强化性干预对重症监护室气管插管患者睡眠质量及并发症效果评价

Effect of Intensive Intervention on Sleep Quality and Complications in Patients with Tracheal Intubation in Intensive Care Unit

目的:研究强化性干预对重症监护室(ICU)气管插管患者睡眠质量及并发症发生率的影响。方法:选取2022年7月至2023年6月泉州市第一医院住院治疗的ICU气管插管患者90例作为研究对象,按照掷硬币法随机分为对照组和观察组,每组45例。对照组采用常规护理,观察组采用强化性干预,观察2组的睡眠质量评分、多导睡眠(PSG)监测结果、睡眠相关指标、并发症发生率。结果:观察组干预后的匹兹堡睡眠质量指数(PSQI)评分、睡眠障碍发生率、1期与2期睡眠比例、并发症发生率均低于对照组,干预后的TST长于对照组,SE、SWS、REM高于对照组,护理质量评分处于更高水平(P<0.05)。结论:对ICU气管插管患者实施强化性干预可促进患者睡眠质量改善,并可降低睡眠障碍与并发症发生率。

Objective:To study the effect of intensive nursing on sleep quality and complication rate of patients with tracheal intubation in ICU.Methods:Ninety ICU tracheal intubation patients who underwent inpatient treatment between July 2022 and June 2023 were randomly divided into a control group(routine nursing)and an observation group(intensive intervention)using a coin toss method,with 45 patients in each group.Observe the sleep quality scores,polysomnography(PSG)monitoring results,sleep related indicators,and incidence of complications in both groups.Results:After intervention,the Pittsburgh Sleep Quality Index(PSQI)score,incidence of sleep disorders,proportion of phase 1 and phase 2 sleep,and incidence of complications in the observation group were all lower than those in the control group.The TST after intervention was longer than that in the control group,while SE,SWS,and REM were higher than those in the control group,with P<0.05 and the nursing quality score was higher(P<0.05).Conclusion:Intensive intervention for ICU tracheal intubation patients can promote improvement in sleep quality,reduce the incidence of sleep disorders and complications.