针对性护理干预模式对先天性心脏病CPB术后患者护理满意度及睡眠质量的影响研究

Effect of Targeted Nursing Intervention Mode on Nursing Satisfaction and Sleep Quality of Patients with Congenital Heart Disease after CPB Surgery

目的:探讨针对性护理干预模式对先天性心脏病体外循环(CPB)术后患者护理满意度及睡眠质量的影响。方法:选取2021年7月至2022年7月山东大学齐鲁医院心脏外科重症监护室收治的经CPB手术治疗的先天性心脏病患者70例作为研究对象,按照随机数字表法随机分为观察组和对照组,每组35例。对照组给予常规护理干预,观察组在对照组基础上给予针对性护理干预。观察并记录2组呼吸机用时的4项指标,采用《睡眠图描记与分期标准》与匹兹堡睡眠质量指数(PSQI)对患者的SL(睡眠潜伏期)、AT(觉醒次数)、睡眠障碍等进行评估,采用自制护理质量调查问卷评估护理技能,并比较2组患者的不良反应发生率及护理满意度。结果:护理干预后,观察组患者呼吸机用时等4项指标优于对照组,观察组PSQI、SL、AT评分、并发症发生率均显著低,观察组患者在护理技能等5方面的护理评分均显著高于对照组,差异有统计学意义(P<0.05)。结论:针对性护理干预能有效改善患者术后睡眠质量,整体评价更高,效果理想,值得推广应用。

Objective:To explore the influence of targeted nursing intervention mode on nursing satisfaction and sleep quality of patients undergoing Cardiopulmonary bypass(CPB)surgery.Methods:A total of 70 patients with congenital heart disease who underwent CPB surgery admitted to the Intensive Care Unit of Cardiac Surgery in Shandong University Qilu Hospital from July 2021 to July 2022 were selected as research objects,and were randomly divided into observation group and control group according to the random number table method,with 35 cases in each group.The control group was given routine nursing intervention,and the observation group was given targeted nursing intervention based on the control group.Four indexes of ventilator time in the 2 groups were observed and recorded.Second Life(Sleep latency),AT(number of awakenings)and sleep disorders of the patients were evaluated using“Sleep-mapping and Staging Criteria”and Pittsburgh Sleep Quality Index(PSQI),Nursing skills were evaluated by self-made nursing quality questionnaire,and the incidence of adverse reactions and nursing satisfaction were compared between 2 groups.Results:After nursing intervention,the observation group was better than the control group in ventilator time and other 4 indicators,the observation group PSQI,SL,AT score,complication rate were significantly lower,the observation group in nursing skills and other 5 aspects of nursing scores were significantly higher than the control group,the difference between the 2 groups was statistically significant(P s<0.05).Conclusion:Targeted nursing intervention can effectively improve the postoperative sleep quality of patients,the overall evaluation is higher,the effect is ideal,worthy of promotion and application.