心理护理对ICU重症患者睡眠质量的影响观察

Observation on the Influence of Psychological Nursing for Sleep Quality of patients with Severe Illness in ICU

目的:观察心理护理对重症监护室(ICU)重症患者睡眠质量的影响。方法:选取2018年3月至2020年1月福建省立医院的ICU重症患者124例作为研究对象,按照随机抽签结果分为对照组与观察组,每组62例。对照组进行常规护理,观察组进行心理护理。比较2组的睡眠质量[匹兹堡睡眠质量指数(PSQI)]、不良情绪[焦虑自评量表(SAS)及抑郁自评量表(SDS)]、生命质量(生命质量测评量表)与护理满意度。结果:护理后观察组的PSQI评分显著低于对照组,护理满意度显著高于对照组,差异有统计学意义(P<0.05);护理前2组的SAS评分、SDS评分及生命质量测评量表评分比较,差异无统计学意义(P>0.05),护理后2组的SAS评分、SDS评分及生命质量测评量表评分均优于护理前,且观察组显著优于对照组,差异有统计学意义(P<0.05)。结论:心理护理可显著改善ICU重症患者的睡眠质量、生命质量与不良情绪,并可提高其满意度,值得推广应用。

Objective:To observe the influence of psychological nursing for the sleep quality of patients in ICU.Methods:A total of 124 patients with severe illness in ICU of Fujian Provincial Hospital from March 2018 to January 2020 were divided into control group and experimental group with 62 cases in each group according to the random draw.The control group were with routine nursing,the experimental group were with psychological nursing.Then the sleep quality[Pittsburgh sleep quality index(PSQI)],bad mood[self-rating anxiety scale(SAS)and self-rating depression scale(SDS)],life quality(quality of life assessment scale)and nursing satisfaction of two groups were compared.Results:The PSQI score of experimental group after the nursing was significantly lower than that of control group,the nursing satisfaction was significantly higher than that of control group,there were statistically significant differences(P<0.05),the SAS score,SDS score and quality of life assessment scale score of two groups before the nursing were compared,there were no statistically significant differences(P>0.05),the SAS score,SDS score and quality of life assessment scale score of two groups after the nursing were all better than those before the nursing,and the scores of experimental group were significantly better than those of control group,there were statistically significant differences(P<0.05).Conclusion:The psychological nursing can significantly improve the sleep quality,life quality and bad mood of patients in ICU,and improve their satisfaction,so it is worthy of promotion and application.