基于Roy適應(yīng)模式護(hù)理干預(yù)對ICU患者睡眠質(zhì)量的效果評價
發(fā)布時間：2018-10-17 17:44
【摘要】：目的通過對重癥醫(yī)學(xué)科(Intensive Care Unit,ICU)患者實施基于Roy適應(yīng)模式的護(hù)理干預(yù),探討改善ICU患者睡眠質(zhì)量的有效措施,為今后的相關(guān)研究提供新的理論參考依據(jù)。方法采用簡單隨機抽樣方法,將2015年10月9日至2016年10月9日符合納入標(biāo)準(zhǔn)的48名患者按照入住ICU的先后時間順序分組,前6個月入住的患者為對照組(n=23)和后6個月入住的患者為干預(yù)組即RAM組(n=25)。研究過程中給予對照組患者常規(guī)的ICU專科護(hù)理,RAM組在對照組的基礎(chǔ)上同時實施基于Roy適應(yīng)模式的護(hù)理干預(yù)。采用多導(dǎo)睡眠監(jiān)測儀、醫(yī)院焦慮量抑郁表、ICU意識評估量表、住院滿意度調(diào)查量表等分別對兩組患者干預(yù)第3天和干預(yù)第7天兩個時間點的睡眠結(jié)構(gòu)分期(N1期、N2期、SWS期、R期所占比例)、焦慮評分、ICU譫妄發(fā)生率及住院滿意度進(jìn)行效果評價。采用SPSS21.0軟件包對所得數(shù)據(jù)進(jìn)行統(tǒng)計分析,方法包括:均數(shù)、標(biāo)準(zhǔn)差、構(gòu)成比、卡方檢驗、Fisher確切概率法、兩樣本非參數(shù)秩和檢驗、兩獨立樣本t檢驗、單因素方差分析。結(jié)果1.兩組患者干預(yù)前一般資料、睡眠質(zhì)量、焦慮評分、急性生理和慢性健康評分,差異均無統(tǒng)計學(xué)差異(P0.05),患者的研究基線水平具有一致性。2.在實施干預(yù)的第3天,RAM組患者睡眠結(jié)構(gòu)分期(N1期、N2期、SWS期、R期)所占比例與對照組相比均呈現(xiàn)顯著的差異,有統(tǒng)計學(xué)意義(P0.05)。在實施干預(yù)第7天,RAM組與對照組相比N1期、N2期所占比例均較少(27.92±7.06 vs34.61±5.35;28.76±5.05 vs 24.31±5.55,P0.05);SWS期、R期兩者相比差異不具有統(tǒng)計學(xué)意義,(P0.05),但是,RAM組更接近正常水平。3.兩組患者在干預(yù)7天后,對照組焦慮評分較RAM組相比較高,差異具有統(tǒng)計學(xué)意義(12.52±2.61 vs 10.92±1.58;t=2.59,P0.001)。4.兩組患者在干預(yù)7天后,RAM組譫妄發(fā)生率低于對照組,差異具有統(tǒng)計學(xué)意義(P0.05)。5.在住院滿意度方面,對照組低于RAM組,差異具有統(tǒng)計學(xué)意義(Z=-2.56,P0.05)。結(jié)論基于Roy適應(yīng)模式的護(hù)理干預(yù)可有效的改善ICU患者睡眠質(zhì)量、緩解患者的焦慮情緒、降低ICU譫妄發(fā)生率及提升患者住院滿意度。
[Abstract]:Objective to explore the effective measures to improve the sleep quality of patients with (Intensive Care Unit,ICU through the nursing intervention based on Roy adaptation mode, and to provide a new theoretical basis for the related research in the future. Methods 48 patients who met the inclusion criteria from October 9, 2015 to October 9, 2016 were grouped according to the time sequence of admission to ICU by a simple random sampling method. The first 6 months of admission was the control group (nf23) and the latter 6 months was the intervention group (RAM 25). In the course of the study, the patients in the control group were given routine ICU specialist nursing care, while the RAM group was given nursing intervention based on the adaptation mode of Roy on the basis of the control group. Polysomnography, hospital anxiety and depression scale, ICU consciousness evaluation scale were used. The sleep structure stages (N1, N2, SWS, R), anxiety score, incidence of ICU delirium and satisfaction degree of hospitalization were evaluated at the third day and the seventh day of intervention respectively. The data are analyzed by SPSS21.0 software package. The methods include mean, standard deviation, constitution ratio, chi-square test, Fisher exact probability method, non-parametric rank sum test of two samples, t-test of two independent samples, and analysis of variance of single factor. Result 1. There was no significant difference in general data, sleep quality, anxiety score, acute physiology and chronic health score between the two groups before intervention (P0.05). On the third day of intervention, the proportion of sleep structure stages (N1, N2, SWS, R) in RAM group was significantly different from that in control group (P0.05). On the 7th day of intervention, the proportion of N2 phase was lower in RAM group than that in control group (27.92 鹵7.06 vs34.61 鹵5.35 vs 28.76 鹵5.05 vs 24.31 鹵5.55); SWS, P 0.05). There was no significant difference between R phase and control group (P0.05), but RAM group was closer to normal level. After 7 days of intervention, the anxiety score of the control group was higher than that of the RAM group, and the difference was statistically significant (12.52 鹵2.61 vs, 10.92 鹵1.58 vs, 2.59 vs, P0.001). After 7 days of intervention, the incidence of delirium in RAM group was lower than that in control group (P0.05). In terms of hospital satisfaction, the control group was lower than RAM group, the difference was statistically significant (P 0.05). Conclusion the nursing intervention based on Roy adaptation mode can effectively improve the sleep quality of ICU patients, alleviate the anxiety of patients, reduce the incidence of ICU delirium and improve the hospital satisfaction.
