Depression and anxiety among cancer patients visiting a tertiary care cancer hospital

BACKGROUND Cancer patients frequently experience psychological problems related to reactions to cancer diagnosis,cancer type and stage,treatment effects,recurrence,fear of end-of-life,survivorship,and financial burden.Depression and anxiety are both psychological and physiological disturbances among cancer patients.AIM To assess the prevalence of depression and anxiety among cancer patients attending a tertiary care cancer hospital.METHODS A cross-sectional study was conducted at Bhaktapur Cancer Hospital in Kathmandu Valley among 220 cancer patients aged from 18 years to 70 years.Ethical approval was taken from the Institutional Review Committee of CiST College.Convenient sampling was used to interview patients with the standardized Patient-Health Questionnaire(PHQ-9)for Depression and Hospital Anxiety and Depression sub-scale(HADS-A)for anxiety.Epi-Data was used for data entry and transferred to SPSS Version 25 for analysis.RESULTS The study revealed that of 220 patients,most of the respondents belonged to the age group 51-60 years.More than half 131(59.6%)of the respondents were female,most of them had depression,and one-third had anxiety.Among the respondents,124(56.4%)had mild depression,70(31.8%)had moderate depression,and 3(1.3%)had severe depression;79(35.9%)had mild anxiety,64(29.1%)had moderate anxiety,and 4(1.8%)had severe anxiety.CONCLUSION Most respondents were depressed and one-third had anxiety.More than half and nearly one-third had mild and moderate depression,respectively,and nearly one-third had mild and moderate anxiety,which is higher than other studies.

Significance of music therapy in treating depression and anxiety disorders among people with cancer

Globally,cancer cases and mortality have recently escalated and have attracted global concern.The clinical diagnosis and manifestation of cancer can result in significant mental health issues like depression and anxiety disorders.The tendency of people with cancer to suffer from psychological disorders such as anxiety and depression is usually high.A significant number of deaths related to cancer may likely not be from the killer disease but from psychological disorders associated with the illness.The utilization of music as a remedial approach to healing mental disorders cannot be overstated.Thus,identifying the impacts of music therapy in dealing with depression and anxiety disorders among people with cancer is relevant,as the majority of methods used in treating cancer have some side effects which may trigger psychological disorders in cancer patients.Ultimately,this study explored the significance of music therapy in treating depression and anxiety disorders among people with cancer.To achieve the aim of this study,the authors employed a narrative literature review to investigate the significance of music therapy in addressing depression and anxiety disorders among people with cancer.The type of literature review employed in this study is to provide an understanding of the selected research papers.The review found that music therapy significantly reduces depression and anxiety disorders among breast cancer,lung cancer,prostate cancer,and colorectal cancer patients.It is needful for healthcare providers to incorporate music therapy interventions while treating people with cancer.This will help reduce cancer deaths resulting from psychological disorders rather than the killer disease,cancer.However,the standardized procedures and evaluation criteria for applying music-based intervention strategies in oncology medicine still need to be further established and improved.

Effectiveness of Mindfulness Training in Enhancing Executive Function and Decreasing Symptoms of Depression and Anxiety in Patients with Multiple Sclerosis (MS)

The purpose of the present study was to evaluate the effectiveness of mindfulness training in enhancing executive function and decreasing symptoms of depression and anxiety in multiple sclerosis patients. The population in this study consisted of people with MS who referred to Karaj city MS society in 1394. These people didn’t experience medicinal changes during the study period and their expanded disability status score (EDSS) was between 0 and 5.5. 40 of them were randomly selected and placed into two experimental and control groups (20 for the experimental and the other for the control group). The treatment of mindfulness training was held in 8 sessions of group training, once a week and for 2 hours. The statistical method of multivariate analysis of covariance was used. The measurement tools were the State-Trait Anxiety Inventory (STAI), the Beck Depression Inventory-II (BDI-II) and the Wisconsin Card Sorting Test (WCST). After all, the results in both groups were compared and evaluated by the use of analysis of covariance. The results showed significant differences in symptoms of anxiety and depression between the two groups (p 0.05). Generally, the results of this research showed positive effects of mindfulness training on reducing anxiety and depression among patients with MS and ineffectiveness of mindfulness training on their executive function. Therefore, considering that there is no certain treatment for MS plus results of this study, the application of mindfulness training can be quite useful to reduce levels of anxiety and depression in patients with MS.

