集束化护理对ICU重症患者焦虑状态、睡眠质量及生命质量的影响

Effect of Cluster Nursing on Anxiety State,Sleep Quality and Quality of Life of ICU Patients with Severe Illness

目的:探究集束化护理对ICU重症患者焦虑状态、睡眠质量以及生命质量的影响。方法:选取2020年8月至2022年5月福建医科大学附属第二医院ICU收治的重症患者85例作为研究对象,按照护理方式分为对照组(n=42)和观察组(n=43),对照组接受常规ICU护理,观察组接受集束化护理,比较2组患者护理前后焦虑自评量表(SAS)得分、匹兹堡睡眠质量指数(PSQI)量表得分以及健康调查简表(SF-36)量表得分变化。结果:护理48 h、护理72 h和护理96 h时,观察组患者的SAS评分均低于对照组,差异有统计学意义(P<0.05);干预后观察组患者的PSQI量表各维度得分均低于对照组,差异有统计学意义(P<0.05),同组前后比较显示护理后2组患者的PSQI各维度得分均低于护理前,差异有统计学意义(P<0.05);干预后观察组患者的SF-36量表各维度得分均高于对照组,差异有统计学意义(P<0.05),2组护理前后经比较,差异均有统计学意义(均P<0.05)。结论:对ICU重症患者开展集束化护理有助于改善患者焦虑状态,提高患者的睡眠质量及生命质量,具有较好的推广应用价值。

Objective:To explore the effect of cluster nursing on anxiety state,sleep quality and quality of life of ICU patients with severe illness;Methods:A total of 85 patients with severe illness who were treated in the ICU of The Second Affiliated Hospital of Fujian Medical University from August 2020 to May 2022 were set as the research objects.According to the differences in the way of receiving care,they were divided into control group(n=42)and observation group(n=43).The control group received routine ICU care and the observation group received intensive care.The changes in the scores of the Self Rating Anxiety Scale(SAS),Pittsburgh Sleep Quality Scale(PSQI)and The MOS Item Short From Health Survey(SF-36)scale before and after nursing were compared between the two groups.Results:The SAS scores of patients in the observation group were lower than those in the control group at 48 h,72 h and 96 h of nursing,the difference was statistically significant(P<0.05).After intervention,the PSQI scores of the patients in the observation group were lower than those in the control group,the difference was statistically significant(P<0.05).The comparison before and after the same group showed that the PSQI scores of the patients in the two groups after nursing were lower than those before nursing,the difference was statistically significant(P<0.05).After intervention,the scores of all dimensions of SF-36 in the observation group were higher than those in the control group,the difference was statistically significant(P<0.05),and the difference between the two groups was also statistically significant(P<0.05).Conclusion:Carrying out intensive care for ICU patients is helpful to improve their anxiety state,improve their sleep quality and quality of life,and has a good promotion and application value.