基于罗伊适应模式的干预对重症监护室合并睡眠障碍患者的效果研究

Effect of Intervention Based on Roy Adaptation Model on Patients with Sleep Disorders in Intensive Care Unit

目的:探讨基于罗伊适应模式的干预对重症监护室(ICU)合并睡眠障碍患者心境状态及睡眠质量的影响效果。方法:选取2021年8月至2023年6月厦门大学附属第一医院重症医学科收治的ICU合并睡眠障碍患者74例作为研究对象,按照随机数字表法分为对照组(n=36)和观察组(n=38)。对照组给予常规护理干预,观察组给予基于罗伊适应模式的干预,采用心理弹性量表(CD-RISC)评估患者的心理状态,采用匹兹堡睡眠质量指数(PSQI)评估患者干预前后的睡眠质量,根据《睡眠图描述与分期标准》对ICU患者的睡眠潜伏期(SL)、觉醒次数(AT)进行测定。结果:干预后,观察组患者PSQI评分显著低于对照组,观察组睡眠潜伏期、觉醒次数评分显著低于对照组,观察组心理弹性量表(CD-RISC)评分显著高于对照组,差异有统计学意义(P<0.05)。结论:基于罗伊适应模式的干预可以提升ICU合并睡眠障碍患者睡眠质量,值得临床推广应用。

Objective:To investigate the effect of intervention based on Roy adaptation model on mood state and sleep quality of patients with sleep disorders in intensive care unit(ICU).Methods:A total of 74 ICU patients with sleep disorder admitted to the Department of Intensive Care Medicine of the First Affiliated Hospital of Xiamen University from August 2021 to June 2023 were selected as the study objects,and were divided into control group(n=36)and observation group(n=38)according to random number table method.The control group was given routine nursing intervention,and the observation group was given intervention based on Roy′s adaptation model.The psychological state of the patients was assessed by using the Mental Resilience Scale(CD-RISC),and the sleep quality of the patients before and after the intervention was assessed by the Pittsburgh Sleep Quality Index(PSQI).The sleep latency(SL)and wake times(AT)of ICU patients were measured according to the description and staging criteria of sleep map.Results:After intervention,PSQI score of observation group was significantly lower than control group,sleep latency score and wake times score of observation group were significantly lower than control group,psychological resilience scale(CD-RISC)score of observation group was significantly higher than control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion:Intervention based on Roy adaptation model can improve the sleep quality of ICU patients with sleep disorders,and it is worthy of clinical application.