Frequency of Depression and Anxiety among Tuberculosis Patients

Objective: The aim of present study was to determine the frequency of depression and anxiety among tuberculosis patients. Methods: It was a descriptive study that had investigated the co-morbidity of depression and anxiety among tuberculosis patients with reference to gender. This study was conducted in Jinnah Post Graduate Medical Centre—Chest ward (TB clinic) from July 2014 to September 2014. Hundred diagnosed patients of tuberculosis (50 males and 50 females) were randomly selected. Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder Questionnaire (GAD-7) were used to assess the level of anxiety and depression. Results: Findings indicated that 56% tuberculosis (TB) patients had moderate to severe level of depression, whereas 65% TB patients had moderate to severe level of anxiety. Female patients had significantly high prevalence of depression as compared to males (t = –2.173, P –3.468, P Conclusion: Likelihood of depression and anxiety was frequent in tuberculosis patients. However, better management of these psychiatric morbidities may improve treatment adherence, illness perception and patient coping skills.

Pancreatic cancer and depression

Pancreatic cancer is a highly devastating disease with high mortality rates.Even patients who undergo potential curative surgery have a high risk for recurrence.The incidence of depression and anxiety are higher in patients with cancer than the general population.However,patients with pancreatic cancer are at most of risk of both depression and anxiety and there seems to be a biological link.In some patients,depression seems to be a precursor to pancreatic cancer.In this article we discuss the biological link between depression anxiety and hepatobiliary malignancies and discuss treatment strategies.

Depression and psychiatric disease associated with outcomes after anterior cruciate ligament reconstruction

While most patients with an anterior cruciate ligament(ACL) injury indicate satisfaction with surgical intervention, a significant proportion still do not return to pre-injury level of function or sport. Psychiatric comorbidities, such as depression, have recently been associated with poor clinical outcomes after ACL reconstruction(ACLR). To date, no article has yet examined how depression affects ACLR outcomes and how potential screening and intervention for psychological distress may affect postoperative activity level. The purpose of this review is to delineate potential relationships between depression and ACLR outcome, discuss clinical implications and identify future directions for research.

Prevalence and Factors Associated with the Anxio-Depressive Symptoms of the Families of Patients in Intensive Care Unit at Gabriel Toure University Hospital, Bamako, Mali

Introduction: Hospitalization in intensive care is a source of stress and anxiety for close to the patients. Anxio-depressive symptoms appear to be common in intensive care and their prevalence is poorly evaluated. The objective of this study was to evaluate the prevalence of anxio-depressive symptoms in families. Materials and method: Observational prospective study in families of patients hospitalized in the intensive care unit for a period of 5 months. Symptoms of anxiety and depression were measured using Hospital Anxiety and Depression Scale (HADS) during hospitalization. Anxiety and depression were defined by a score greater than 10. Factors associated with the onset of anxious-depressive symptoms were sought. The prevalence of post-traumatic stress disorder in close relatives was measured by the Impact Event Scale-Revised scale (IES-R). Results: A total of 107 patients were admitted to the intensive care unit, of which 49 families agreed to participate in our study. Overall mortality was 32.2% during this period. Fifty-eight (58) patients were not included for the following reasons: death or hospitalization of less than 48 hours, refusal of families, institution, and lack of parents speaking French. Forty-nine (49) relatives completed the HADS questionnaire. Forty-three families completed the IES-R questionnaire, a return rate of 87.7%. The prevalence of anxiety was 61.2% among parents in early hospitalization. The level of anxiety was significantly associated with male parents (p = 0.035) and those with lower education (p = 0.046). The prevalence of depressive symptoms in parents was evaluated 53% at D3. Education level (p = 0.048) and male parents (p = 0.048) appeared to be a significant depression factor. The prevalence of post-traumatic stress disorder was 55.1% among the relatives of the patients. The lack of co-morbidity in admission patients was significantly associated with the occurrence of post-traumatic stress disorder in the family. Conclusion: The prevalence of anxiety and depression symptoms was high in our study. Men were at greater risk of developing these symptoms. The parents of the patients carburized appear as a population with higher risk manifestation of psychological disorders;further research is needed in this group.

