播放家属鼓励视频对ICU气管插管病人焦虑状态及生命体征的影响

目的探讨播放家属录制的鼓励视频对重症监护室气管插管病人焦虑状态和生命体征的影响。方法选取某三级甲等医院ICU住院病人80例。按照随机数字表法分为对照组39例和干预组41例。对照组接受ICU常规护理；干预组病人在常规ICU护理基础上，由护理人员上午和晚上分别播放病人家属提前录制好的鼓励视频，并在研究结束时对病人进行满意度评分。2组病人均接受一般资料问卷获取基本信息、采用焦虑分级数字评分法评价焦虑状态、一般生命状态检测记录单记录基本生命体征，比较2组干预前后的焦虑评分和生命体征。结果2组病人干预前和干预后1 d焦虑评分差异均无统计学意义（P>0.05），干预后2、3、4 d，干预组病人焦虑评分均低于对照组（P < 0.05~P < 0.01）。2组病人干预前后各时点的呼吸频率、心率、收缩压、舒张压及平均动脉压差异均无统计学意义（P>0.05）。结论在重症监护室为气管插管病人播放家属的鼓励视频是一种可接受的、安全可行的干预措施，有助于缓解气管插管病人的焦虑状态。

Effect of family encouragement video on the anxiety and vital signs of ICU patients with endotracheal intubation

ObjectiveTo investigate the effects of playing encouragement videos recorded by family members on anxiety status and vital signs of patients with endotracheal intubation in intensive care unit(ICU).MethodsEighty cases of ICU inpatients in a grade A tertiary hospital were divided into the control group(39 cases) and intervention group(41 cases) according to random number table method.The control group received routine ICU care.On the basis of routine ICU care, the intervention group was nursed with the playing encouragement videos recorded by the patients' family members in advance in the morning and evening, and the satisfaction score of patients were recorded at the end of the study.The basic information in two groups was obtained using general information questionnaire, the anxiety status was evaluated by anxiety grading digital score method, and the basic vital signs were recorded by general vital status test sheet.The anxiety score and vital signs between two groups were compared before and after intervention.ResultsThe differences of the anxiety scores in two groups between before intervention and after 1 day of intervention were not statistically significant(P>0.05), and the anxiety scores in intervention group were lower than those in control group after 2, 3 and 4 days of intervention(P < 0.05 to P < 0.01).The differences of the respiratory rate, heart rate, systolic blood pressure, diastolic blood pressure and mean arterial pressure in two groups between before and after intervention were not statistically significant(P>0.05).ConclusionsPlaying the encouragement video from family members for patients with endotracheal intubation in ICU is an acceptable, safe and feasible intervention measure, which can relieve the anxiety of patients.