Application of Targeted Analgesia and Sedation Combined with Psycho-logical Intervention in Conscious ICU Patients
Objective To explore the application of targeted analgesia and sedation combined with psychological inter-vention in conscious patients in intensive care unit(ICU).Methods Total of 84 awake patients who were treated in the Department of Critical Care Medicine of Guangxi Zhuang Autonomous Region Ethnic Hospital from September 2021 to September 2023 were conveniently selected as the research objects.According to the random number table method,they were divided into observation group(n=42)and control group(n=42).The control group received routine analge-sia and sedation nursing,and the observation group adopted targeted analgesia and sedation combined with psychologi-cal intervention.The mental health status assessment scale was used to evaluate the mental state of the two groups of patients on the first day,the fourth day of ICU admission and the day of ICU transfer.Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were used to evaluate the depression and anxiety of the two groups of patients on the first day of admission to ICU and the day of transfer out of ICU.The Pittsburgh Sleep Quality Index(PSQI)was used to evaluate the sleep status of the two groups of patients on the first day of ICU admission and the day of ICU transfer.At the same time,the hospitalization days of the two groups of patients in ICU were counted.Results The mental health status scores of the observation group on the 4 th day of ICU admission and the day of ICU transfer were significantly higher than those of the control group,the difference was statistically significant(both P＜0.05).The anxi-ety and depression of the patients in the observation group were significantly lower than those in the control group on the day of ICU transfer,the differences were statistically significant(both P＜0.05);The PSQI score of the observation group was significantly lower than that of the control group on the day of ICU discharge,and the length of stay in ICU was also significantly shorter than that of the control group,the differences were statistically significant(both P＜0.05).Conclusion The application of targeted analgesia and sedation combined with psychological intervention in ICU awake patients can improve the patients'bad psychology and sleep quality,and shorten the patients'hospitalization days in ICU.
Targeted analgesia and sedationPsychological interventionIntensive care unitAnxietyDepression
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