Application of rational emotive behavior therapy in patients with colorectal cancer undergoing adjuvant chemotherapy

Objective:This study aimed to explore the effects of our rational emotive behavior therapy(REBT)program on symptoms,anxiety,depression,and sleep state in patients with colorectal cancer(CRC)undergoing chemotherapy.Methods:From October 2020 to May 2021,fifty-six patients with CRC in a hospital in the Hunan Province were randomly divided into an intervention group(n=28)and a control group(n=28).The patients in the intervention group completed a 6-week REBT program based on routine nursing care,including four courses:1)establish a relationship and formulate health files;2)group communications and study symptom management;3)continuously provide health knowledge and strengthen healthy behavior;and 4)review the treatment and summary.The control group maintained routine nursing care.The simplified Chinese version of the Memorial Symptom Assessment Scale Short Form(MSASeSFeSC),the Hospital Anxiety and Depression Scale(HADS),and the Pittsburgh Sleep Quality Index(PSQI)scale were used to investigate and compare the intervention effects of the two groups at baseline(T1,before the intervention),four weeks(T2),and six weeks(T3)after the intervention.Results:The intervention group was significantly improved in symptoms,anxiety,depression,and sleep state,compared with the control group.At T2,MSASeSFeSC(24.43±4.26 vs.28.07±3.91),symptom distress(17.29±4.04 vs.19.39±3.59),symptom frequency(7.14±1.51 vs.8.68±1.42),HADS(13.68±3.38 vs.15.86±3.79),anxiety(3.89±1.85 vs.5.18±2.18),and depression(9.79±2.06 vs.10.68±2.23),showed that the difference between the two groups was statistically significant(P<0.05).At T3,MSASeSFeSC(23.89±3.54 vs.30.14±3.94),symptom distress(17.61±3.52 vs.21.32±3.57),symptom frequency(6.29±1.49 vs.8.82±1.47),HADS(11.82±2.57 vs.16.29±3.13),anxiety(3.21±1.64 vs.5.61±1.77),and depression(8.61±1.52 vs.10.68±1.81),showed that the difference between the two groups was statistically significant(P<0.05).The sleep state of the intervention group was better than the control group at T3,with decreased score of PSQI[4.00(3.00,8.00)vs.9.00(7.00,12.50),Z=-3.706,P<0.001].Conclusion:The 6-week REBT program can effectively improve the symptom,anxiety,depression,and sleep state of patients with CRC undergoing chemotherapy,which could as a care plan for patients with CRC who are repeatedly admitted to the hospital for chemotherapy.

Generalized Anxiety and Major Depressive Symptoms of General Public in South Korea during the Early COVID-19 Pandemic

The extent of viral spread and strategies in dealing with the COVID-19 pandemic have been different in each country.There are overall increased mental health concerns in many countries but it is unclear what the general public individuals who do not have heighten vulnerability to stressors for existing mental diseases or significant physical illnesses were experiencing during the pandemic.We evaluated the stressors and mental health of general public in South Korea that has a relatively low confirmed cases and deaths.Responses on the on-line survey questions were used to assess the mental and physical symptoms in association with individuals’reported stressors.Individuals with the symptoms of the generalized anxiety disorder(GAD)were reported in 58.9%,and major depression(MD)in 23.2%,mostly in minimal to mild degrees,cut-off scores of 5 and 10,respectively by the validated screening tools,GAD-7 and PHQ-9.Both GAD and MD symptoms were in 21.5%of the respondents.The total number of stress had significant association with the scores of GAD-7,PHQ-9,physical symptoms,sleep difficulties and resilience(p<0.01).GAD scores were also associated with sleep difficulties(p<0.01)and raising young children(p<0.05).MD scores were associated with sleep difficulties,job-dissatisfaction,and educational level(p<0.05).The limitations of the study include small sample size,usage of smartphone or email,potential under-reporting by stigma in the socio-cultural context and evolving nature of pandemic.We conclude that keeping careful watch for mental symptoms,stressors,sleep difficulties and other physical symptoms are important even for the individuals without previous mental illnesses during the pandemic era.

