基于NOC系统的多维度护理干预对重症肺炎患者负性情绪、睡眠质量及预后的影响  

Effects of multidimensional nursing intervention based on NOC system on negative emotions,sleep quality and prognosis of patients with severe pneumonia

作　　者：陈小毛 陈华芬 陈桂梅 江国栋 郑因碧 陈鸣娣 陈春燕 Chen Xiaomao;Chen Huafen;Chen Guimei;Jiang Guodong;Zheng Yinbi;Chen Mingdi;Chen Chunyan(The Second Affiliated Hospital of Guangdong Medical University,Zhanjiang,Guangdong 524000,China)

机构地区：[1]广东医科大学附属第二医院,广东湛江524000

出　　处：《首都食品与医药》2025年第9期121-124,共4页Capital Food Medicine

摘　　要：目的 探讨在重症肺炎(SP)患者中采取基于护理结局分类(NOC)系统的多维度护理的干预效果。方法 采用随机数表法将本院2022年5月-2024年5月期间收治的96例SP患者分组,对照组48例采取常规护理,观察组48例采取基于NOC系统的多维度护理干预,两组均持续护理至患者出院。对两组患者的负性情绪、睡眠质量情况、并发症发生率以及生活质量水平进行评价和比较。结果 护理后观察组情绪自评量表(DASS-21)中抑郁、压力等维度评分均较对照组低(P<0.05);护理后观察组匹兹堡睡眠质量指数量表(PSQI)中睡眠时间、睡眠紊乱、入睡时间等维度评分均较对照组低(P<0.05);观察组感染性休克、肺水肿等并发症总发生率为4.17%,低于对照组的16.67%(P<0.05);观察组护理后生存质量简表(QOL-BREF)中社会关系、周围环境等维度评分均较对照组高(P<0.05)。结论 基于NOC系统的多维度护理干预可减轻SP患者负性情绪,利于睡眠质量的提升,还可降低并发症发生率,促进患者生活质量提高。Objective To explore the intervention effect of adopting multidimensional care based on the nursing outcome classification(NOC)system in patients with severe pneumonia(SP).Methods Ninety-six SP patients admitted to our hospital between May 2022 and May 2024 were grouped by randomized numeric table method,48 cases in the control group adopted conventional nursing care,and 48 cases in the observation group adopted multidimensional nursing interventions based on the NOC system,and both groups continued nursing care until patients were discharged from the hospital.The negative emotions,sleep quality conditions,complication rates and quality of life levels of the two groups were evaluated and compared.Results The scores of depression,stress and other dimensions in the mood self-assessment scale(DASS-21)of the observation group were lower than those of the control group after nursing care(P<0.05);the scores of sleep duration,sleep disorders,time to sleep and other dimensions in the Pittsburgh Sleep Quality Index(PSQI)of the observation group were lower than those of the control group after nursing care(P<0.05);and the total incidence rate of complications,such as infectious shock and pulmonary edema,in the observation group was 4.17%,which was lower than that of the control group,which was 16.67%(P<0.05);and the scores of the dimensions such as social relationship and surrounding environment in the Quality of Survival Brief Scale after Nursing Care(QOL-BREF)of the observation group were higher than those of the control group(P<0.05).Conclusion Multidimensional nursing intervention based on the NOC system can reduce negative emotions of SP patients and facilitate the improvement of sleep quality,as well as reduce the complication rate and promote the improvement of patients’quality of life.

关 键 词：重症肺炎 护理结局分类系统 多维度护理干预 负性情绪 睡眠质量 并发症 

分 类 号：R473.5[医药卫生—护理学]