积极心理学联合改良细节管理对ICU清醒患者心理压力、特质焦虑和ICU综合征发生率的影响

Effect of positive psychology combined with modified detail management on psychological stress,trait anxiety and incidence rate of ICU syndrome in awake ICU patients

目的:探究积极心理学联合改良细节管理对重症监护病房(ICU)清醒患者心理压力、特质焦虑和ICU综合征发生率的影响。方法:将某院2020年1月到2021年9月实施常规干预的ICU清醒患者61例作为对照组,将2021年10月到2023年6月在常规干预基础上实施积极心理学联合改良细节管理的ICU清醒患者67例作为观察组。比较两组干预前后心理压力[中文版压力知觉量表(CPSS)]、焦虑状况[状态-特质焦虑量表(STAI)]、自我效能感[一般自我效能感量表(GSES)]、睡眠质量[匹兹堡睡眠质量指数(PSQI)]及ICU综合征发生情况。结果:观察组干预后CPSS各维度及总评分均低于对照组(t=3.458,2.805,3.870;P<0.05);观察组干预后STAI特质焦虑维度评分及总评分均低于对照组(t=2.899,2.604;P<0.05);观察组GSES评分高于对照组(t=2.433,P<0.05);观察组PSQI各维度评分均低于对照组(t=2.682,2.675,2.468,2.329,3.156,2.722,2.586;P<0.05);干预期间,观察组患者ICU综合征发生率低于对照组(χ^(2)=5.155,P<0.05),观察组患者ICU综合征症状持续时间短于对照组(t=2.453,P<0.05)。结论:积极心理学联合改良细节管理对ICU清醒患者的干预效果显著,能减轻患者心理压力及特质焦虑,提升其自我效能感,改善睡眠质量,降低ICU综合征发生率。

Objective:To explore the effect of positive psychology combined with modified detail management on psychological stress,trait anxiety and incidence rate of ICU syndrome in awake patients in intensive care unit(ICU).Methods:61 awake ICU patients who received routine intervention in our hospital from January 2020 to September 2021 were selected as control group,and 67 awake ICU patients who underwent positive psychology combined with modified detail management on the basis of routine intervention from October 2021 to June 2023 were included in observation group.Psychological stress[Chinese Perceived Stress Scale(CPSS)],anxiety status[State-Trait Anxiety Inventory(STAI)],self-efficacy[General Self-Efficacy Scale(GSES)],sleep quality[Pittsburgh Sleep Quality Index(PSQI)]and incidence of ICU syndrome were compared between the two groups before and after intervention.Results:The scores of various dimensions and total score of CPSS in observation group were lower than those in control group after intervention(t=3.458,2.805,3.870;P<0.05).The score of trait anxiety dimension and total score of STAI in observation group were lower compared with those in control group(t=2.899,2.604;P<0.05).The GSES score was higher in observation group than that in control group(t=2.433,P<0.05).The scores of PSQI dimensions in observation group were lower compared to control group(t=2.682,2.675,2.468,2.329,3.156,2.722,2.586;P<0.05).During intervention,the incidence rate of ICU syndrome was lower in observation group compared to control group(χ^(2)=5.155,P<0.05),and the duration of ICU syndrome was shorter than that in control group(t=2.453,P<0.05).Conclusion:Positive psychology combined with modified detail management has a significant intervention effect on awake ICU patients,and it can relieve the psychological stress and trait anxiety,enhance the self-efficacy,improve the sleep quality,and reduce the incidence rate of ICU syndrome.