强化前瞻性护理实践对重症监护病房清醒患者睡眠质量、焦虑及抑郁的影响。

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

作者信息

Lin Fei, Liu Lei

机构信息

Department of Intensive Care Unit, Dushu Lake Hospital Affiliated to Soochow University, Suzhou 215000, Jiangsu Province, China.

出版信息

World J Psychiatry. 2024 May 19;14(5):735-741. doi: 10.5498/wjp.v14.i5.735.

DOI:10.5498/wjp.v14.i5.735

PMID:38808089

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11129147/

Abstract

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 ( = 60) and observation ( = 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 ( < 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.

摘要

背景

重症监护病房（ICU）是医院的一个专科科室。ICU中清醒的患者经常会遇到不良心理状态，如焦虑和恐惧，常伴有睡眠质量差的情况。这种情况在医学界已引起广泛关注。

目的

探讨前瞻性护理干预策略对ICU清醒患者睡眠质量及负性情绪状态的影响。

方法

选取我院收治的120例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。采用国际标准化睡眠效率公式和匹兹堡睡眠质量指数（PSQI）评估睡眠改善情况。采用PSQI、广泛性焦虑障碍7项（GAD - 7）量表、自评抑郁量表（SDS）及治疗前后满意度评估两种护理模式下患者的负性情绪状态。