中医情志护理联合个性化音乐疗法对ICU患者心理和睡眠质量的影响

Effect of Chinese Medicine Emotional Nursing Combined with Personalized Music Therapy on the Psychological and Sleep Quality of ICU Patients

目的:中医情志护理联合个性化音乐疗法对ICU患者睡眠质量及心理的影响。方法:将70例ICU住院患者随机分为观察组和对照组各35例,对照组给予常规护理,观察组给予中医情志护理联合个性化音乐疗法。比较2组睡眠质量及心理改善情况。结果:护理前,2组匹兹堡睡眠质量量表(PSQI)评分比较,差异无统计学意义(P>0.05)。护理3 d、1周后,2组PSQI评分逐渐降低,且观察组PSQI评分低于同时间点对照组,差异均有统计学意义(P<0.05)。护理前,2组抑郁自评量表(SDS)以及焦虑自评量表(SAS)评分比较,差异无统计学意义(P>0.05)。护理后,2组SDS及SAS评分较护理前降低,且观察组SDS及SAS评分低于对照组,差异均有统计学意义(P<0.05)。护理后,观察组ICU住院时间短于对照组,护理满意度评分高于对照组,差异均有统计学意义(P<0.05)。结论:给予ICU患者行个性化音乐疗法与中医情志护理可有效改善其睡眠质量以及负性情绪,有较高的临床应用价值。

Objective:To observe the effect of Chinese medicine emotional nursing combined with personalized music therapy on sleep quality and psychology of ICU patients. Methods:A total of 70 ICU patients were randomly divided into the observation group and the control group, 35 cases in each group. The control group was given routine nursing, and the observation group was given Chinese medicine emotional nursing combined with personalized music therapy. The improvement of sleep quality and psychology were compared between the two groups. Results:Before nursing,there was no significant difference in the comparison of the score of Pittsburgh Sleep Quality Scale(PSQI) between the two groups(P>0.05). After three days and one week of nursing,the PSQI scores in the two groups were gradually decreased,and the PSQI score in the observation group was lower than that in the control group at the same time point, differences being significant(P<0.05). Before nursing, there was no significant difference in the comparison of the score of Self-Rating Depression Scale(SDS) and Self-Rating Anxiety Scale(SAS) between the two groups(P>0.05). After nursing,the SDS and SAS scores in the two groups were decreased when compared with those before nursing,and SDS and SAS scores in the observation group were lower than those in the control group,differences being significant(P<0.05). After nursing,the ICU stay in the observation group was shorter than that in the control group,and the nursing satisfaction score was higher than that in the control group,differences being significant(P<0.05). Conclusion:The personalized music therapy and Chinese medicine emotional nursing can effectively improve the sleep quality and negative emotions of ICU patients,which has high clinical application value.