个体化轻音乐护理在有创机械通气患者ICU综合征预防中的应用效果  

Application effect of individualized light music therapy in the prevention of ICU syndrome in patients with invasive mechanical ventilation

作　　者：邹玉婷 罗艳 杨婷 徐云霞[1] 王玥 ZOU Yuting;LUO Yan;YANG Ting;XU Yunxia;WANG Yue(Intensive Care Department 1,Nanchang Hongdu Hospital of TCM,Jiangxi Province,Nanchang 330000,China;Second Ward,Nanchang Hongdu Hospital of TCM,Jiangxi Province,Nanchang 330000,China)

机构地区：[1]南昌市洪都中医院重症一科,江西南昌330000 [2]南昌市洪都中医院二病区,江西南昌330000

出　　处：《中国当代医药》2025年第3期161-165,共5页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202311324)。

摘　　要：目的探讨个体化轻音乐护理在有创机械通气患者ICU综合征预防中的应用价值。方法选取2021年1月至2023年1月南昌市洪都中医院ICU收治的60例接受有创机械通气治疗患者作为研究对象,采用随机数字表法分为对照组和观察组,每组30例。对照组采取常规护理,观察组在常规护理基础上采用个体化轻音乐护理,两组均持续护理2周。比较两组患者ICU综合征发生率、心理状态、睡眠质量、临床指标、生活质量及护理满意度。结果观察组患者ICU综合征发生率低于对照组,差异有统计学意义(P<0.05);护理后,观察组抑郁自评量表(SDS)、焦虑自评量表(SAS)、匹兹堡睡眠质量量表(PSQI)评分均低于对照组,差异有统计学意义(P<0.05);观察组的机械通气时间、入住ICU时间、住院时间均短于对照组,差异有统计学意义(P<0.05);观察组护理后健康调查简表(SF-36)评分均高于对照组,差异有统计学意义(P<0.05);观察组患者各项满意度评分均高于对照组,差异有统计学意义(P<0.05)。结论在有创机械通气患者中采取个体化轻音乐护理,可预防ICU综合征发生,缓解患者消极情绪,改善睡眠质量,有效缩短机械通气时间,改善其生活质量水平,从而提升患者满意度。Objective To explore the application value of individualized light music nursing in the prevention of ICU syndrome in patients with invasive mechanical ventilation.Methods A total of 60 patients receiving invasive mechanical ventilation treatment in the ICU of Nanchang Hongdu Hospital of TCM from January 2021 to January 2023 were selected as the study objects,and were divided into control group and observation group by random number table method,with 30 cases in each group.The control group received routine care,while the observation group received individualized light music therapy on the basis of routine care.Both groups received continuous care for 2 weeks.The incidence of ICU syndrome,mental state,sleep quality,clinical indicators,quality of life and nursing satisfaction were compared between the two groups.Results The incidence of ICU syndrome in observation group was lower than that in control group,the difference was statistically significant(P<0.05).After nursing,the scores of self-rating depression scale(SDS),self-rating anxiety scale(SAS)and Pittsburgh sleep quality index(PSQI)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The mechanical ventilation time,ICU stay time and hospital stay in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The the MOS item short from health survey(SF-36)scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The satisfaction scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Individualized light music therapy can prevent ICU syndrome in patients with invasive mechanical ventilation,alleviate negative emotions,improve sleep quality,effectively shorten mechanical ventilation time,promote early recovery,and improve quality of life.Therefore,patients a

关 键 词：有创机械通气 个体化轻音乐护理 ICU综合征 心理状态 睡眠质量 临床指标 

分 类 号：R473[医药卫生—护理学]