摘要
目的分析睡眠集束化(SLEEP⁃MAD)干预模式在提高重症监护病房(ICU)机械通气患者睡眠质量中的作用。方法选择2020年1月至2022年12月南通市第六人民医院ICU收治的100例机械通气患者作为研究对象,随机将其均分为对照组、观察组,每组各50例。对照组给予常规ICU护理,观察组给予SLEEP⁃MAD干预护理。对比分析2组患者ICU环境压力源量表(ICUESS)评分、免疫功能相关指标水平及理查兹⁃坎贝尔睡眠量表(RCSQ)评分。结果护理前,ICUESS评分、免疫功能相关指标水平、RCSQ评分组间比较差异无统计学意义(P>0.05);护理后,2组患者ICUESS评分均降低且观察组低于对照组,免疫功能相关指标水平、RCSQ评分均升高且观察组高于对照组(P<0.05)。结论在ICU机械通气患者中应用SLEEP⁃MAD干预模式可有效缓解患者环境恐惧心理,改善睡眠质量与免疫功能,有利于提高患者预后水平。
Objective To analyze the effect of sleep⁃promoting intervention bundles(SLEEP⁃MAD)on sleep quality of mechanically ventilated patients in intensive care unit(ICU).Methods A total of 100 mechanically ventilated patients admitted to the ICU of Nantong Sixth People’s Hospital from January 2020 to December 2022 were selected as research objects.They were divided into control group and observation group by random number table method,with 50 cases in each group.The control group was given routine ICU nursing,and the observation group was given SLEEP⁃MAD intervention nursing.ICU environmental stressor scale(ICUESS)score,immune function related indexes and Richards Campbell sleep questionnaire(RCSQ)score were compared between the two groups.Results Before nursing,there were no significant differences in the ICUESS score,immune function related indexes or RCSQ score between the two groups(P>0.05).After nursing,the ICUESS score was decreased and immune function related indexes and RCSQ score were increased in both groups;the ICUESS score was in the observation group was lower than that in the control group and immune function related indexes and RCSQ score in the observation group were higher than those in the control group(P<0.05).Conclusion SLEEP⁃MAD intervention can effectively reduce environmental fear,improve sleep quality,immune function and prognosis in patients with mechanical ventilation in ICU.
作者
凌莉
张林丽
龚凌雁
Ling Li;Zhang Linli;Gong Lingyan(Department of Critical Care Medicine,Nantong Hospital Affiliated to Shanghai University,Nantong Sixth People’s Hospital,Nantong 226001,China)
出处
《海军医学杂志》
2024年第3期306-310,共5页
Journal of Navy Medicine
