人性化干预对新型隐球菌脑膜炎伴发热患者的安抚及睡眠质量的影响  

Impact of Humanized Intervention on Comfort and Sleep Quality in Patients with Cryptococcal Meningitis and Fever

作　　者：陈晓丽 杨雪梅 赵雁芳 冯艳[1] CHEN Xiaoli;YANG Xuemei;ZHAO Yanfang;FENG Yan(Department of Infectious Diseases,Qilu Hospital,Shandong University,Ji′nan 250012,China;Department of Sports Medicine,Qingdao Municipal Hospital/Qingdao Medical Imaging Center/Qingdao Institute of Clinical Medicine/Qingdao Beijiu Hydro Sanatorium,Qingdao 266000,China)

机构地区：[1]山东大学齐鲁医院感染性疾病科,济南250012 [2]青岛市市立医院/青岛市医学影像学中心/青岛市临床医学研究所/青岛市北九水疗养院运动医学科,青岛266000

出　　处：《世界睡眠医学杂志》2024年第12期2679-2681,共3页World Journal of Sleep Medicine

基　　金：山东省中医药科技项目(2024S194)。

摘　　要：目的:本研究旨在探讨人性化干预对新型隐球菌脑膜炎伴发热患者的安抚效果及对睡眠质量的影响,评估该护理模式的实际应用价值。方法:选取2021年1月至2024年1月山东大学齐鲁医院收治的新型隐球菌脑膜炎伴发热患者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。在护理过程中,与仅接受标准护理措施的对照组比较,观察组患者获得了在标准基础上扩展的人性化照护,该干预涉及定制化的护理方案、情绪慰藉、舒适度和睡眠质量的专门关注。采用体温监测及匹兹堡睡眠质量评估量表,对干预后的效果进行细致评定。结果:干预后,观察组患者体温显著下降,睡眠质量显著提高。干预后,观察组的体温均值(37.4±0.4)℃较对照组(37.8±0.5)℃有明显降低,差异有统计学意义(P<0.05)。干预后,观察组的匹兹堡睡眠质量评分显著低于对照组,差异有统计学意义(P<0.05)。结论:人性化干预能有效改善新型隐球菌脑膜炎伴发热患者的发热症状,提高其睡眠质量和护理满意度。通过个性化护理、情感支持和舒适护理,人性化干预模式为提高患者的生命质量和护理效果提供了可靠的保障,值得在临床实践中推广。Objective:To explore the effects of humanized intervention on the comfort and sleep quality of patients with cryptococcal meningitis and fever,and to assess the practical application value of this nursing model.Methods:A total of 80 patients with cryptococcal meningitis and fever treated at Qilu Hospital of Shandong University from January 2021 to January 2024 were selected as study subjects.They were randomly divided into the control group and the observation group,with 40 patients in each group.In the nursing process,the observation group received expanded humanized care based on standard care,while the control group received only standard care.The humanized intervention involved customized nursing plans,emotional comfort,and special attention to comfort and sleep quality.Body temperature monitoring and the Pittsburgh Sleep Quality Index(PSQI)were used to evaluate the effects of the intervention.Results:After the intervention,the observation group showed a significant reduction in body temperature and an improvement in sleep quality.The average body temperature in the observation group was(37.4±0.4)℃,which was significantly lower than that in the control group(37.8±0.5)℃,with a statistically significant difference(P<0.05).Additionally,the PSQI score in the observation group was significantly lower than in the control group,with a statistically significant difference(P<0.05).Conclusion:Humanized intervention can effectively improve fever symptoms in patients with cryptococcal meningitis and fever,enhance their sleep quality,and increase their nursing satisfaction.Through personalized care,emotional support,and comfort care,the humanized intervention model provides reliable assurance for improving patients′quality of life and nursing outcomes,making it worthy of promotion in clinical practice.

关 键 词：新型隐球菌脑膜炎 人性化护理 发热 睡眠质量 体温 舒适护理 情感支持 人性化护理 

分 类 号：R338.63[医药卫生—人体生理学] R515.2[医药卫生—基础医学]