要因分析法的睡眠管理联合夜间干预对重症监护室清醒患者睡眠质量的影响

Effects of Cause-factor Analysis Sleep Management Combined with Nighttime Intervention on Sleep Quality of Awake Patients in Intensive Care Unit

目的:探讨重症监护(ICU)清醒患者接受要因分析法的睡眠管理联合夜间干预对睡眠改善效果。方法:选取2022年11月至2023年11月厦门大学附属第一医院重症医学科收治的ICU清醒患者106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53例。对照组给予常规护理干预,观察组给予要因分析法的睡眠管理联合夜间干预。采用汉密尔顿焦虑量表(HAMA)比较2组患者干预前后焦虑的变化情况,采用汉密尔顿抑郁量表(HAMD)比较2组患者干预前后抑郁的变化情况,采用中文版失眠严重程度指数量表(ISI-C)评估2组患者干预前后的失眠程度,采用理查兹-坎贝尔睡眠量表(RCSQ)评估ICU患者的睡眠质量。结果:干预后,观察组HAMA评分、HAMD评分均显著低于对照组,观察组失眠严重程度指数量表ISI-C评分显著低于对照组,观察组理查兹-坎贝尔睡眠量表RCSQ评分显著高于对照组,差异均有统计学意义(均P<0.05)。结论:ICU清醒患者接受要因分析法的睡眠管理联合夜间干预能减轻负性心理,改善失眠程度,提高睡眠质量,值得临床推广应用。

Objective:To investigate the effect of cause-factor analysis sleep management combined with night intervention on sleep improvement in awake patients in intensive care unit(ICU).Methods:A total of 106 sober ICU patients admitted to the Department of Intensive Care Medicine of the First Affiliated Hospital of Xiamen University from November 2022 to November 2023 were selected as the study objects,and were divided into control group and observation group according to random number table method,with 53 cases in each group.The control group was given routine nursing intervention,and the observation group was given sleep management combined with night intervention by cause-factor analysis.Hamilton Anxiety Scale(HAMA)was used to compare the changes in anxiety between the two groups before and after intervention;Hamilton Depression Scale(HAMD)was used to compare the changes in depression between the two groups before and after intervention;Chinese version of insomnia Severity Index Scale(ISI-C)was used to evaluate the degree of insomnia between the two groups before and after intervention.The Richards-Campbell Sleep Scale(RCSQ)was used to evaluate the sleep quality of ICU patients.Results:After the intervention,HAMA score and HAMD score of the observation group were significantly lower than those of the control group,the score of insomnia severity index ISI-C of the observation group was significantly lower than that of the control group,and the score of Richards-Campbell Sleep scale RCSQ of the observation group was significantly higher than that of the control group,with statistical significance between the two groups(P<0.05).Conclusion:The sleep management of ICU awake patients receiving the analysis of factors combined with night intervention can alleviate negative psychology,improve insomnia degree and improve sleep quality,and is worthy of clinical application.