心理护理在重症呼吸衰竭患者中的应用及对睡眠的影响

Application of Psychological Nursing in Patients with Severe Respiratory Failure and Its Effect on Sleep

目的:探讨实施心理护理对重症呼吸衰竭患者睡眠的影响。方法:选取2020年3月至2021年1月山东大学齐鲁医院收治的重症呼吸衰竭患者60例作为研究对象,按照不同治疗方法分为观察组和对照组,每组30例。对照组患者实施常规护理,观察组患者在此基础上实施心理护理,比较2组患者护理前后的睡眠质量、焦虑自评量表(Self-Rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)。结果:护理前,2组患者匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)量表评分比较,差异无统计学意义(P>0.05),护理后,观察组患者PSQI评分(11.28±1.47)分,明显低于对照组(14.85±1.52)分;对照组SAS、SDS评分均明显高于观察组,差异有统计学意义(均P<0.05)。结论:对重症呼吸衰竭患者实施心理护理,可有效提高患者的睡眠质量、睡眠效率和日间功能,减少睡眠障碍,缓解患者的心理状况,具有很高的实用价值。

Objective:To explore the effects of psychological nursing on sleep in patients with severe respiratory failure.Methods:A total of 60 patients with severe respiratory failure in Qilu Hospital of Shandong University from March 2020 to January 2021 were served as the study objects,and were divided into observation group and control group according to different treatments,with 30 cases in each group.The control group was given routine nursing,and the observation group was given psychological nursing on this basis.The sleep quality,Self-Rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)before and after nursing were compared between the two groups.Results:Before nursing,there was no significant difference in Pittsburgh Sleep Quality Index(PSQI)score between the two groups(P>0.05).After care,the PSQI score(11.28±1.47)was significantly lower than that of the control group(14.85±1.52);the SAS and SDS scores of the control group were significantly higher than those of the observation group,and the difference was statistically significant(Ps<0.05).Conclusion:the implementation of psychological nursing for patients with severe respiratory failure can effectively improve the sleep quality,sleep efficiency and daytime function,reduce sleep disorders,alleviate the psychological status of patients,and has high practical value.