分析引入前瞻性护理干预策略对ICU清醒患者睡眠指数的影响

To Analyze the Effect of Prospective Nursing Intervention Strategy on Sleep Index of Awake Patients in ICU

目的:分析引入前瞻性护理干预策略对ICU清醒患者睡眠指数的影响。方法:选取2019年1月至2020年12月福建省莆田学院附属医院收治的ICU清醒患者100例作为研究对象,按照随机数字表法将所有患者分为观察组和对照组,每组50例。对照组给予常规护理干预,观察组给予前瞻性护理干预。采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的变化,采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)比较2组患者干预前后焦虑、抑郁的改善效果,采用视觉模拟评分法(VAS)比较2组患者的疼痛感受,同时比较2组患者的感染发生率及护理满意度。结果:护理干预后,观察组PSQI评分、HAMA评分、HAMD评分均显著低于对照组,观察组呼吸道感染、切口感染、泌尿系统感染发生率显著低于对照组,护理满意度显著高于对照组,2组比较差异均有统计学意义(均P<0.05)。结论:ICU清醒患者引入前瞻性护理干预策略,可显著改善患者的睡眠质量,有效缓解患者的焦虑、抑郁情绪,减轻患者的疼痛感受,降低感染发生率,提高患者的护理满意度,加快康复进程,值得临床推广使用。

Objective:To analyze the effect of prospective nursing intervention strategy on sleep index of awake patients in ICU.Methods:A total of 100 sober ICU patients in the Affiliated Hospital of Putian University of Fujian Province from January 2019 to December 2020 were selected as research objects.According to the random number table method,all patients were divided into observation group and control group,with 50 cases in each group.The control group was given routine nursing intervention,and the observation group was given prospective nursing intervention.Pittsburgh Sleep Index Scale(PSQI)was used to compare the changes of sleep quality of 2 groups before and after intervention.Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)were used to compare the improvement effects of anxiety and depression between 2 groups before and after intervention.Visual Analog Scale(VAS)was used to compare the pain perception of 2 groups.Meanwhile,the infection rate and nursing satisfaction of 2 groups were compared as well.Results:After nursing intervention,PSQI score,HAMA score and HAMD score of the observation group were significantly lower than the control group,the incidence of respiratory tract infection,incision infection and urinary system infection of the observation group was significantly lower than the control group,nursing satisfaction was significantly higher than the control group,the two groups were statistically significant differences(P s<0.05).Conclusion:The introduction of prospective nursing intervention strategies for ICU awake patients can significantly improve the quality of sleep,effectively relieve patient′s anxiety and depression,reduce patient′s pain,reduce the incidence of infection,improve patient′s nursing satisfaction,and accelerate the process of rehabilitation,which is worthy of clinical promotion.