Roy适应模式护理干预对ICU脓毒症患者负性情绪 睡眠质量及创伤后成长的影响

Effects of Roy adaptation mode intervention on negative emotions,sleep quality and post-traumatic growth of sepsis patients in ICU

目的探讨Roy适应模式护理干预对加强监护病房脓毒症患者负性情绪、睡眠质量及创伤后成长的影响。方法将加强监护病房的100例脓毒症患者按随机数字表法分为两组,每组50例。对照组予以常规护理干预,观察组在此基础上予以Roy适应模式护理干预,观察3个月。干预前后采用汉密顿焦虑量表、汉密顿抑郁量表评定焦虑、抑郁情绪,匹兹堡睡眠质量指数评定睡眠质量,创伤后成长评定量表评定创伤后成长水平,健康状况调查简表评定生活质量。结果干预后两组汉密顿焦虑量表、汉密顿抑郁量表、匹兹堡睡眠质量指数评分均显著低于干预前(P<0.01),观察组显著低于对照组(P<0.01)。干预后两组创伤后成长评定量表、健康状况调查简表量表评分均显著高于干预前(P<0.05或0.01),观察组显著高于对照组(P<0.05或0.01)。结论Roy适应模式护理干预能有效缓解加强监护病房脓毒症患者的负性情绪,改善其睡眠质量,提高创伤后成长水平及生活质量。

Objective To explore the effects of Roy adaptation mode(RAM)intervention on negative emotions,sleep quality and posttraumatic growth(PTG)of sepsis patients in intensive care unit(ICU).Methods A total of 100 sepsis patients in the ICU were divided into two groups according to random number table method,with 50 cases in each group.The control group was given routine nursing intervention,while the observation group was given RAM nursing intervention on basis of the control group for 3 months.Before and after the intervention,the Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)were used to evaluate anxiety and depression,the Pittsburgh sleep quality index(PSQI)to evaluate the sleep quality,the posttraumatic growth inventory(PTGI)to evaluate the posttraumatic growth level,and the MOS 36-item short-form health survey(SF-36)to evaluate the quality of life.Results After the intervention,the HAMA,HAMD and PSQI scores of the two groups were significantly lower than those before the intervention(P<0.01),and the observation group was significantly lower than the control group(P<0.01).After the intervention,the PTGI and SF-36 scores of the two groups were significantly higher than those before the intervention(P<0.05 or 0.01),and the observation group was significantly higher than the control group(P<0.05 or 0.01).Conclusions Roy adaptation mode intervention can effectively relieve the negative emotions of ICU sepsis patients,improve their sleep quality,and improve their posttraumatic growth level and quality of life.