心理护理干预对ICU重症患者生活质量及心理状态的影响

Effect of psychological nursing intervention on quality of life and psychological status of ICU patients

目的观察心理护理干预对重症监护病房(ICU)重症患者的效果及对其生活质量、心理状态的影响。方法选择2019年7月~2021年7月接诊的86例ICU重症患者,按照随机数字表法分为:观察组(纳入43例,在对照组基础上加用心理护理干预)、对照组(纳入43例,提供常规护理干预),评价组间健康调查简表(SF-36)、心理状态[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、急性生理和慢性健康评分Ⅱ(APACHEⅡ)、心理弹性问卷(CD-RISC)、匹兹堡睡眠质量指数(PSQI)。结果干预前,组间SF-36、SDS、SAS、APACHEⅡ、CD-RISC、PSQI无明显差异,P>0.05;干预后,观察组SF-36、CD-RISC评分更高,SDS、SAS、APACHEⅡ、PSQI评分更低,P<0.05。结论对ICU重症患者提供心理护理干预,能够改善其负性情绪及心理弹性水平,减轻睡眠障碍,提高生活质量,促进病情转归。

Objective To observe the effect of psychological nursing intervention on the quality of life and psychological status of patients in intensive care unit(ICU).Methods 86 ICU critically ill patients who were admitted from July 2019 to July 2021 were randomly divided into an observation group(43 cases were included,and psychological nursing intervention was added to the control group),the control group(43 cases were included,and routine nursing intervention was provided),the inter group health survey brief(SF-36),the psychological status[self rating Depression Scale(SDS),self rating Anxiety Scale(SAS)],the acute physiology and chronic health score II(APACHE II),and Cd-risc,Pitsburgh sleep quality index(PSQI)were compared between two groups.Results Before intervention,there was no significant difference in SF-36,SDS,SAS,APACHE II,cd-risc and PSQI among the groups(P>0.05).After the intervention,SF-36 and cd-risc scores were higher in the observation group,and SDS,SAS,APACHE II and PSQI scores were lower in the observation group(P<0.05).Conclusion Psychological nursing intervention for ICU patients with severe illness can improve their negative emotion and psychological elasticity,reduce sleep disorders,improve quality of life,and promote the prognosis of the disease.