前瞻性护理对改善ICU清醒患者睡眠质量的临床效果  

Clinical Effect of Prospective Nursing on Improving Sleep Quality of Awake Patients in ICU

作　　者：赵茹 丁小凤[1] 陈彩红 ZHAO Ru;DING Xiaofeng;CHEN Caihong(ICU,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ICU,福州350000

出　　处：《世界睡眠医学杂志》2024年第2期413-416,共4页World Journal of Sleep Medicine

摘　　要：目的:探究重症监护病房(ICU)清醒患者接受前瞻性护理的干预效果。方法:选取2022年8月至2023年4月福建中医药大学附属人民医院ICU收治的清醒患者80例作为研究对象,按照随机数字表法分为对照组和观察组,每组40例。对照组进行常规护理,观察组的护理方法是常规+前瞻性护理,比较2组的感染发生率,同时对比护理前后2组患者的焦虑程度、抑郁程度、睡眠质量改善情况。结果:与对照组比较,观察组的发生率更低,差异有统计学意义(P<0.05);护理前,2组的焦虑程度比较,差异无统计学意义(P>0.05),护理后2组的焦虑评分均小于护理前,护理后观察组的焦虑评分显著小于对照组,差异均有统计学意义(均P<0.05);3护理后2组的抑郁评分较护理前比较均有不同程度降低,护理后观察组的抑郁评分显著小于对照组,差异均有统计学意义(均P<0.05);护理后观察组的睡眠质量优于对照组,差异有统计学意义(P<0.05)。结论:对ICU清醒患者实施前瞻性护理既有利于预防感染的发生,又可以缓解患者的情绪障碍,提高其睡眠质量,可推广。Objective:To explore the intervention effect of prospective nursing for awake patients in ICU.Methods:A total of 80 awake patients treated in the ICU of the People′s Hospital Affiliated to Fujian University of Traditional Chinese Medicine from August 2022 to April 2023 were selected as the study objects.The randomized number table method was used to divide the patients into two groups,including 40 patients in the observation group and the control group.The nursing methods of the two groups were routine+prospective nursing and routine nursing,respectively.At the same time,the anxiety degree,depression degree and sleep quality improvement of the two groups were compared before and after care.Results:Compared with the control group,the incidence of infection in the observation group was lower and had statistical significance(P<0.05).Before nursing,the anxiety degree of the two groups had no statistical significance,and the anxiety score of the two groups after nursing was lower than that before nursing,and the anxiety score of the observation group after nursing was significantly lower than that of the control group,with statistical significance(P s<0.05).The depression score of the two groups after nursing was lower than that before nursing,and the depression score of the observation group after nursing was significantly lower than that of the control group,with statistical significance(P s<0.05).After nursing,the sleep quality of the observation group was better than that of the control group,and there was statistical significance.Conclusion:Prospective nursing for awake patients in ICU can not only prevent infection,but also alleviate emotional disorders and improve sleep quality.

关 键 词：前瞻性护理 常规护理 重症监护室 清醒患者 睡眠质量 感染 焦虑 抑郁 

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