前瞻性护理干预对ICU清醒病人睡眠质量及焦虑、抑郁的影响

目的探讨前瞻性护理干预对ICU清醒病人睡眠质量及焦虑、抑郁的影响。方法选取ICU危重症病人80例，按照随机数字表法分为观察组和对照组，各40例。其中对照组给予传统护理照护，观察组在对照组基础上引入前瞻性护理干预。2组病人均于干预前及干预2周后，采用匹茨堡睡眠指数量表（PSQI）、焦虑自评量表（SAS）和抑郁自评量表（SDS）进行测评。结果2组病人干预前的PSQI各项评分差异均无统计学意义（P>0.05）；干预后，2组PSQI各项评分均较干预前降低（P < 0.05~P < 0.01），且观察组各项评分均明显低于对照组（P < 0.01）。2组病人干预前SAS和SDS评分差异均无统计学意义（P>0.05）；干预后，2组SAS和SDS评分均较治疗前降低（P < 0.05~P < 0.01），且观察组均明显低于对照组（P < 0.01）。结论前瞻性护理干预应用于ICU清醒病人，有助于改善病人睡眠质量，且能缓解其焦虑、抑郁。

Effect of the prospective nursing intervention on sleep quality,anxiety and depression of awake patients in ICU

ObjectiveTo explore the effects of the prospective nursing intervention on sleep quality, anxiety and depression of awake patients in ICU.MethodsEighty critically ill patients in ICU were divided into the observation group and control group according to the random number table method(40 cases each group).The control group was nursed using the traditional nursing method, and the observation group was nursed using the prospective nursing intervention based on the control group.Two groups were evaluated using Pittsburgh sleep quality scale(PSQI), Zung anxiety self-rating scale(SAS) and depression self-rating scale(SDS) before intervention and after 2 weeks of intervention.ResultsThe differences of all PSQI scores between two groups before intervention were not statistically significant(P>0.05), all PSQI scores in two groups after intervention decreased compared with before intervention(P < 0.05 to P < 0.01), and the PSQI scores in observation group after intervention were significantly lower than that in control group(P < 0.01).The differences of the scores of SAS and SDS between two groups before intervention were not statistically significant(P>0.05), the scores of SAS and SDS in two groups after intervention decreased compared with before intervention(P < 0.05 to P < 0.01), and the scores of SAS and SDS in observation group after intervention were significantly lower than those in control group(P < 0.01).ConclusionsThe application of the prospective nursing intervention in awake patients in ICU can help to improve the sleep quality, and alleviate the anxiety and depression of patients.