Analysis of the Impact of Psychological Nursing Intervention on Psychological Status and All-Cause Mortality in ICU Patients with High Nutritional Risk.

IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE
Mei Zhang, Yan Lu, Defu Zeng, Tingmei Zeng
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引用次数: 0

Abstract

Background: Intensive Care Unit (ICU) patients with nutritional risk often face both physical and psychological burden, with anxiety and depression being the most common ones, which may affect their clinical outcomes.

Objective: To study the influence of psychological nursing intervention on psychological status and all-cause mortality in the ICU.

Methods: A total of 100 patients at high nutritional risk, receiving nutrition support in the ICU of our hospital from June 2021 to June 2023, were retrospectively included. Based on whether patients received psychological nursing intervention, they were divided into a control group (n = 50, routine care) and a study group (n = 50, routine care plus psychological nursing intervention). The control group received routine care, and the study group received psychological nursing care, along with routine care. Outcome measures included anxiety and depression, assessed using the Self-Rating Anxiety Scale (SAS) and the Self-Rating Depression Scale (SDS); all-cause mortality was compared between the two groups, time to death was collected, and the relationship between psychological status and all-cause mortality was assessed using a Cox proportional hazards regression model.

Results: The SDS, SAS scores, and all-cause mortality were significantly lower in the study group than in the control group (P < .05). However, the study group demonstrated greater nursing satisfaction than the control group (P < .05). Psychological status and all-cause mortality were significantly related in univariate analysis.

Conclusion: Psychological nursing intervention can effectively reduce the incidence of anxiety and depression in ICU patients at nutritional risk, improve the psychological state of patients, reduce all-cause mortality, and improve the prognosis of patients.

Keywords: psychological nursing intervention, nutritional risk patients in Intensive Care Unit, psychological status, all-cause mortality.

心理护理干预对ICU高营养风险患者心理状态及全因死亡率的影响分析。
背景:重症监护病房(ICU)营养风险患者往往面临身体和心理双重负担,焦虑和抑郁是最常见的症状,可能影响其临床预后。目的:探讨心理护理干预对ICU患者心理状态及全因死亡率的影响。方法:回顾性分析2021年6月至2023年6月在我院ICU接受营养支持的高营养风险患者100例。根据患者是否接受心理护理干预,将患者分为对照组(n = 50,常规护理)和研究组(n = 50,常规护理加心理护理干预)。对照组给予常规护理,研究组在常规护理的基础上给予心理护理。结果测量包括焦虑和抑郁,使用焦虑自评量表(SAS)和抑郁自评量表(SDS)进行评估;比较两组患者的全因死亡率,收集死亡时间,采用Cox比例风险回归模型评估心理状态与全因死亡率的关系。结果:研究组患者SDS、SAS评分及全因死亡率均显著低于对照组(P < 0.05)。但研究组护理满意度明显高于对照组(P < 0.05)。在单因素分析中,心理状态与全因死亡率显著相关。结论:心理护理干预可有效降低营养风险ICU患者焦虑、抑郁发生率,改善患者心理状态,降低全因死亡率,改善患者预后。关键词:心理护理干预;重症监护病房营养风险患者;心理状态;
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来源期刊
Alternative therapies in health and medicine
Alternative therapies in health and medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
0.90
自引率
0.00%
发文量
219
期刊介绍: Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field. Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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