综合护理干预对重症监护室患者睡眠障碍的影响.docVIP

精品论文 参考文献 综合护理干预对重症监护室患者睡眠障碍的影响 葛颂 　　（商丘市第一人民医院呼吸重症医学科RICU ，河南 476100） 　　[摘要]目的：探讨综合护理干预对重症监护室患者睡眠障碍的临床应用价值。方法：选取我院80例重症监护室睡眠障碍患者，随机分为对照组和观察组，每组各40例。对照组采用常规护理模式，观察组采用综合护理干预方式。对比两组患者干预后护理效果、护理满意度以及匹兹堡睡眠质量指数评分（PSQI）等。结果：观察组总有效率与护理满意度均高于对照组，且观察组患者的睡眠时间、睡眠效率及总分等均显著低于对照组；组间均存在显著差异（P＜0.05），具有统计学意义。结论：对重症监护室睡眠障碍患者实施综合护理干预，可有效改善患者睡眠质量，提高护理满意度，是一种高效护理模式。 　　关键词:综合护理干预；重症监护室；睡眠障碍 　　Effect of comprehensive nursing intervention on the sleep disturbance in patients with intensive care unit 　　Ge Song (Shangqiu First Peoples Hospital,, Henan, RICU, Shangqiu) 　　Abstract Objective: To explore the clinical application value of comprehensive nursing intervention on the sleep disorder in patients with critical care unit. Methods: 80 cases of sleep disorder in our hospital were randomly divided into control group and observation group, 40 cases in each group. The control group used conventional nursing mode, the observation group adopted comprehensive nursing intervention mode. The effect of nursing intervention, nursing satisfaction and Pittsburgh sleep quality index (PSQI) were compared between the two groups. Results: the total effective rate and nursing satisfaction in the observation group were higher than those in the control group, and the sleep time, sleep efficiency and total score of the observation group were significantly lower than that of the control group (P lt; 0.05), and the observation group was statistically significant. Conclusion: the implementation of comprehensive nursing intervention in patients with severe care, can effectively improve the quality of sleep, improve nursing satisfaction, is an effective nursing model. 　　Key words: comprehensive nursing intervention; intensive care unit; sleep disorder 　　睡眠是人体基本生理需求，是一种为补充精力而休息的主动过程，约占人生1/3时间。良好的睡眠是人类生存的重要前提[1]，既能促进身体健康和维持生命运动，又可以提高工作效率。重症监护室（ICU）是危重病人的抢救中心，重症监护室的质量和设备是衡量医院水平的重要因素之一[2]。由于重症监护室受自身环境、管理、设施等限制，造成大多数患者出现睡眠障碍。本研究针对我院80例重症监护室睡眠障碍患者，分别采取常规护理措施和综合护理干预措施，对比两组间护理效果及患者睡眠质量等情况，详细报道如下。 　　1资料与方法 　　1.1 一般资料 选取201