外科ICU病人实施心理干预的效果研究

Study on effect of implementation of psychological intervention for surgical ICU patients

[目的]探讨对入住外科重症病房(ICU)大于3 d的病人实施心理干预的效果。[方法]选择72例符合条件的病人随机分为观察组36例、对照组36例,对照组给予常规护理,观察组在此基础上增加个体针对性心理干预护理,比较两组病人心理状态、病死率、抢救次数的不同。[结果]观察组病人心理干预后焦虑抑郁量表(HAD)分值较对照组显著下降(P<0.01);病死率、抢救次数明显低于对照组(P<0.01)。[结论]针对病人实际心理状态采取的个性化心理干预可有效改善ICU病人心理异常状态,提高治愈率,降低病死率。

Objective：To probe into the effect of implementation of psycho- logical intervention for patients who were in surgical ICU for more than 3 days. Methods：The eligible patients were selected and randomly divided into observation group and control group,36 cases in each, the control group patients received routine care, besides that, individual targeted psychologi- cal intervention care was increased for observation group patients, the men- tal states, mortality ,rescue times of patients were compared between both groups. Results. After psychological intervention,the HAD score of observation group patients decreased significantly compared with control group （P〈0.01）;the mortality and rescue frequency were significantly lower than that of control group （P（0.01）. Conclusion：aiming at patients＇actual mental state to take personalized psychological intervention can effectively improve the state of psychological abnormality of ICU patients,improve the cure rate and reduce mortality.