分析优质护理模式对ICU急性胸腹部创伤患者术后睡眠质量的临床影响

The Clinical Effect of High-quality Nursing Mode on Postoperative Sleep Quality in Patients with ICU Acute Thoracic and Abdominal Trauma

目的:探究重症加强护理病房(ICU)急性胸腹部创伤患者应用优质护理模式对其术后质量的影响。方法:选取2020年2月至2021年2月福建医科大学附属第一医院收治的ICU急性胸腹部创伤患者96例作为研究对象,按照随机数字表法分为对照组和观察组,每组48例。对照组进行常规护理干预,观察组采用优质护理模式,对比2组患者护理前后疼痛评分、睡眠质量评分、护理满意度、焦虑及抑郁评分。结果:疼痛评分、睡眠质量评分组间护理前数据对比,差异均无统计学意义(均P>0.05),观察组护理后疼痛评分(3.22±0.98)分、睡眠质量评分(10.12±1.68)分,均明显低于对照组(4.82±1.16)分、(13.28±3.17)分,差异均有统计学意义(均P<0.05);观察组护理满意度97.92%,明显较对照组83.33%高,差异有统计学意义(P<0.05);组间焦虑评分、抑郁评分护理前对比,差异均无统计学意义(均P>0.05),相比干预前,2组患者评分指标(焦虑、抑郁)均降低,差异均有统计学意义(均P<0.05),观察组焦虑评分、抑郁评分均明显低于对照组,差异均有统计学意义(均P<0.05)。结论:优质护理模式用于ICU急性胸腹部创伤患者护理中,可减轻疼痛,提高睡眠质量,改善患者焦虑及抑郁情绪,患者满意度高,值得推广。

Objective:To explore the effect of high-quality nursing mode on the postoperative sleep quality of patients with acute thoracic and abdominal trauma in intensive care unit(ICU).Methods:A total of 96 patients with acute thoracic and abdominal trauma in ICU treated in the First Affiliated Hospital of Fujian Medical University from February 2020 to February 2021 were selected as the research objects.They were randomly divided into control group and observation group according to random number table method,with 48 cases in each group.The control group received routine nursing intervention,and the observation group adopted high-quality nursing mode.The pain score,sleep quality score,nursing satisfaction,anxiety and depression scores were compared between the two groups before and after nursing.Results:There was no significant difference between the pre nursing data of the pain score and sleep quality score groups(P s>0.05).The post nursing pain score(3.22±0.98)and sleep quality score(10.12±1.68)of the observation group were significantly lower than those of the control group(4.82±1.16)and(13.28±3.17),and the difference was statistically significant(P s<0.05).The nursing satisfaction of the observation group was 97.92%,which was significantly higher than 83.33%of the control group(P<0.05).There was no significant difference in the anxiety score and depression score between the two groups before nursing(P s>0.05).Compared with before intervention,the scoring indicators(anxiety and depression)of the two groups decreased,and the difference was statistically significant(P s<0.05).The anxiety score and depression score of the observation group were significantly lower than those of the control group,and the difference was statistically significant(P s<0.05).Conclusion:The high-quality nursing mode used in the nursing of patients with acute thoracic and abdominal trauma in ICU can reduce pain,improve sleep quality,improve patients′anxiety and depression,and has high patient satisfaction,which is worthy of promotion.