基于Neuman理论的危机预警护理在ICU综合征患者中的应用效果  

Application effects of crisis early warning nursing based on Neuman theory in patients with ICU syndrome

作　　者：李娜[1] LI Na(ICU of Zhengzhou People’s Hospital,Zhengzhou 450000 Henan,China)

机构地区：[1]郑州人民医院重症医学科,河南郑州450000

出　　处：《中国民康医学》2025年第8期170-172,176,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察基于Neuman理论的危机预警护理在ICU综合征患者中的应用效果。方法:选取2020年8月至2022年8月该院ICU收治的76例ICU综合征患者进行前瞻性研究,根据随机数字表法将其分成研究组(n=38)与对照组(n=38)。对照组采用常规护理,研究组在对照组基础上采用基于Neuman理论的危机预警护理,比较两组护理前后应对方式[特质应对方式问卷(TCSQ)]、负性情绪[抑郁-焦虑-压力自评量表(DASS-21)]、压力感知状态[ICU环境压力感知状态量表(ICUESS)]、睡眠质量[匹兹堡睡眠质量指数(PSQI)]评分,以及护理满意度。结果:护理后,两组积极应对评分均高于护理前,且研究组高于对照组,两组消极应对评分均低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05);两组抑郁、焦虑、压力等DASS-21评分均低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05);两组ICUESS、PSQI评分均低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05);研究组护理满意度为100.00%,高于对照组的84.21%,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用基于Neuman理论的危机预警护理可提高ICU综合征患者护理满意度,改善应对方式评分,以及降低负性情绪、压力感知状态和睡眠质量评分的效果优于单纯常规护理。Objective:To observe application effects of crisis early warning nursing based on Neuman theory in patients with ICU syndrome.Methods:A prospective study was conducted on 76 patients with ICU syndrome admitted to the ICU of the hospital from August 2020 to August 2022.According to the random number table method,they were divided into study group(n=38)and control group(n=38).The control group was given routine nursing,while the study group was given the crisis early warning nursing based on Neuman theory on the basis of that of the control group.The scores of coping style[trait coping style questionnaire(TCSQ)],negative emotion[depression,anxiety and stress scale(DASS-21)],stress perception state[ICU environmental stressor scale(ICUESS)]and sleep quality[Pittsburgh sleep quality index(PSQI)]before and after the nursing,and the nursing satisfaction were compared between the two groups.Results:After the nursing,the positive coping scores of the two groups were higher than those before the nursing,and that in the study group was higher than that in the control group;the negative coping scores of the two groups were lower than those before the nursing,and that in the study group was lower than that in the control group;and the differences were statistically significant(P<0.05).After the nursing,the DASS-21 scores of depression,anxiety and stress in the two groups were lower than those before the nursing,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the scores of ICUESS and PSQI in the two groups were lower than those before the nursing,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the study group was 100.00%,which was higher than 84.21%of the control group,the difference was statistically significant(P<0.05).Conclusions:The crisis early warning nursing based on Neuman theory on the basis of the routine nur

关 键 词：Neuman理论 危机预警护理 ICU综合征 应对方式 睡眠质量 负性情绪 

分 类 号：R473.5[医药卫生—护理学]