SLEEP-MAD模式改善ICU患者睡眠障碍的应用效果分析

Effect analysis of SLEEP-MAD model on improving sleep disorder in ICU patients

目的探讨改善ICU患者睡眠质量的标准化结构方法SLEEP-MAD模式护理策略的效果。方法采用便利抽样法,将2018年7月1日—2019年6月30日入住山西白求恩医院山西医学科学院ICU的睡眠障碍患者共180例纳入研究,其中对照组为2018年7月1日—12月31日入住ICU的患者(85例)。观察组为2019年1月1日—6月30日入住ICU的患者(95例)。对照组给予常规的睡眠管理,观察组按照SLEEP-MAD模式要求进行集束化干预管理,采用中文版理查兹—坎贝尔睡眠量表(RCSQ)进行睡眠质量的评估及相关因素的资料收集,通过统计结果对应用效果进行分析说明。结果干预前,两组患者RCSQ各维度得分比较,差异无统计学意义(P>0.05);干预后,观察组患者各维度得分均高于对照组,除再入睡维度外,其余维度两组得分比较差异有统计学意义(P<0.05)。结论睡眠质量的标准化结构方法SLEEP-MAD模式应用于ICU睡眠障碍患者的护理,可以有效地提高患者的应对水平,提高和改善睡眠质量。

Objective To study the effect of the standardized structural method of sleep quality SLEEP-MAD model in ICU patients with sleep disorders,and to explore the standardized nursing model to improve the sleep quality of ICU patients.Methods A total of 180 patients with sleep disorders who were admitted to Shanxi Bethune Hospital Shanxi Academy of Medical Sciences ICU from 1st July 2018 to 30th June 2019 were divided into 85 cases of observation(1st July 2018 to 31th December 2018)and 95 group in the control group(1st January 2019 to 30th June 2019)according to the method of convenient sampling.The control group gave routine sleep management,the observation group carried on the cluster intervention management according to the SLEEP-MAD model request,uses the Richards Campbell Sleep Questionnaire(RCSQ)to carry on the sleep quality evaluation and the related factor data collection,through the statistical result to carry on the analysis explanation to the application effect.Results Before the intervention,there were no significant differences in the RCSQ scores between the two groups of patients(P>0.05).After the intervention,the patients in the observation group had higher scores in the other dimensions than the control group,except for difficulty in re-sleeping,the others'differences were statistical significant(P<0.05).Conclusions The standardized structural method of sleep quality,SLEEP-MAD model,is applied to the nursing of patients with sleep disorder in ICU,which can effectively improve the coping level of patients and improve and improve the quality of sleep.