SLEEP-MAD干预模式对ICU患者睡眠质量的影响

Effect of applying SLEEP-MAD mode nursing on sleep quality in ICU patients

目的探讨SLEEP-MAD干预模式对ICU患者睡眠质量和负性情绪的影响。方法将2020年1月-12月ICU收治的58例重症患者设为对照组,将2021年1月-12月ICU收治的60例重症患者设为观察组。在实施重症专科护理基础上,对照组给予常规睡眠管理,观察组采用SLEEP-MAD干预模式实施睡眠管理,比较2组失眠严重程度、睡眠质量及负性情绪。结果干预后观察组失眠严重程度轻于对照组(Z=-3.585,P<0.001),睡眠质量优于对照组(t=7.431,P<0.001),焦虑及抑郁评分均低于对照组(t=16.765,P<0.001;t=16.245,P<0.001)。结论将SLEEP-MAD干预模式应用于ICU睡眠障碍患者中,可有效改善患者的睡眠质量,减轻其负性情绪,从而减轻患者的失眠严重程度。

Objective To explore the effect of applying SLEEP-MAD mode in ICU patients with sleep disorders.Methods Fifty-eight ICU patients with sleep disorders and treated in 2020 were chosen into a control group,while 60 counterparts treated in 2021 were selected into an observation group.On the basis of implementing corresponding specialized nursing,the control group was given routine sleep management,while the observation group were given intervention based on the SLEEP-MAD model.The changes in the severity of insomnia,sleep quality and negative emotions were compared between the two groups before and after the intervention.Results After the intervention,the severity of insomnia,anxiety and depression scores of the observation group were significantly lower than those of the control group(Z=-3.585,P<0.001;t=16.765,P<0.001;t=16.245,P<0.001),while the sleeping quality of the former group was significantly better than the latter group(t=7.431,P<0.001).Conclusion The application of sleeping intervention based on the SLEEP-MAD model can significantly better the sleeping quality and relieve negative emotions of ICU patients,thus alleviating their insomnia.