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ICU日记对ICU机械通气患者创伤后应激障碍的干预效果 被引量:5

Intervention effects of ICU diary on preventing post-traumatic stress disorder for patients with mechanical ventilation in ICU
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摘要 目的探讨ICU日记在预防ICU机械通气患者创伤后应激障碍(post-traumatic stress disorder,PTSD)中的效果。方法采用随机数字表法将152例ICU机械通气患者分为观察组和对照组,各76例。观察组在转出ICU 1个月后应用ICU日记进行干预,对照组仅进行常规护理。观察2组患者在转出ICU 3个月后的ICU相关记忆、PTSD发生率、焦虑抑郁情况、睡眠质量以及生活质量。结果转出ICU 3个月后,观察组ICU事实记忆数量多于对照组(Z=-3.310,P=0.010),PTSD发生率、匹兹堡睡眠质量调查问卷总分均明显低于对照组(χ^(2)=3.967,P=0.046;t=-2.612,P<0.001);观察组生活质量总分明显高于对照组(t=2.181,P=0.013)。结论ICU日记法可部分改善ICU机械通气患者ICU相关记忆,并降低PTSD发生率,提高患者睡眠质量和生活质量。 Objective To analyze the effect of ICU diary on preventing post-traumatic stress disorder(PTSD)for patients with mechanical ventilation in ICU.Methods A total of 152 patients with mechanical ventilation in ICU were randomly divided into an observation group and a control group,each of 76.The observation group received intervention based on the ICU diary 1 month after being transferred from ICU,while the control group received routine nursing only.The ICU related memory,the incidence of PTSD,anxiety and depression,sleep quality and life quality were observed and compared 3 months after leaving ICU.Results After 3 months out of ICU,the number of the factual memories in ICU of the observation group was more than that of the control group(t=-3.310,P=0.010),the incidence of PTSD,and scores of pittsburgh sleep quality index of the observation group were significantly lower than that of the control group(χ^(2)=3.967,P=0.046;t=-2.612,P<0.001).However,the total score of SF-36 of the former was significantly higher than the latter group(t=2.181,P=0.013).Conclusion ICU diary can partially improve ICU related memory,reduce the incidence of PTSD,and better the sleep and life quality of patients with mechanical ventilation in ICU.
作者 段希茜 黄源 谢鑑辉 DUAN Xiqian;HUANG Yuan;XIE Jianhui(School of Nursing,University of South China,Changsha 410005,China)
出处 《中国临床护理》 2022年第1期6-10,共5页 Chinese Clinical Nursing
关键词 创伤后应激障碍患者 ICU日记 ICU相关记忆 睡眠质量 Post-traumatic stress disorder ICU diary ICU related memory Sleep quality
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