多维危机控制理念下强化干预对ICU连续性血液净化治疗患者心理及预后的影响  

Effect of intensive intervention under the concept of multidimensional crisis control on psychology and prognosis of ICU patients undergoing continuous blood purification therapy

作　　者：刘朔 刘艳华 宋琳娣 代洁 杨洁 LIU Shuo;LIU Yanhua;SONG Lindi;DAI Jie;YANG Jie(Critical Care Medicine,Huainan Oriental Hospital Group,the Affiliated Hospital of Anhui University of Science&Technology,Huainan 232001,Anhui,China;Department of Interventional Respiratory,Huainan Oriental Hospital Group,the Affiliated Hospital of Anhui University of Science&Technology,Huainan 232001,Anhui,China)

机构地区：[1]安徽理工大学附属医院淮南东方医院集团总医院重症医学科,安徽淮南232001 [2]安徽理工大学附属医院淮南东方医院集团总医院介入呼吸科,安徽淮南232001

出　　处：《贵州医科大学学报》2024年第11期1705-1710,共6页Journal of Guizhou Medical University

基　　金：淮南市科技计划项目(2021126);2022年安徽省高等学校省级质量工程项目(2022jyxm413)。

摘　　要：目的观察多维危机控制理念下强化干预对重症监护室(ICU)连续性血液净化(CBP)治疗患者心理及预后的影响。方法选取行CBP治疗的ICU患者80例随机均分为对照组和观察组,两组患者均予以常规干预,观察组在其基础上予以多维危机控制理念下强化干预,干预2周;比较两组干预前、干预2周时焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、医学应对问卷(MCMQ)评分、营养指标[血红蛋白(Hb)和白蛋白(Alb)]及患者满意度调查;记录两组患者并发症、不良事件及住ICU时长。结果观察组干预后SAS评分、SDS评分及屈服、回避评分均明显低于对照组(P<0.05);观察组干预后MCMQ面对评分和血液Hb、Alb明显高于对照组(P<0.05);观察组并发症总发生率、不良事件总发生率均明显低于对照组(P<0.05),观察组患者住ICU时长明显短于对照组(P<0.05),满意度明显优于对照组(P<0.05)。结论多维危机控制理念下强化干预可有效减轻ICU病房CBP治疗患者焦虑、抑郁情绪,促使患者采取积极应对行为,从而降低并发症与不良事件风险。Objective To observe the effect of intensive intervention under the concept of multidimensional crisis control on the psychology and prognosis of ICU patients undergoing continuous blood purification(CBP)therapy.Methods Eighty ICU patients undergoing CBP therapy were selected,randomly divided into control and observation groups.Both groups were given routine intervention.Observation group was given intensive intervention under the concept of multidimensional crisis control on this basis.Both groups were given 2 weeks of intervention.The two groups were compared on self-rating anxiety scale(SAS)scores,self-rating depression scale(SDS)scores,medical coping modes questionnaire(MCMQ)scores and nutritional indicators[hemoglobin(Hb)and albumin(Alb)]before intervention and after 2 weeks of intervention as well as patient satisfaction.Two groups of the patients were recorded on complications,adverse events and length of ICU stay.Results After intervention,SAS score,SDS score,and scores for yielding and avoidance in observation group were significantly lower than those in control group(P<0.05).After intervention,facing score and the levels of blood Hb and Alb in observation group were significantly higher than those in control group(P<0.05).The total incidence rates of complications and adverse events in observation group were significantly lower than those in control group(P<0.05).ICU stay length was significantly shorter in observation group than that in control group(P<0.05),and satisfaction was significantly better than that of control group(P<0.05).Conclusion Intensive intervention under the concept of multidimensional crisis control can effectively alleviate the anxiety and depression of ICU patients undergoing CBP therapy,encourage them to adopt positive coping modes and reduce the risks of complications and adverse events.

关 键 词：重症监护室 多维危机控制理念 强化干预 连续性血液净化 

分 类 号：R473.5[医药卫生—护理学]