加强前瞻性护理实践对重症监护室清醒患者睡眠质量、焦虑和抑郁的影响

IF 3.9 4区医学 Q1 PSYCHIATRY

World Journal of Psychiatry Pub Date : 2024-05-19 DOI:10.5498/wjp.v14.i5.735

Fei Lin, Lei Liu

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引用次数: 0

摘要

背景重症监护室（ICU）是医院的一个专业部门。重症监护室中的清醒患者经常会出现焦虑和恐惧等不良心理状态，而且往往伴随着睡眠质量低下。这种情况已引起医学界的高度重视。目的探讨前瞻性护理干预策略对清醒 ICU 患者睡眠质量和负面情绪状态的影响。方法选取本院收治的 120 名 ICU 清醒患者，随机分为对照组（n = 60）和观察组（n = 60）。对照组患者采用常规护理模式，观察组患者采用前瞻性护理模式。睡眠改善情况采用国际标准化睡眠效率公式和匹兹堡睡眠质量指数（PSQI）进行评估。采用 PSQI、广泛性焦虑症 7 项量表（GAD-7）、自我抑郁量表（SDS）以及治疗前后的满意度来评估两种护理模式下患者的负面情绪状态。结果观察组患者的满意度明显高于对照组。观察组的 GAD-7 和 SDS 评分明显低于对照组，观察组的睡眠改善总有效率明显高于对照组。治疗后，两组的 PSQI 评分均明显下降（P < 0.05）。观察组的下降幅度比对照组更明显，两组差异有统计学意义。结论前瞻性护理干预可改善重症监护室意识清醒患者的睡眠质量和心理水平，对患者有明显影响，值得临床应用。

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Effects of strengthening prospective nursing practice on sleep quality, anxiety, and depression of awake patients in intensive care unit

BACKGROUND The intensive care unit (ICU) is a specialized hospital department. Awake patients in the ICU frequently encounter adverse psychological states, such as anxiety and fear, often accompanied by poor sleep quality. This situation has garnered significant attention within the medical community. AIM To investigate the impact of prospective nursing intervention strategies on the sleep quality and negative emotional state of conscious ICU patients. METHODS One hundred and twenty ICU awake patients admitted to our hospital were selected and randomly divided into control (n = 60) and observation (n = 60) groups. Patients in the control group were cared for using the conventional nursing model, while patients in the observation group were cared for using the prospective nursing model. Sleep improvement was assessed using the International Standardized Sleep Efficiency Formula and Pittsburgh Sleep Quality Index (PSQI). The PSQI, Generalized Anxiety Disorder 7-item (GAD-7) scale, Self-Depression Scale (SDS), and satisfaction before and after treatment were used to assess the negative emotional states of patients under the two care models. RESULTS Patient satisfaction in the observation group was significantly higher than in the control group. The GAD-7 and SDS scores in the observation group were significantly lower than those in the control group, and the total effective rate of sleep improvement in the observation group was significantly higher than in the control group. After treatment, the PSQI scores of the two groups significantly decreased (P < 0.05). The decrease in the observation group was more significant than that in the control group, and the difference between the two groups was statistically significant. CONCLUSION Prospective nursing interventions can improve sleep quality and psychological levels and significantly affect conscious patients in the ICU, which is worthy of clinical application.

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来源期刊

World Journal of Psychiatry PSYCHIATRY-

自引率

6.50%

发文量

110

期刊介绍： The World Journal of Psychiatry (WJP) is a high-quality, peer reviewed, open-access journal. The primary task of WJP is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of psychiatry. In order to promote productive academic communication, the peer review process for the WJP is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJP are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in psychiatry.