质量 

分 类 号：R473.5[医药卫生—护理学]