观察基于保护动机理论的针对性干预对重症监护室机械通气患者睡眠质量的影响  

Observing the Impact of Targeted Interventions Based on Protection Motivation Theory on the Sleep Quality of Mechanically Ventilated Patients in the Intensive Care Unit

作　　者：黄金治 HUANG Jinzhi(Fujian Medical University Affiliated Quanzhou First Hospital,Quanzhou 362000,China)

机构地区：[1]福建医科大学附属泉州第一医院,泉州362000

出　　处：《世界睡眠医学杂志》2025年第1期169-171,175,共4页World Journal of Sleep Medicine

摘　　要：目的:探讨在ICU行机械通气治疗的患者护理中,实施基于保护动机理论的针对性干预效果。方法:选取2022年2月到2023年2月福建医科大学附属泉州第一医院收治的行机械通气治疗患者52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26例。对照组通气间给予常规护理干预,观察组基于保护动机理论的针对性干预。采用多导睡眠监测系统检测2组患者的肺功能改善情况,比较2组患者的总睡眠时间、睡眠潜伏期、睡眠效率的差异,并比较2组患者肺炎发生率。结果:干预后,观察组总睡眠时间、睡眠效率显著高于对照组,观察组睡眠潜伏期显著低于对照组,观察组肺功能改善情况明显优于对照组,观察组肺炎发生率显著低于对照组,差异均有统计学意义(均P<0.05)。结论:在ICU行机械通气治疗的患者护理中,实施基于保护动机理论的针对性干预能够取得较为满意的效果,值得推广应用。Objective:To explore the effectiveness of targeted intervention effect based on protective motivation theory in the nursing care of patients undergoing mechanical ventilation treatment in ICU.Methods:A total of 52 patients receiving mechanical ventilation admitted to Quanzhou First Hospital affiliated to Fujian Medical University from February 2022 to February 2023 were selected as the study subjects.They were divided into a control group and an observation group using a random number table method,with 26 patients in each group.The control group received routine nursing interventions during ventilation,while the observation group received targeted interventions based on the theory of protective motivation.Polysomnography was used to assess improvements in lung function in both groups.Differences in total sleep time,sleep latency,and sleep efficiency were compared between the two groups,and the incidence of pneumonia was also compared.Results:After intervention,the total sleep time and sleep efficiency of the observation group were significantly higher than those of the control group,and the sleep latency of the observation group was significantly lower than that of the control group.The improvement of lung function in the observation group was significantly better than that of the control group,and the incidence of pneumonia in the observation group was significantly lower than that of the control group.The difference between the two groups was statistically significant(P<0.05).Conclusion:In the nursing care of patients undergoing mechanical ventilation treatment in the ICU,implementing targeted intervention based on the Protection Motivation Theory can achieve satisfactory results and is worthy of promotion and application.

关 键 词：基于保护动机理论 机械通气 针对性护理 ICU 呼吸机相关性肺炎 睡眠 肺功能 并发症 

分 类 号：R338.63[医药卫生—人体生理学] R364.4[医药卫生—基础医学]