综合护理干预对ICU呼吸衰竭患者抑郁、焦虑心理状态的影响分析

Effect of comprehensive nursing intervention on depression and anxiety of patients with ICU respiratory failure

目的探究应用综合护理干预对ICU呼吸衰竭患者抑郁、焦虑心理状态的干预效果。方法选取2018年7月—2019年7月间收治的ICU呼吸衰竭患者92例,将其随机分为对照组和观察组,各46例,给予对照组患者常规护理干预,给予观察组患者综合护理干预,观察两组患者心理负性情绪的变化情况、以及患者的预后。结果观察组患者在接受护理干预前,焦虑自评量表评分(SAS)与抑郁自评量表评分(SDS)分别为(56.82±10.62)、(54.68±9.82),对照组患者的SAS、SDS评分分别为(55.38±10.08)、(55.81±9.95),两组对比,差异无统计学意义(P值均>0.05);在护理干预后,观察组患者的SAS、SDS评分分别为(28.34±5.62)、(31.82±6.42)低于对照组患者的(39.75±7.82)、(40.82±7.56),(P<0.05)。观察组患者治疗期间死亡9例,死亡率19.57%(9/46)低于对照组的死亡率36.96%(17/46),(P>0.05)。37例患者转出ICU病房至普通病房时间平均(5.05±2.42)d,短于对照组患者的(6.25±3.10)d,(P<0.05)。结论应用综合护理模式干预ICU病房呼吸衰竭患者,可显著改善患者的心理状态,减轻患者的负性情绪,提高治疗效果,具有较高的临床应用价值。

Objective To investigate the effect of comprehensive nursing intervention on the depression and anxiety mental state of patients with intensive care unit(ICU) respiratory failure.Methods A total of 92 cases of ICU respiratory failure patients were selected between July 2018 and July 2019,and they were randomly divide into a control group and a trial group,with 46 cases in each group.The patients in the control group were given the routine nursing intervention,and the patients in the trial group were given the comprehensive nursing intervention,and the psychological negative emotion and the prognosis of the patients were observed and compared between two groups.Results Before the nursing intervention,the average scores of the anxiety self-rating scale(SAS) and depression self-rating scale(SDS) were(56.82±10.62) and(54.68±9.82) respectively in the trial group,and the average scores of SAS and SDS were(55.38±10.08) and(55.81±9.95) respectively in the control group,and there were no significant differences between two groups(P> 0.05);after the nursing intervention,the average scores of SAS and SDS in the trial group were(28.34±5.62) and(31.82±6.42) respectively,which were lower than those in the control group [(39.75±7.82) and(40.82±7.56) respectively],and the differences between two groups were statistically significant(P<0.05).Nine patients died during the treatment in the trial group,with a mortality rate of19.57%(9/46),which was lower than that in the control group,[36.96%(17/46)].In addition,in the trial group,37 patients were transferred from the ICU ward to the general ward with the average time of(5.05±2.42) days,which was shorter than that in the control group(the average time of(6.25±3.10) days for 29 patients),and the difference between two groups was significant(P<0.05).Conclusion The application of comprehensive nursing mode intervention in the patients with ICU respirator failure can significantly improve the patient’s psychological state and relieve the patient’s negative emotions,and thereby improve the therapeutic effect.Therefore,the comprehensive nursing care has higher clinical application value.