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Effect of diversified health education and emotional support on conscious patients in ICU |
WANG Hong MAO Xuejuan▲ |
Department of Intensive Medicine, Huai’an Fourth People’s Hospital, Jiangsu Province, Huai’an 223000, China |
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Abstract Objective To explore the effect of diversified health education and emotional support on the emotional status and delirium incidence of conscious patients in intensive care unit (ICU). Methods A total of conscious 169 patients in ICU between January 2018 and December 2019 were selected to Huai’an Fourth People’s Hospital. A total of 86 patients receiving diversified health education and emotional support were selected as the observation group and 83 patients receiving routine health education and nursing intervention were selected as the control group by convenience sampling method, the emotional status, delirium incidence and satisfaction were compared between the two groups before and after intervention. Results After intervention, both groups had significantly lower scores of tension-anxiety, depression-depression, anger-enmity, fatigue-dullness, confusion-disturbance than before intervention the energy-vigor score was significantly higher than that before intervention (P < 0.01), the scores of graded emotional status in treatment group: nervous-anxiety, depression-frustration, anger-hostility, fatigue-inactivity, confusion-disorder, were significantly lower than those before intervention and the control group (P < 0.01); the energy-vigor score was significantly higher than that before intervention and the control group (P < 0.01); the incidence of delirium in the treatment group was significantly lower than that in the control group (P < 0.05); the satisfaction rate was significantly higher than that of the control group (P < 0.05). Conclusion Diversified health education combined with emotional support can help improve the emotional state of ICU conscious patients, reduce the incidence of delirium, and improve patient satisfaction.
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[1] 张雪艳,邵换璋,董鑫,等.ICU谵妄评估工具的研究进展[J].中华危重病急救医学,2018,30(4):381-384.
[2] Leigh V,Tufanaru C,Elliott R. Effectiveness and harms of pharmacological interventions in the treatment of delirium in adults in intensive care units post cardiac surgery:a systematic review protocol [J]. JBI Database System Rev Implement Rep,2018,16(5):1117-1125.
[3] 朱虹,李小珍.基于谵妄风险评估策略下的分层护理干预对预防ICU患者谵妄发生的影响[J].医学临床研究,2019,36(2):415-417.
[4] 何茵.基于同伴支持的护理干预对ICU手术患者自我护理能力和主观幸福感的影响[J].中国实用护理杂志,2017, 33(19):1490-1493.
[5] 魏忠梅,段永暖,张丽贞.赋权探视干预对外科重症监护病房患者心理状况的影响[J].河北医科大学学报,2016, 37(2):201-204.
[6] 熊杰,刘俊雅,汪晖,等.ICU清醒患者护理需求的研究进展[J].护理学杂志,2018,33(13):105-109.
[7] Lasaite L,Ostrauskas R,Zalinkevicius R,et al. Profile of mood states in adult type 1 diabetes mellitus men and women with disease onset in childhood and in adulthood [J]. J Pediatr Endocrinol Metab,2015,28(3/4):279-285.
[8] 王儒林,杨晓军,马玉杰,等.中文版重症监护谵妄筛查量表评估ICU谵妄患者的临床研究[J].中国实用护理杂志,2013,29(30):12-14.
[9] 陈龄,高浪丽,岳冀蓉.谵妄诊断的研究现状[J].实用老年医学,2019,33(1):9-12.
[10] 李真,李奇,李尊柱,等.ICU患者亚谵妄综合征患病率及危险因素的系统评价[J].中华护理杂志,2020,55(2):288-293.
[11] Rosa RG,Falavigna M,Robinson CC,et al. Study protocol to assess the effectiveness and safety of a flexible family visitation model for delirium prevention in adult intensive care units:a cluster-randomised,crossover trial (The ICU Visits Study) [J]. BMJ Open,2018,8(4):e021193.
[12] 孙建华,郭海凌,孙丹丹,等.重症患者谵妄评估的现状调查及影响因素分析[J].中华护理杂志,2018,53(1):17-21.
[13] Boettger S,Meyer R,Richter A,et al. Screening for delirium with the Intensive Care Delirium Screening Checklist (ICDSC):Symptom profile and utility of individual items in the identification of delirium dependent on the level of sedation [J]. Palliat Support Care,2018,24:1-8
[14] 岑慧珍,凤亚勇,徐浩,等.动机性访谈对ICU清醒患者负性情绪与睡眠质量的影响[J].护理实践与研究,2019, 16(15):46-48.
[15] 袁娜娜,朱光宇,郑爽,等.针对性心理护理在心脏外科ICU综合征中的应用效果[J].中华现代护理杂志,2017, 23(31):4031-4033.
[16] 罗红敏.护士主导的预防性心理干预对重症患者创伤后应激障碍症状的影响:一项随机对照临床试验[J].中华危重病急救医学,2019,31(4):448.
[17] 华红霞,卢回芬,任国琴.Orem支持教育系统对肺癌化疗患者负性情绪及自我管理能力的影响[J].中华现代护理杂志,2016,22(14):2013-2016.
[18] 袁灵,邓小利,吴文友,等.术后谵妄老年患者艾森克性格类型相关性分析[J].安徽医药,2018,22(2):274-276.
[19] 吴美,程云,周红艳,等.老年患者术后谵妄非药物预防措施的证据总结[J].护理学杂志,2019,34(7):76-79.
[20] 李呈凯,白树财,宋秀钢,等.老年髋部骨折患者术后谵妄相关危险因素的回顾性研究[J].中华骨科杂志,2018, 38(4):250-256.
[21] 王贵方,尚平福,王涛.老年全髋关节置换术后谵妄与围术期炎症因子水平的相关性研究[J].实用骨科杂志,2017,23(4):306-308.
[22] 薛瑞芹.早期活动联合情感支持预防ICU机械通气谵妄的效果观察[J].护理实践与研究,2019,16(23):52-53.
[23] 陈磊,李翠莲,李笑芬,等.高龄髋部骨折患者不同手术时机术后谵妄发生情况研究[J].中国医学创新,2019, 16(16):23-25.
[24] 胡玲,胡三莲,钱会娟,等.老年髋部骨折患者术后发生谵妄的危险因素现况[J].解放军护理杂志,2018,35(22):44-47.
[25] 肖灿梁,萧戟.老年髋关节骨折术后谵妄发生的影响因素分析[J].当代医学,2020,26(27):44-46.
[26] 陈小磊,李翠莲,李笑芬,等.高龄髋部骨折患者不同手术时机术后谵妄发生情况研究[J].中国医学创新,2019, 16(16):23-25.
[27] 李敏,刘娣,程向阳,等.老年人工关节置换术患者术后谵妄的影响因素[J].中国医药导报,2020,17(19):82-84,92.
[28] Venni A,Ioia F,Laviola S,et al. Clinical Utility of a Structured Program to Reduce the Risk of Health-Related Quality of Life Impairment after Discharge from Intensive Care Unit:A Real-World Experience [J]. Crit Care Res Pract,2018,2018:3838962. |
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