Effect of intensive intervention under the concept of multidimensional crisis control on psychology and prognosis of ICU patients undergoing continuous blood purification therapy
Effect of intensive intervention under the concept of multidimensional crisis control on psychology and prognosis of ICU patients undergoing continuous blood purification therapy
Objective To observe the effect of intensive intervention under the concept of multidimensional crisis control on the psychology and prognosis of ICU patients undergoing continuous blood purification(CBP)therapy.Methods Eighty ICU patients undergoing CBP therapy were selected,randomly divided into control and observation groups.Both groups were given routine intervention.Observation group was given intensive intervention under the concept of multidimensional crisis control on this basis.Both groups were given 2 weeks of intervention.The two groups were compared on self-rating anxiety scale(SAS)scores,self-rating depression scale(SDS)scores,medical coping modes questionnaire(MCMQ)scores and nutritional indicators[hemoglobin(Hb)and albumin(Alb)]before intervention and after 2 weeks of intervention as well as patient satisfaction.Two groups of the patients were recorded on complications,adverse events and length of ICU stay.Results After intervention,SAS score,SDS score,and scores for yielding and avoidance in observation group were significantly lower than those in control group(P＜0.05).After intervention,facing score and the levels of blood Hb and Alb in observation group were significantly higher than those in control group(P＜0.05).The total incidence rates of complications and adverse events in observation group were significantly lower than those in control group(P＜0.05).ICU stay length was significantly shorter in observation group than that in control group(P＜0.05),and satisfaction was significantly better than that of control group(P＜0.05).Conclusion Intensive intervention under the concept of multidimensional crisis control can effectively alleviate the anxiety and depression of ICU patients undergoing CBP therapy,encourage them to adopt positive coping modes and reduce the risks of complications and adverse events.
关键词
重症监护室/多维危机控制理念/强化干预/连续性血液净化
Key words
intensive care unit/concept of multidimensional crisis control/intensive intervention/continuous blood purification
维普
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