急诊多发创伤患者建立“调神”为主的疼痛+睡眠干预改善患者睡眠质量、心理状态及生命体征的临床实践  

Clinical Practice of Establishing Pain+Sleep Intervention Based on"Mind-regulating"to Improve Sleep Quality,Mental State and Vital Signs of Patients with Emergency Multiple T

作　　者：吴丽云 刘巧惠[1] 郭丽华[1] WU Liyun;LIU Qiaohui;GUO Lihua(Department of Emergency ICU,Zhongshan Hospital Affiliated to Xiamen University,Xiamen,Fujian Province,361000 China)

机构地区：[1]厦门大学附属中山医院急诊ICU,福建厦门361000

出　　处：《中外医疗》2023年第30期162-165,共4页China & Foreign Medical Treatment

摘　　要：目的对急诊多发创伤患者建立“调神”为主的疼痛+睡眠干预改善患者睡眠质量、心理状态及生命体征的临床实践进行探究。方法方便选取2020年5月—2022年6月厦门大学附属中山医院急诊接收的102例多发性创伤患者为研究对象,按照抽签法随机为两组,每组51例,对照组采用常规护理干预,观察组在常规护理干预下,建立“调神”为主的疼痛+睡眠干预。比较两组干预前后的睡眠质量、心理状态、疼痛情况,以及术后并发症感染情况。结果干预后,两组患者的睡眠质量评分均降低,且观察组低于对照组,差异有统计学意义(P<0.05)。干预前,两组患者的焦虑、抑郁情绪评分相比,差异无统计学意义(P>0.05);干预后,观察组评分明显低于对照组,差异有统计学意义(P<0.05)。干预后,两组疼痛情况评分均下降,且观察组低于对照组,差异有统计学意义(P<0.05)。干预后,观察组患者并发症感染率(3.92%)明显低于对照组(17.65%),差异有统计学意义(χ^(2)=4.993,P<0.05)。结论给予急诊多发创伤患者建立“调神”为主的疼痛+睡眠干预,有利于提高患者睡眠质量,改善患者焦虑和抑郁情况,对于减轻其疼痛,降低并发症感染率具有重要意义。Objective To explore the clinical practice of establishing pain+sleep intervention based on"mindregulating"to improve the quality of sleep,psychological state and vital signs of patients with emergency multiple trauma.Methods A total of 102 patients with multiple trauma admitted to the department of emergency of Zhongshan Hospital Affiliated to Xiamen University from May 2020 to June 2022 were conveniently selected as the research sub⁃jects.They were randomly divided into two groups according to the drawing method,with 51 cases in each group.The control group was treated with routine nursing intervention,and the observation group was treated with pain+sleep in⁃tervention based on"regulating the mind".The sleep quality,psychological state,pain and postoperative infection were compared between the two groups before and after intervention.Results After the intervention,the sleep quality scores of both groups were reduced,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05).Before intervention,there was no statistically significant difference in anxiety and depression scores between the two groups(P>0.05).After intervention,the scores of the observation group were significantly lower than that of the control group,and the difference was statistically significant(P<0.05).After intervention,the pain scores of both groups decreased,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05).After intervention,the complication infection rate in the observation group(3.92%)was significantly lower than that in the control group(17.65%),and the difference was statistically sig⁃nificant(χ^(2)=4.993,P<0.05).Conclusion The establishment of pain+sleep intervention based on"mind-regulating"in emergency patients with multiple trauma is conducive to improving the sleep quality of patients,improving anxiety and depression,and is of great significance for alleviating their pain and reducing complications and

关 键 词：多发创伤 调神 睡眠质量 心理状态 生命体征 临床实践 

分 类 号：R47[医药卫生—护理学]