摘要
目的:观察在普外科重症监护室(ICU)开展约翰霍普金斯循证干预对患者睡眠、生命质量的影响。方法:选取2023年5月至2024年8月中国人民解放军联勤保障部队第九一〇医院收治的普外科ICU患者70例作为研究对象,按照随机抽样分组法分为对照组和观察组,每组35例,对照组进行常规ICU护理,观察组开展约翰霍普金斯循证干预。比较2组睡眠质量、生命质量以及心理状态、失眠症状。结果:护理后观察组睡眠质量匹兹堡睡眠质量指数(PSQI)评分较对照组低,差异有统计学意义(P<0.05);观察组护理后世界卫生组织生命质量测定简表(WHOQOL-BREF)评分高于对照组,差异有统计学意义(P<0.05);观察组护理后心理弹性高于对照组,差异有统计学意义(P<0.05);观察组护理后AIS、ESS评分低于对照组,差异有统计学意义(P<0.05)。结论:对普外科ICU患者开展约翰霍普金斯循证干预可以提升睡眠质量、生命质量,改善患者心理状态,缓解失眠症状。
Objective:To observe the effect of implementing Johns Hopkins Evidence-based Practice Intervention on sleep and quality of life in Intensive Care Unit(ICU)patients of the general surgery department.Methods:A total of 70 ICU patients in the general surgery department admitted to The 910th Hospital of the Joint Logistics Support Force of the Chinese People′s Liberation Army from May 2023 to August 2024 were selected as the study subjects.The included cases were evenly divided into a control group and an observation group(35 patients each)using a randomized sampling grouping method.The control group received routine ICU nursing care,while the observation group received Johns Hopkins Evidence-based Practice Intervention.Sleep quality,quality of life,psychological status,and insomnia symptoms were compared between the two groups.Results:After nursing,the Pittsburgh Sleep Quality Index(PSQI)score(indicating sleep quality)in the observation group was lower than that in the control group,with a statistically significant difference(P<0.05).The World Health Organization Quality of Life-BREF(WHOQOL-BREF)score(indicating quality of life)in the observation group after nursing was higher than that in the control group,with a statistically significant difference(P<0.05).Regarding psychological resilience,the observation group scored higher than the control group after nursing,with a statistically significant difference(P<0.05).The Athens Insomnia Scale(AIS)and Epworth Sleepiness Scale(ESS)scores in the observation group after nursing were lower than those in the control group,with statistically significant differences(P<0.05).Conclusion:Implementing Johns Hopkins Evidence-based Practice Intervention for general surgery ICU patients can improve their sleep quality and quality of life,enhance psychological status,and alleviate insomnia symptoms.
作者
杜腾婷
林春柳
李璐
DU Tingting;LIN Chunliu;LI Lu(Department of General Surgery,The 910th Hospital of the Joint Logistics Support Force of the Chinese People′s Liberation Army,Quanzhou 362000,China)
出处
《世界睡眠医学杂志》
2025年第5期1155-1158,共4页
World Journal of Sleep Medicine
基金
泉州市科技局项目(2022N008S)。
关键词
约翰霍普金斯循证干预
普外科
ICU
睡眠质量
生命质量
心理状态
失眠
康复
Johns Hopkins Evidence-based Practice Intervention
General surgery
ICU
Sleep quality
Quality of life
Psychological status
Insomnia
Rehabilitation
