基于多维感官干预的产科重症监护室护理模式的构建与应用

Construction and application of nursing mode in maternity intensive care unit based on multidimensional sensory interventions

目的构建基于多维感官干预的产科重症监护室(sensory-maternity intensive care unit,S-MICU)护理模式,保障危重症产妇母婴安全,同时提供生理、心理状态调节方面的个性化护理,提高产科危重症护理服务质量。方法通过对多维感官干预相关文献进行系统检索,形成最佳证据总结,并开展临床实施性研究,构建基于S-MICU护理模式。选取2021年2月至2021年8月南京大学医学院附属鼓楼医院MICU入组的48例危重症产妇作为对照组,使用产科重症监护室,采取常规护理方法;2021年9月至2022年3月入组的48例危重症产妇为试验组,在对照组基础上嵌入S-MICU护理模式干预方法。对比两组产妇的焦虑、疼痛、抑郁评分、睡眠质量、产妇自我效能以及MICU护士焦虑评分。结果干预后,试验组相较于对照组其焦虑、抑郁评分降低,差异有统计学意义(P<0.05);试验组产妇的睡眠质量、自我效能相较于对照组提升,且疼痛评分下降,差异有统计学意义(P<0.05);此外,护士工作焦虑情绪得到相对缓解。结论S-MICU护理模式的应用有利于调整危重症产妇的生理、心理状态,并提高其自我效能与生活质量,减轻了MICU护士的工作压力与焦虑情绪,可为危重症产妇实施个体化护理,提供安全且舒适的住院体验。

Objective sensory-maternity intensive care unit(S-MICU)nursing model construction based on multi-dimensional sensory intervention,to ensure the safety of critically ill mothers and their infants,and provide personalized nursing care in terms of physiological and psychological state adjustment,and ultimately improve the quality of obstetric critical care service.Methods A systematic search of the literature on multidimensional sensory intervention was conducted to form the best evidence summary,and the clinical implementation study was carried out to construct the nursing model based on S-MICU.From February 2021 to August 2021,48 critically ill parturients enrolled in the Department of Obstetrics,Nanjing Drum Tower Hospital,the Afiliated Hospital of Nanjing University Medical School were selected as the control group,and routine nursing methods were adopted in the obstetric intensive care unit.48 critically ill parturients enrolled from September 2021 to March 2022 were selected as the experimental group,and the nursing mode intervention method of this study was embedded on the basis of the control group.Maternal anxiety,pain,depression scores,sleep quality,maternal self-efficacy and MICU nurse anxiety scores were compared between the two groups.ResulstsAfterintervention,anxiety and depression scores of experimental group were decreased compared with control group,the difference was statistically significant(P<0.05).Compared with the control group,the sleep quality and self-efficacy of the experimental group were increased,while the scores of pain were decreased,with statistical significance(P<0.05).In addition,nurses work anxiety is relatively relieved.Conclusion The application of S-MICU nursing mode is beneficial to adjust the physiological and psychological states of critically ill parahernalia,improve their self-efficacy and quality of life,reduce the working pressure and anxiety of S-MICU nurses,and provide individualized nursing for critically ill parahernalia,and safe and comfortable hospitalization experience.