基于行为转变理论的护理干预模式对老年胃肠道手术患者的影响

目的:探讨基于行为转变理论的护理干预模式对老年胃肠道手术患者的影响。方法:选取2022年1月1日~2023年1月1日收治的90例老年胃肠道手术患者作为研究对象,按照抽签法分为观察组和对照组各45例,对照组给予常规围术期护理干预,观察组实施基于行为转变理论的护理干预模式;比较两组干预后配合度、生活质量[采用简明健康状况调查问卷(SF-36)]、生活习惯,干预前后负性情绪[采用焦虑自评量表(SAS)及抑郁自评量表(SDS)],术后并发症发生率。结果:观察组干预后配合度及SF-36评分高于对照组(P<0.05),生活习惯优于对照组(P<0.05),干预后3个月SAS、SDS评分及术后并发症发生率低于对照组(P<0.05)。结论:基于行为转变理论的护理干预模式对老年胃肠道手术患者的干预效果较好,能提高患者的总配合度、生活习惯和生活质量评分,缓解抑郁、焦虑等负性情绪,降低术后并发症发生率。

个体化3D打印技术联合心理干预在下肢创伤骨折手术患者中的应用效果

目的:探讨基于医工结合背景下个体化3D打印技术联合心理干预,在改善下肢创伤骨折手术患者情绪状态的影响效果。方法:选取在唐山市第二医院住院治疗的下肢创伤性骨折手术患者为研究对象。将2022年1-6月住院的患者45例作为对照组,采用传统常规方式进行健康宣教;选取2022年7-12月住院的患者47例为研究组,采用医工结合背景下3D打印技术联合心理干预进行干预,比较两组患者入院时和出院时的焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分差异,比较两组患者存在焦虑状态和抑郁状态差异,比较两组患者依从性(包括健康教育掌握情况、配合治疗护理)和对护理工作满意度的差异。结果:①两组患者入院时焦虑和抑郁情绪没有显著差异,但在出院时研究组的SAS评分和SDS评分与对照组有显著差异(F=111.216,54.172;P<0.01),且实验组的焦虑和抑郁显著低于对照组,差异具有统计学意义(P<0.05);②两组患者的依从性和满意度存在显著性差异,差异均具有统计学意义(χ^(2)=5.520,7.723;P<0.05)。结论:医工结合背景下之3D打印技术联合心理干预可有效减轻下肢创伤骨折患者的焦虑、抑郁情绪,提升患者的依从性和满意度。

妇科恶性肿瘤患者家庭复原力的潜在剖面分析

目的 基于潜在剖面分析,探讨妇科恶性肿瘤患者家庭复原力的类别特征。方法 采用一般资料调查表、家庭复原力量表、医院焦虑抑郁量表及压力知觉量表对484例妇科恶性肿瘤患者进行调查,采用一般资料调查表对其家属进行调查。结果 潜在剖面分析显示,妇科恶性肿瘤患者的家庭复原力可分为低家庭复原力组(21.07%)、中家庭复原力组(44.63%)和高家庭复原力组(34.30%)3个潜在类别。初中及以下学历、夫妻关系不佳、与其他主要家庭成员关系不佳、家属身体健康状况好及家庭分担照顾者在1人及以下者归属于低家庭复原力组的可能性更大(P<0.05)。低家庭复原力组患者的焦虑抑郁、压力知觉得分最高,高家庭复原力组的焦虑抑郁与压力知觉得分最低(P<0.05)。结论 妇科恶性肿瘤患者的家庭复原力具有明显的异质性,护理人员应根据患者家庭复原力的特征,为患者制订个性化的干预策略,提升其家庭复原力水平。

机器人辅助前列腺癌根治术患者支持性照护未满足需求现状及影响因素研究

目的调查机器人辅助前列腺癌根治术后患者支持性照护未满足需求现状,分析其影响因素。方法采用一般资料调查表、癌症患者未满足需求简明量表、医学应对方式问卷、医院焦虑抑郁量表对上海市某三级甲等综合性医院的248例机器人辅助腹腔镜前列腺癌根治术后患者进行调查。结果患者术后未满足照护需求得分为(61.96±16.82)分;患者应对方式、焦虑、抑郁与癌症患者未满足需求得分呈正相关(P<0.05);多元线性回归分析显示,Gleason评分、回避、焦虑、抑郁是前列腺癌术后患者未满足需求的主要影响因素(P<0.05)。结论机器人辅助前列腺癌根治术后患者未满足的支持性照护需求处于中等水平,可针对焦虑、抑郁评分高、Gleason评分高、采用回避应对方式的患者进行个体化干预与管理。

