摘要
目的:探讨罗伊适应模式在心外ICU睡眠障碍患者中的应用效果。方法:选取2021年12月至2022年12月山东大学齐鲁医院心脏外科收治的心外ICU睡眠障碍患者82例作为研究对象,按照随机数字表法分为观察组和对照组,每组41例。对照组给予常规护理干预,观察组在其基础上给予罗伊适应模式(RAM)护理干预。采用匹兹堡睡眠质量指数(PSQI)量表比较2组患者干预前后睡眠质量的变化,采用《睡眠图描记与分期标准》评估护理前后患者睡眠潜伏期(SL)、觉醒次数(AT),采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)比较2组患者干预前后焦虑、抑郁的改善效果,采用健康调查简表(SF-36)比较2组患者干预前后生命质量的变化,制定护理质量调查问卷比较2组患者的护理满意度。结果:护理干预后,观察组PSQI各指标评分、HAMA评分、HAMD评分均显著低于对照组,观察组患者睡眠潜伏期(SL)、觉醒次数(AT)均显著低于对照组,SF-36评分显著高于对照组,差异均有统计学意义(均P<0.05)。结论:RAM模式应用于ICU睡眠障碍患者中,能够有效提高患者的睡眠质量,缓解患者的焦虑、抑郁情绪,提高患者的生命质量与护理满意度,值得推广使用。
Objective:To investigate the effect of Roy′s adaptation model in patients with sleep disorders in ICU.Methods:A total of 82 patients with sleep disorders in the cardiac ICU admitted to the Department of Cardiac Surgery of Shandong University Qilu Hospital from December 2021 to December 2022 were selected as research objects,and were divided into observation group and control group according to the random number table method,with 41 cases in each group.The control group was given routine nursing intervention,and the observation group was given RAM nursing intervention.Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes of sleep quality before and after the intervention.Sleep latency(SL)and number of awakenings(AT)of patients before and after the intervention were assessed by“Criteria of chronography and staging”.Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)were used to compare the improvement effects of anxiety and depression in the two groups before and after the intervention.A brief health survey form(SF-36)was used to compare the changes in the quality of life of the two groups before and after the intervention.A nursing quality questionnaire was developed to compare the nursing satisfaction of the two groups.Results:After nursing intervention,PSQI scores,HAMA scores and HAMD scores in the observation group were significantly lower than those in the control group,sleep latency(SL)and wake times(AT)in the observation group were significantly lower than those in the control group,and SF-36 scores were significantly higher than those in the control group,the differences between the two groups were statistically significant(all P<0.05).Conclusion:The application of RAM model in ICU patients with sleep disorders can effectively improve the quality of sleep,relieve the anxiety and depression of patients,improve the quality of life and nursing satisfaction of patients,and it is worth promoting the use.
作者
李雅琼
LI Yaqiong(Qilu Hospital of Shandong University,Ji′nan 250000,China)
出处
《世界睡眠医学杂志》
2023年第4期930-932,935,共4页
World Journal of Sleep Medicine
关键词
罗伊适应模式
睡眠进程
焦虑
抑郁
生命质量
Roy′s adaptation model
Sleep progression
Anxiety
Depression
Quality of life
