“3S2E”护理管理模式对ICU重症肺炎患者呼吸功能、不良情绪和睡眠质量的影响

The Impact of the “3S2E” Nursing Management Model on Respiratory Function,Negative Emotions,and Sleep Quality in ICU Patients with Severe Pneumonia

目的:探究“3S2E”护理管理模式对ICU重症肺炎患者呼吸功能、不良情绪和睡眠质量的影响。方法:选取2020年1月至2022年2月福建医科大学肿瘤临床医学院收治的ICU重症肺炎患者104例作为研究对象,按照随机数字表法分为对照组和观察组,每组52例。对照组给予常规护理干预,观察组给予“3S2E”护理管理模式。采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的差异,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)比较2组患者焦虑、抑郁症状改善情况,记录2组患者临床指标情况,含住院时间、通气时间等,同时记录2组患者并发症发生情况,含呼吸衰竭、肺不张、肺气肿及心力衰竭等。结果:干预后,观察组呼吸频率、氧合指数及每分通气量均显著低于对照组,观察组SAS评分、SDS评分、PSQI评分显著低于对照组,观察组住院时间、通气时间均显著低于对照组,差异均有统计学意义(均P<0.05)。结论:“3S2E”护理管理模式应用于ICU重症肺炎患者中能明显改善呼吸功能,缓解不良情绪,提高睡眠质量,减少通气及住院时间,降低并发症发生率,值得临床推广应用。

Objective:To explore the effects of the“3S2E”nursing management model on respiratory function,negative emotions,and sleep quality in ICU patients with severe pneumonia.Methods:A total of 104 ICU patients with severe pneumonia admitted to the School of Oncology Clinical Medicine,Fujian Medical University from January 2020 to February 2022 were selected as the study subjects.They were randomly divided into an observation group(n=52)and a control group(n=52)using a random number table method.The control group received routine nursing intervention,while the observation group received“3S2E”nursing management mode.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the differences in sleep quality between two groups of patients.The Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were used to compare the improvement of anxiety and depression symptoms in the two groups of patients.Clinical indicators,including length of hospital stay and ventilation time,were recorded,Simultaneously record the incidence of complications in two groups of patients,including respiratory failure,atelectasis,emphysema,and heart failure.Results:After intervention,the respiratory rate,oxygenation index,and ventilation volume per minute in the observation group were significantly lower than those in the control group.The SAS score,SDS score,and PSQI score in the observation group were significantly lower than those in the control group.The hospital stay and ventilation time in the observation group were significantly lower than those in the control group,and the differences between the two groups were statistically significant(P s<0.05).Conclusion:The application of the“3S2E”nursing management model in ICU patients with severe pneumonia can significantly improve respiratory function,alleviate negative emotions,improve sleep quality,reduce ventilation and hospitalization time,and reduce the incidence of complications.It is worthy of clinical promotion and application.