非语言方式心理干预对ICU气管插管清醒患者情绪状态的影响

Effect of nonverbal psychological intervention on emotional state of ICU awake patients with intubation

目的探讨非语言方式心理干预对ICU气管插管清醒患者情绪状态的影响。方法选取114例ICU气管插管清醒患者分成对照组(予常规护理)和观察组(加用非语言方式心理护理)各57例,观察2组患者护理前后的情绪状态和生活质量情况。结果 2组插管前HAMA、HAMD评分差异无统计学意义(P>0.05);观察组插管3 d后、7 d后、拔管时的HAMA、HAMD评分显著低于对照组(P<0.05)。2组插管前生活质量评分差异无统计学意义(P>0.05);观察组插管3 d后、7 d后、拔管时的生活质量评分显著高于对照组(P<0.05)。2组插管前NOS、5-HT含量差异无统计学意义(P>0.05);观察组插管3 d后、7 d后、拔管时的NOS、5-HT含量显著低于对照组(P<0.05)。结论非语言方式心理干预能改善ICU气管插管清醒患者的不良情绪状态,并提高生活质量。

Objective To investigate effect of nonverbal psychological intervention on emo- tional state of ICU awake patients with intubation. Methods A total of 114 ICU awake patients with intubation were divided into two groups, the control group with 57 patients treated with conventional care, while the observation group with 57 cases added nonverbal psychological care. Emotional state and quality of life after nursing of two groups were compared. Results Before intubation, the differ- ence in HAMA, HAMD score of two groups was not significant （P 〉 0.05 ） ; HAMA, HAMD score decreased significantly compared with the control group at 3, 7 d of intubation and when extubation （ P 〈 0.05 ）. There was no significant difference in quality of life scores before intubation （ P 〉 0.05 ） , but it was significantly increased in the observation group at 3, 7 d after intubation compared with the control group （ P 〈 0.05 ）. There was no significant difference in two groups before intubation in NOS, 5-HT content （P 〉 0.05 ） , but they were significantly lower than the control group, and the result revealed significant difference （ P 〈 0.05 ）. Conclusion Nonverbal psychological intervention can improve bad emotion and quality of life of ICU awake patients.