综合护理管理对ICU患者睡眠和情绪的影响

发布时间：2018-04-03 04:24

本文选题：重症监护室　切入点：睡眠　出处：《中医药管理杂志》2017年05期

【摘要】：目的:探究综合护理管理措施对重症监护室(ICU)患者睡眠和情绪的影响。方法:研究对象选取为2014~2015年之间安吉县人民医院ICU收治的224例患者,根据入院时期分为两组,其中2014年收治112例患者分为对照组,2015年收治112例患者分为观察组,对照组实施常规护理管理措施,观察组则实施综合护理管理,采用匹兹堡睡眠质量指数(PSQI)评价两组患者的睡眠质量,汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)评价情绪状况,并统计比较两组患者的护理满意度。结果:观察组患者干预前后PSQI评分改善显著优于对照组(P0.05);两组患者干预前HAMA、HAMD评分比较均无显著差异(P0.05),干预后观察组患者的HAMA、HAMD评分均显著低于对照组(P0.05);观察组患者的护理满意度显著高于对照组(P0.05)。结论:综合护理管理措施能够有效提高护士对ICU患者睡眠和情绪状况的重视,通过相关制度提高了护士的责任心和护理质量,从而改善了患者的睡眠质量和情绪状况,提高了患者的护理满意度。
[Abstract]:Objective: to investigate the effects of comprehensive nursing management on sleep and mood of ICU patients.Methods: two hundred and twenty-four patients treated in ICU of Anji County people's Hospital from 2014 to 2015 were divided into two groups according to the period of admission. In 2014, 112 patients were divided into control group, and in 2015, 112 patients were divided into observation group.Routine nursing management was performed in the control group, comprehensive nursing management was performed in the observation group, sleep quality was evaluated by Pittsburgh Sleep quality Index (PSQI), and mood status was evaluated by Hamilton anxiety scale (Hama) and Hamilton Depression scale (Hamd).The nursing satisfaction of the two groups was compared statistically.Results: the improvement of PSQI score in the observation group was significantly better than that in the control group before and after intervention, and there was no significant difference between the two groups before and after intervention (P 0.05), and the Hamar Hamd score of the observation group after intervention was significantly lower than that of the control group (P 0.05), and that of the observation group was significantly lower than that of the control group (P 0.05).The nursing satisfaction was significantly higher than that in the control group (P 0.05).Conclusion: the comprehensive nursing management measures can effectively improve the nurses' attention to the sleep and emotional status of patients with ICU, and improve the nurses' sense of responsibility and nursing quality through the relevant system, thus improving the patients' sleep quality and emotional status.The nursing satisfaction of patients was improved.
【作者单位】：安吉县人民医院;
【分类号】：R472.2

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