网络正念减压疗法可改善严重精神障碍患者照料者焦虑抑郁状态及其生活质量

目的:探索网络正念减压疗法(MBSR)对严重精神障碍患者的照料者焦虑抑郁水平及生活质量的影响。方法:纳入2021年3月在云南省精神病医院封闭病房住院治疗的、诊断为精神分裂症或双相情感障碍患者的照料者93名作为研究对象,使用随机数字表法随机分为两组:对照组47名和MBSR干预组46名。对照组给予健康宣教、康复技能训练,干预组在健康宣教、康复技能训练的基础上给予8周基于网络的MBSR。分别于基线及8周后采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、SF-36健康量表(The 36-item Short Form Health Survey)进行效果评价。结果:8周后,两组共脱落13名(对照组7名,干预组6名)。对照组与干预组基线SAS、SDS分值差异无统计学意义(均P>0.05)。8周后,干预组SAS、SDS分值较基线值均降低(均P<0.01),且明显低于对照组(均P<0.01),而对照组较基线值无明显变化(均P>0.05)。对照组与干预组基线SF-36总分及各个维度分值差异均无统计学意义(均P>0.05)。8周后,干预组SF-36总分及各个维度分值较基线时均升高,除生理功能维度外,差异均有统计学意义(均P<0.05),且明显高于对照组(均P<0.01);而对照组较基线时无明显变化(均P>0.05)。结论:网络MBSR可以减轻严重精神障碍患者照料者的焦虑抑郁水平,提高生活质量。

基于微信平台心理弹性干预在妇科恶性肿瘤患者护理中的应用

目的观察基于微信平台心理弹性干预在妇科恶性肿瘤患者护理中的应用效果。方法选取2021年3月至2022年9月丰城市人民医院收治的80例妇科恶性肿瘤患者作为研究对象,采用随机数字表法将其分为对照组、观察组,各组均40例。对照组接受常规心理干预,观察组接受基于微信平台心理弹性干预。对比两组心理弹性[心理弹性量表(CD-RISC)]、焦虑与抑郁情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、癌因性疲乏程度[多维疲劳症状量表(MFSI-SF)]及满意度。结果干预后1个月,两组患者CD-RISC评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);干预后1个月,两组患者SAS、SDS、MFSI-SF评分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组护理满意度评分高于对照组,差异有统计学意义(P<0.05)。结论妇科恶性肿瘤患者接受基于微信平台心理弹性干预可提高心理弹性,缓解焦虑与抑郁情绪,减轻癌因性疲乏程度,提升满意度。

焦点解决模式对胃息肉内镜下黏膜切除术后病人胃肠功能及焦虑和抑郁情绪的影响

目的 探究焦点解决模式对胃息肉内镜下黏膜切除(EMR)术后病人胃肠功能及焦虑、抑郁情绪的影响。方法 收集2022年5月-2023年5月于我院就诊的EMR术后病人90例,根据干预方式分组,对照组给予常规护理,干预组给予焦点解决模式护理,每组45例病人。比较两组病人术后康复时间、焦虑抑郁情绪、自我感受负担、并发症及护理满意度指标。结果 干预后,两组禁食时间、排气时间、肠鸣音恢复时间、术后住院时间、焦虑自评量表评分、抑郁自评量表评分及自我感受负担评分均下降(Z=2.032~4.213,t=2.991~22.922,P<0.05),且干预组低于对照组(Z=1.965~3.678,t=2.541~12.414,P<0.05)。干预组感染并发症发生率低于对照组(χ^(2)=4.444,P<0.05),护理满意度高于对照组(Z=3.510,P<0.05)。结论 焦点解决模式的应用有助于胃息肉EMR术后病人恢复胃肠功能,缓解焦虑和抑郁的负面情绪,提升护理体验感。

