早期多元化护理干预模式在ICU睡眠剥夺患者中的应用

Application of early diversified nursing intervention model in ICU sleep deprivation patients

目的探讨早期多元化护理干预模式在ICU睡眠剥夺患者中的应用效果。方法选取2018年3月到2018年8月收入惠州市中心人民医院重症监护室(ICU)患者115例作为对照组,给予常规护理干预;选取2018年9月到2019年2月收治入ICU患者115例作为观察组,在基础护理同时给予早期多元化护理干预。比较两组患者出现睡眠剥夺及ICU谵妄率,睡眠质量改善情况,同时比较两组患者的护理满意度。结果观察组患者睡眠质量评分明显高于对照组,差异有统计学意义(P<0.05);观察组患者失眠率及ICU谵妄发生率亦显著低于对照组,差异有统计学意义(P<0.05);观察组患者干预后对护理满意度评分明显优对照组,差异有统计学意义(P<0.05)。结论早期给予ICU睡眠剥夺患者多元化护理干预可明显改善患者的睡眠质量,减少睡眠剥夺及ICU谵妄的发生,同时也显著改善患者的心理状态,减少焦虑等负面情绪,提高患者护理满意度。

Objective To explore the application of early diversified nursing intervention model in intensive care unit(ICU)sleep deprivation patients.Methods A total of 115 patients admitted to the ICU of this hospital from March to August 2018 were selected as the control group,and received routine nursing intervention.A total of 115 patients admitted to ICU from September 2018 to February 2019 were selected as the observation group,and early diversified nursing intervention was given at the same time as basic nursing.The incidence of sleep deprivation,ICU delirium rate and improvement of sleep quality were compared between the two groups.Meanwhile,nursing satisfaction of the two groups was compared.Results The sleep quality score of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).The insomnia rate and incidence of delirium in ICU of the observation group was significantly better than that of the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction scores were significantly higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusions Early diversified nursing intervention for ICU sleep deprivation patients can significantly improve the sleep quality of patients,reduce the occurrence of sleep deprivation and ICU delirium,and also significantly improve the psychological state of patients,reduce anxiety and other negative emotions,improve patient nursing satisfaction.