睡眠剥夺护理干预对心内科重症监护室患者生活质量的影响

Effect of sleep deprivation nursing intervention on the quality of life of patients in the intensive care unit of cardiology

目的探讨睡眠剥夺干预时对心内科重症监护室患者负面情绪、睡眠质量、生活质量的作用,旨在为心内科重症监护室患者救治措施提供参考。方法选取2020年3月—2022年4月医院心内科重症监护室救治的88例患者作为研究分析对象,按组间基本资料具有可比性的原则将患者分为观察组和对照组,每组44例。对照组救治期间实施常规心内科护理干预,观察组在对照组基础上给予患者睡眠剥夺护理干预。比较分析相应的护理方案实施前、后两组患者负面情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、睡眠质量[睡眠质量评分表(VSH)]、生活质量([生活质量评价量表(MOS)]的变化情况。结果护理干预前两组患者SAS、SDS评分比较差异无统计学意义(P>0.05),护理干预后观察组患者的SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05);护理干预前两组患者VSH评分中睡眠中断、睡眠辗转反侧以及睡眠潜伏期、睡眠深度、达到休息的程度、醒来方式、主观睡眠质量评分比较差异无统计学意义(P>0.05),护理干预后观察组患者VSH量表中各项评分低于对照组,差异有统计学意义(P<0.05);护理干预前两组患者MOS评分中的社会功能、健康状况评分及情感功能评分比较差异无统计学意义(P>0.05),护理干预后观察组患者MOS量表中各项评分均高于对照组,差异有统计学意义(P<0.05)。结论心内科重症监护室患者救治过程中在常规心内科护理基础上,再实施睡眠剥夺护理干预,能够有效促进患者心理状态得到更大程度改善,促进患者睡眠质量获得更好提高,有助于帮助患者提升生活质量。

Objective To explore the effect of sleep deprivation intervention on negative emotions,sleep quality,and quality of life in patients in the cardiology intensive care unit,aiming to provide reference for treatment measures for patients in the cardiology intensive care unit.Methods A total of 88 patients treated in the intensive care unit of the hospital's cardiology department from March 2020 to April 2022 were selected as the research and analysis objects.According to the principle of comparability of basic data between groups,patients were divided into an observation group and a control group,with 44 cases in each group.During the treatment period,the control group received routine cardiology nursing interventions,while the observation group received sleep deprivation nursing interventions in addition to the control group.The changes in negative emotions[self-rating anxiety scale(SAS)and self-rating depression scale(SDS)],sleep quality[sleep quality scale(VSH)],and quality of life[quality of life scale(MOS)]of two groups of patients before and after the implementation of corresponding nursing plans were compared and analyzed.Results There was no statistically significant difference in the SAS and SDS scores between the two groups of patients before nursing intervention(P>0.05).After nursing intervention,the SAS and SDS scores in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).There was no statistically significant difference in VSH scores between the two groups of patients before nursing intervention,including sleep interruption,sleep tossing and turning,sleep latency,sleep depth,degree of rest reached,wake-up mode,and subjective sleep quality scores(P>0.05).After nursing intervention,the each item scores of VSH scale in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).There was no statistically significant difference in the social function,health status,and emotional function scores between the two groups of patients before nursing intervention(P>0.05).After nursing intervention,the observation group had higher scores in the MOS scale than the control group,the differences were statistically significant(P<0.05).Conclusion In the treatment process of patients in the intensive care unit of cardiology,implementing sleep deprivation nursing intervention on the basis of routine cardiology nursing can effectively promote greater improvement in the patient's psychological state,promote better sleep quality,and help patients improve their quality of life.