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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(P<0.05);两组患者干预前HAMA、HAMD评分比较均无显著差异(P>0.05),干预后观察组患者的HAMA、HAMD评分均显著低于对照组(P<0.05);观察组患者的护理满意度显著高于对照组(P<0.05)。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。
Objective: To explore the impact of comprehensive nursing management measures on sleep and mood in intensive care unit (ICU) patients. Methods: A total of 224 patients admitted to ICU in Anji County People’s Hospital between 2014 and 2015 were divided into two groups according to their admission period. Among them, 112 patients were classified as control group in 2014 and 112 patients were treated in 2015 In the observation group, general nursing management was carried out in the control group and PSQI in the observation group. The sleep quality, HAMA and HAMD scores of the two groups were evaluated using the Pittsburgh Sleep Quality Index (PSQI) ) Evaluation of emotional status, and statistical comparison of two groups of patients satisfaction with nursing. Results: The improvement of PSQI score in observation group before and after intervention was significantly better than that in control group (P <0.05). There was no significant difference in HAMA and HAMD scores between two groups before intervention (P> 0.05). After intervention, HAMA and HAMD (P <0.05). The nursing satisfaction of the observation group was significantly higher than that of the control group (P <0.05). Conclusion: The comprehensive nursing management measures can effectively improve the nurses ’attention to the sleep and emotional conditions in ICU patients, improve the nurses’ sense of responsibility and quality of care through the relevant systems, thereby improving their sleep quality and emotional status, and improving patient satisfaction degree.