ICU患者实施集束化干预模式对心理状态、睡眠质量及满意度的影响  

Effects of Cluster Intervention Mode on Psychological State,Sleep Quality and Satisfaction in ICU Patients

作　　者：吴莉玲 郑青青 张兰婕 WU Liling;ZHENG Qingqing;ZHANG Lanjie(Department of Critical Care Medicine,People′s Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou 350000,China)

机构地区：[1]福建中医药大学附属人民医院重症医学科,福州350000

出　　处：《世界睡眠医学杂志》2024年第2期350-353,共4页World Journal of Sleep Medicine

摘　　要：目的:探究集束化干预模式在ICU患者护理中的应用效果。方法:选取2022年2月至2023年4月福建中医药大学附属人民医院收治的ICU患者64例作为研究对象,按照随机数字表法分为观察组和对照组,每组32例。观察组开展的护理方法是集束化干模式,对照组仅实施常规护理,于护理前后2个时间点对患者的心理状态、睡眠进行测评,并将护理前后患者的心态和睡眠情况评分进行对照分析,调查分析患者对护理工作的满意度情况。结果:护理后2组的焦虑和抑郁情绪较护理前均有改善,评分降低,观察组护理后的2项评分均小于对照组,差异均有统计学意义(均P<0.05);2组护理后的睡眠质量评分小于护理前,观察组护理后的各项睡眠质量评分均小于对照组(均P<0.05);观察组的满意度高于对照组,差异有统计学意义(P<0.05)。结论:对ICU重症患者实施集束化干预更有利于改善其心理状态和睡眠质量,患者满意度更高,可以从整体上提高患者的生命质量,对于患者而言有非常重要的现实意义,因此,集束化干预在临床上是值得进一步推广应用的。Objective:To explore the effect of cluster intervention mode in ICU patient care.Methods:A total of 64 ICU patients admitted to the People′s Hospital Affiliated to Fujian University of Traditional Chinese Medicine from February 2022 to April 2023 were selected as the main subjects.They were divided into observation group and control group by random number table method,with 32 cases in each group.The nursing method carried out by the observation group was cluster intervention mode,while the control group only implemented routine nursing.The psychological state and sleep of the patients were assessed at two time points before and after nursing,and the psychological state and sleep scores of the patients before and after nursing were compared and analyzed to investigate and analyze the patients′satisfaction with nursing work.Results:After nursing,the anxiety and depression mood of the 2 groups were improved and the scores were lower than before nursing,and the scores of the observation group were lower than those of the control group,with statistical significance(P s<0.05).The score of sleep quality after nursing was lower than before nursing,and the score of sleep quality after nursing in the observation group was lower than that in the control group(P s<0.05).The satisfaction of the observation group was higher than that of the control group,which had statistical significance(P<0.05).Conclusion:The implementation of cluster intervention mode in ICU patients with severe illness is more conducive to improving their psychological state and sleep quality,with higher patient satisfaction,and can improve the quality of life of patients as a whole,which has very important practical significance for patients.Therefore,cluster intervention is worthy of further promotion and application in clinical practice.

关 键 词：集束化干预模式 常规护理 ICU 焦虑 抑郁 满意度 睡眠质量 护理效果 

分 类 号：R473[医药卫生—护理学] R338.63[医药卫生—临床医学]