情感支持联合睡眠干预对重症监护室清醒患者睡眠质量及心理状态的影响研究

Effect of Emotional Support Combined with Sleep Intervention on Sleep Quality and Mental State of Awake Patients in Intensive Care Unit

目的:分析情感支持联合睡眠干预在ICU清醒患者中的应用效果。方法:选取2023年4月至2024年2月福建省泉州市晋江市医院收治的ICU清醒患者116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58例。对照组给予常规治疗与护理干预,观察组在对照组基础护理的同时给予情感支持、非药物睡眠干预。采用理查兹-坎贝尔睡眠量表(RCSQ)评估2组患者干预前后睡眠质量的变化,采用广泛性焦虑障碍量表(GAD-7)评估2组患者干预前后焦虑的改善效果,采用9项患者健康问卷(PHQ-9)评估2组患者干预前后抑郁的改善效果。结果:干预后,观察组RCSQ评分显著高于对照组,观察组GAD-7评分、PHQ-9评分均显著低于对照组,差异均有统计学意义(均P<0.05)。结论:情感支持联合睡眠干预可有效改善ICU清醒患者的焦虑、抑郁情绪,提高睡眠质量,值得临床推广应用。

Objective:To analyze the effect of emotional support combined with sleep intervention in awake patients in ICU.Methods:A total of 116 sober ICU patients admitted to Jinjiang Hospital in Quanzhou City,Fujian Province from April 2023 to February 2024 were selected as research objects,and were divided into control group and observation group according to random number table method,with 58 patients in each group.The control group was given routine treatment and nursing intervention,and the observation group was given emotional support and non-drug sleep intervention simultaneously in the control group.Richards-campbell Sleep Scale(RCSQ)was used to evaluate the changes in sleep quality before and after intervention in 2 groups,Generalized Anxiety Disorder Scale(GAD-7)was used to evaluate the improvement effect of anxiety in 2 groups before and after intervention,and 9-item patient Health questionnaire(PHQ-9)was used to evaluate the improvement effect of depression in 2 groups before and after intervention.Results:After intervention,the RCSQ score of the observation group was significantly higher than that of the control group,and the GAD-7 score and PHQ-9 score of the observation group were significantly lower than that of the control group,with statistical significance between the two groups(P<0.05).Conclusion:Emotional support combined with sleep intervention can effectively improve the anxiety and depression of awake ICU patients and improve sleep quality,which is worthy of clinical application.