摘要
目的:分析视觉分散护理对重症监护室先天性心脏病患儿疼痛评分及睡眠质量的影响。方法:选取2019年12月至2022年12月福建医科大学附属协和医院重症监护病房收治的先天性心脏病患儿70例作为研究对象,按照速记数字表法分为观察组(n=35)和对照组(n=35)。对照组给予常规护理干预,观察组在对照组基础上实施视觉分散护理干预。使用东安大略儿童医院疼痛评分(CHEOPS)对2组患儿进行疼痛评分比较,采用匹兹堡睡眠质量指数(PSQI)比较2组患者的睡眠质量的变化,采用儿童医疗恐惧量表比较护理前后患儿医疗恐惧程度,包括医疗操作恐惧、医疗环境恐惧、自我恐惧、人际关系恐惧维度,并统计患儿镇静药物使用率及重症监护室入住时间。结果:护理干预后,观察组CHEOPS评分、PSQI评分、观察组医疗恐惧程度评分及镇静药物使用率均显著低于对照组,2组患者比较差异均有统计学意义(均P<0.05)。结论:对重症监护室先天性心脏病患儿实施视觉分散护理利于减轻患儿疼痛感受,改善睡眠质量,减小医疗恐惧程度及镇静药物使用率,缩短重症监护室住院时间,值得临床推广应用。
Objective:To analyze the effects of visual dispersed nursing on pain score and sleep quality of children with congenital heart disease in intensive care unit.Methods:A total of 70 children with congenital heart disease admitted to the intensive care unit of the Union Hospital Affiliated to Fujian Medical University from December 2019 to December 2022 were selected as the study objects,and were divided into observation group(n=35)and control group(n=35)according to shorthand digital table method.The control group received routine nursing intervention,and the observation group received visual dispersed nursing intervention on the basis of the control group.Pain scores of the Children′s Hospital of Eastern Ontario On-tario Pain Scals(CHEOPS)were used to compare the pain scores of the two groups.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes in sleep quality of the two groups of patients,and the children′s medical fear scale was used to compare the degree of medical fear before and after nursing,including the fear of medical operation,fear of medical environment,fear of self and fear of interpersonal relationship.The use rate of sedation drugs and the time of hospitalization in intensive care unit were also studied.Results:After nursing intervention,CHEOPS score,PSQI score,medical fear score and use rate of sedation drugs in observation group were significantly lower than those in control group,with statistical significance between 2 groups(P s<0.05).Conclusion:Visual dispersed nursing for children with congenital heart disease in intensive care unit can alleviate pain,improve sleep quality,reduce the degree of medical fear and use of sedative drugs,and shorten the length of stay in intensive care unit,which is worthy of clinical application.
作者
陈晓峰
CHEN Xiaofeng(Union Hospital Affiliated to Fujian Medical University,Fuzhou 350001,China)
出处
《世界睡眠医学杂志》
2023年第8期1815-1818,共4页
World Journal of Sleep Medicine
关键词
先天性心脏病
视觉分散护理
重症监护室
镇静药物
睡眠质量
Congenital heart disease
Visual dispersed nursing
Intensive care unit
Sedative drugs
Sleep quality