【學(xué)位授予單位】：青島大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R473
本文編號：2277460
[Abstract]:Objective to explore the effective measures to improve the sleep quality of patients with (Intensive Care Unit,ICU through the nursing intervention based on Roy adaptation mode, and to provide a new theoretical basis for the related research in the future. Methods 48 patients who met the inclusion criteria from October 9, 2015 to October 9, 2016 were grouped according to the time sequence of admission to ICU by a simple random sampling method. The first 6 months of admission was the control group (nf23) and the latter 6 months was the intervention group (RAM 25). In the course of the study, the patients in the control group were given routine ICU specialist nursing care, while the RAM group was given nursing intervention based on the adaptation mode of Roy on the basis of the control group. Polysomnography, hospital anxiety and depression scale, ICU consciousness evaluation scale were used. The sleep structure stages (N1, N2, SWS, R), anxiety score, incidence of ICU delirium and satisfaction degree of hospitalization were evaluated at the third day and the seventh day of intervention respectively. The data are analyzed by SPSS21.0 software package. The methods include mean, standard deviation, constitution ratio, chi-square test, Fisher exact probability method, non-parametric rank sum test of two samples, t-test of two independent samples, and analysis of variance of single factor. Result 1. There was no significant difference in general data, sleep quality, anxiety score, acute physiology and chronic health score between the two groups before intervention (P0.05). On the third day of intervention, the proportion of sleep structure stages (N1, N2, SWS, R) in RAM group was significantly different from that in control group (P0.05). On the 7th day of intervention, the proportion of N2 phase was lower in RAM group than that in control group (27.92 鹵7.06 vs34.61 鹵5.35 vs 28.76 鹵5.05 vs 24.31 鹵5.55); SWS, P 0.05). There was no significant difference between R phase and control group (P0.05), but RAM group was closer to normal level. After 7 days of intervention, the anxiety score of the control group was higher than that of the RAM group, and the difference was statistically significant (12.52 鹵2.61 vs, 10.92 鹵1.58 vs, 2.59 vs, P0.001). After 7 days of intervention, the incidence of delirium in RAM group was lower than that in control group (P0.05). In terms of hospital satisfaction, the control group was lower than RAM group, the difference was statistically significant (P 0.05). Conclusion the nursing intervention based on Roy adaptation mode can effectively improve the sleep quality of ICU patients, alleviate the anxiety of patients, reduce the incidence of ICU delirium and improve the hospital satisfaction.
【學(xué)位授予單位】：青島大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R473
【參考文獻(xiàn)】
相關(guān)期刊論文 前10條
1 黃仕瑛;趙麗萍;;ICU患者睡眠障礙及其評估方式的研究進(jìn)展[J];護(hù)理學(xué)報;2016年18期
2 蔡婷婷;曹梅娟;;基于羅伊適應(yīng)模式自我概念評估工具的應(yīng)用進(jìn)展[J];中華現(xiàn)代護(hù)理雜志;2016年16期
3 周燕;黃潔微;;Roy適應(yīng)模式在糖尿病足患者睡眠障礙護(hù)理中的應(yīng)用[J];護(hù)士進(jìn)修雜志;2016年04期
4 唐敏;;Roy適應(yīng)模式在主動脈夾層瘤病人護(hù)理中的應(yīng)用[J];護(hù)理研究;2015年21期
5 張華;;Roy適應(yīng)模式在老年帕金森病睡眠障礙護(hù)理中的應(yīng)用[J];蚌埠醫(yī)學(xué)院學(xué)報;2014年12期
6 孫婷;韓芳;孫運良;劉江華;楊加彬;王曉芝;;重癥監(jiān)護(hù)病房譫妄患者24h連續(xù)睡眠監(jiān)測及褪黑素動態(tài)水平變化的研究[J];中華危重病急救醫(yī)學(xué);2014年10期
7 劉素霞;馮俊艷;解曉彥;蘆秀敏;趙靜;毛艷春;;綜合護(hù)理干預(yù)用于重癥監(jiān)護(hù)室患者睡眠障礙的效果觀察[J];臨床合理用藥雜志;2014年19期
8 沙永生;孔輕輕;何浩;羅洪源;歷見蓮;;個體化音樂干預(yù)對ICU肺癌患者術(shù)后睡眠質(zhì)量影響的研究[J];護(hù)士進(jìn)修雜志;2013年16期
9 金蕓;張玉俠;顧鶯;胡靜;陸國平;;醫(yī)療護(hù)理操作行為致危重患者睡眠剝奪的研究進(jìn)展[J];護(hù)理學(xué)雜志;2013年14期
10 盛孝敏;甘秀妮;張傳來;李冬雪;;夜間使用眼罩耳塞對ICU患者譫妄及睡眠障礙的療效觀察[J];中國醫(yī)科大學(xué)學(xué)報;2013年05期
相關(guān)碩士學(xué)位論文 前1條
1 向鵬程;某三甲醫(yī)院危重患者護(hù)理滿意度調(diào)查分析與研究[D];中南大學(xué);2014年
，本文編號：2277460
本文鏈接：http://sikaile.net/linchuangyixuelunwen/2277460.html
最近更新
教材專著