叙事护理对化疗患者知觉压力及化疗相关认知功能障碍的影响

目的探讨基于日记书写的叙事护理对恶性肿瘤化疗患者知觉压力及化疗相关认知功能障碍的影响。方法将70例首次化疗的恶性肿瘤患者按时间段分为对照组与干预组各35例。对照组采用常规护理,干预组在对照组的基础上给予基于日记书写的叙事护理干预,每周1次,共8次。干预前后采用焦虑自评量表、抑郁自评量表、中文版知觉压力量表、匹兹堡睡眠质量指数、癌症治疗功能评估-认知功能量表对两组患者进行评估。结果对照组31例、干预组32例完成研究。干预组干预后焦虑、抑郁、知觉压力、睡眠质量、认知功能总分显著低于对照组(均P<0.05)。结论基于日记书写的叙事护理可缓解患者的焦虑抑郁情绪,减轻知觉压力,改善睡眠质量和化疗相关认知功能障碍。

主动脉夹层患者及家属自我分化与焦虑抑郁关系的主客体互倚模型分析

目的 基于鲍温家庭系统理论,使用主客体互倚模型探查主动脉夹层患者及家属焦虑、抑郁的交互传递情况。方法 采用一般调查问卷、简版自我分化量表、广泛焦虑性量表、患者健康问卷抑郁量表对210对主动脉夹层患者及家属进行调查,建立自我分化、焦虑及抑郁的主客体互倚模型。结果 主动脉夹层患者及家属的自我分化水平分别为(79.95±4.43)分和(81.31±4.55)分,焦虑程度分别为(11.74±3.55)分和(10.98±3.04)分,抑郁程度分别为(12.33±3.34)分和(10.98±3.04)分。主客体互倚模型结果显示,主动脉夹层患者的自我分化水平与自身及对方的焦虑、抑郁水平呈负相关,家属的自我分化水平与自身的焦虑、抑郁和患者的抑郁呈负相关(均P<0.05)。结论 主动脉夹层患者及家属的焦虑、抑郁受双方自我分化水平的共同影响,提示医护人员应重视主动脉夹层患者及家属焦虑、抑郁的传递情况,积极探索以家庭为单位的干预方案。

护患沟通管理流程应用于血液透析中心对血液透析患者的影响

目的:探讨护患沟通管理流程在血液透析中心的应用及对医患纠纷和患者情绪障碍、希望水平的影响.方法:选取2017年10月至2019年9月于本院进行血液透析治疗的260例患者作为研究对象.按照就诊时间,将其分为观察组(n=130,2018年10月至2019年9月就诊,采用护患沟通管理流程)和对照组(n=130,2017年10月至2018年9月就诊,采用常规护理).比较两组患者焦虑、抑郁程度、希望水平、医患纠纷发生率、医护投诉率、患者满意度.结果:观察组汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分、医患纠纷发生率和医护投诉率均低于对照组,差异具有统计学意义(P<0.05);观察组患者希望量表(HHI)总分与各项评分以及护理总体满意度均高于对照组,差异具有统计学意义(P<0.05).结论:护患沟通管理流程在血液透析中心应用可改善患者情绪障碍和希望水平,减少医患纠纷发生,提高患者满意度.

前瞻性护理对改善ICU清醒患者睡眠质量的临床效果

目的:探究重症监护病房(ICU)清醒患者接受前瞻性护理的干预效果。方法:选取2022年8月至2023年4月福建中医药大学附属人民医院ICU收治的清醒患者80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40例。对照组进行常规护理,观察组的护理方法是常规+前瞻性护理,比较2组的感染发生率,同时对比护理前后2组患者的焦虑程度、抑郁程度、睡眠质量改善情况。结果:与对照组比较,观察组的发生率更低,差异有统计学意义(P<0.05);护理前,2组的焦虑程度比较,差异无统计学意义(P>0.05),护理后2组的焦虑评分均小于护理前,护理后观察组的焦虑评分显著小于对照组,差异均有统计学意义(均P<0.05);3护理后2组的抑郁评分较护理前比较均有不同程度降低,护理后观察组的抑郁评分显著小于对照组,差异均有统计学意义(均P<0.05);护理后观察组的睡眠质量优于对照组,差异有统计学意义(P<0.05)。结论:对ICU清醒患者实施前瞻性护理既有利于预防感染的发生,又可以缓解患者的情绪障碍,提高其睡眠质量,可推广。