个性化音乐疗法结合中医情志护理对ICU 患者心理及睡眠的影响

目的:探究个性化音乐疗法结合中医情志护理对ICU患者心理和睡眠的改善效果。方法:将123例ICU患者依据随机数字表法分为2组,对照组61例采用常规护理联合中医情志护理干预,观察组62例在对照组的基础上采用个性化音乐疗法。对比2组护理前后心理状态评分、睡眠质量、住院时间、ICU综合征发生情况和护理满意度。结果:观察组出院时,抑郁、躯体化、焦虑、人际关系敏感、强迫症状、敌对、偏执方面评分优于对照组,差异有统计学意义(P<0.05);在精神病性、恐怖方面比较,差异无统计学意义(P>0.05)。与护理前比较,2组睡眠质量评分较前改善(P<0.05),观察组出院时,入睡时间、睡眠质量及睡眠质量总分明显优于对照组,差异有统计学意义(P<0.05)。观察组住院时间、ICU综合征发生率及护理满意度明显优于对照组,差异有统计学意义(P<0.05)。结论:个性化音乐疗法结合中医情志护理在ICU病患的心理健康状态方面的调整有积极的影响,对病患的睡眠情况的改善也有很好的帮助,降低了ICU综合征发生率,缩短了住院时间。

Effect of Personalized Music Therapy Combined with Emotional Nursing of Chinese Medicine on Psychology and Sleep in ICU Patients

Objective:To investigate the improvement effect of personalized music therapy combined with emotional nursing of Chinese medicine on psychology and sleep in ICU patients.Methods:A total of 123 cases of ICU patients were divided into the control group and the observation group according to the random number table method,61 and 62 cases in each group respectively.The control group was intervened with routine nursing combined with emotional nursing of Chinese medicine,and the observation group was given personalized music therapy based on the treatment of the control group.Before and after nursing,the scores of psychological state,the sleep quality,the hospitalization time,the incidences of ICU syndrome and the nursing satisfaction in the two groups were compared.Results:At discharge,the scores of depression,somatization,anxiety,interpersonal sensitivity,obsessive-compulsive symptoms,hostility and paranoid ideation in the observation group were better than those in the control group,the difference being significant(P<0.05);there was no significant difference being found in the comparison of psychotic symptoms and terror between the two groups(P>0.05).After nursing,the sleep quality in the two groups was improved when compared with that before nursing;at discharge,the time for falling asleep,the sleep quality and the total scores of sleep quality in the observation group were significantly better than those in the control group,the difference being significant(P<0.05).The hospitalization time,the incidence of ICU syndrome and the nursing satisfaction in the observation group were significantly better than those in the control group,the difference being significant(P<0.05).Conclusion:Personalized music therapy combined with emotional nursing of Chinese medicine can effectively regulate negative emotions such as anxiety and depression in ICU patients,improve their sleep quality,reduce the incidence of ICU syndrome and shorten the hospitalization time.