摘要
目的探讨重症监护室(Intensive care unit,ICU)重症肺炎患者实施综合心理干预对其负性情绪及睡眠质量的改善效果。方法于2020年1月~2021年11月阶段采集病例入档,实施对象为ICU重症肺炎患者,共计纳入138例,基于“随机数字表法”1:1分组,组别对照组(实行常规护理)与观察组(综合心理干预),各组69例;观察对比两组负性情绪、心理弹性、睡眠质量、并发症发生率。结果干预后,两组焦虑自评量表(Self-Rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating depression scale,SDS)评分均降低,其中观察组更低(P<0.05);干预后,两组心理弹性量表(Connor-Davidson Resilience Scale,CD-RISC)评分均升高,其中观察组更高(P<0.05);干预后,观察组匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)评分明显低于对照组(P<0.05);观察组并发症发生率较对照组明显降低(P<0.05)。结论ICU重症肺炎患者实施综合心理干预,有利于消除患者焦虑、抑郁等负性情绪,提高其心理弹性,并维持良好睡眠质量,积极控制并发症的发生,发挥改善预后的积极作用。
Objective To explore the improvement effect of comprehensive psychological intervention on nega-tive emotions and sleep quality in patients with severe pneumonia in intensive care unit(ICU).Methods From January 2020 to November 2021,a total of 138 cases of severe pneumonia in ICU were collected and recorded.They were divided into two groups based on a"random number table"method:the control group(receiving routine nursing)and the observa-tion group(receiving comprehensive nursing intervention and psychological intervention),with 69 cases in each group;Observe and compare the negative emotions,psychological resilience,sleep quality,and incidence of complications be-tween the two groups.Results After intervention,the scores of Self Rating Anxiety Scale(SAS)and Self Rating Depres-sion Scale(SDS)decreased in both groups,with the observation group having a lower score(P<0.05).After interven-tion,the scores of the Connor Davidson Resilience Scale(CD-RISC)increased in both groups,with the observation group having a higher score(P<0.05).After intervention,the Pittsburgh Sleep Quality Index(PSQI)score in the observation group was significantly lower than that in the control group(P<0.05).The incidence of complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion Implementing comprehensive psy-chological intervention in ICU patients with severe pneumonia is beneficial for eliminating negative emotions such as anxiety and depression,improving their psychological resilience,maintaining good sleep quality,actively controlling the occur-rence of complications,and playing a positive role in improving prognosis.
作者
黄娟
胡奇鑫
赵永梅
刘高峰
HUANG Juan;HU Qixin;ZHAO Yongmei(Department of Criti-cal Medicine,988 Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army,Zhengzhou 450000,China)
出处
《国际精神病学杂志》
2024年第1期295-298,共4页
Journal Of International Psychiatry
基金
河南省医学科技攻关计划联合共建项目(LHGJ20190876)。
关键词
综合护理干预
心理干预
重症监护室
重症肺炎
睡眠质量
心理情绪
Comprehensive psychological intervention
Intensive Care Unit
Severe pneumonia
Sleep quality
Psychological emotions
作者简介
第一作者/通讯作者:黄娟(1985.11-),女,河南郑州人,本科,主管护师,研究方向:重症监护室护理,Email:370274564@qq.com。
