世界睡眠医学杂志2024,Vol.11Issue(7) :1633-1636.DOI:10.3969/j.issn.2095-7130.2024.07.062

分析早期目标导向活动对机械通气患者睡眠质量及ICU获得性衰弱的影响

To Analyze the Effects of Early Goal-directed Activities on Sleep Quality and Acquired Weakness in Icu in Patients with Mechanical Ventilation

骆爱萍 陈兰兰 黄梅香
世界睡眠医学杂志2024,Vol.11Issue(7) :1633-1636.DOI:10.3969/j.issn.2095-7130.2024.07.062

分析早期目标导向活动对机械通气患者睡眠质量及ICU获得性衰弱的影响

To Analyze the Effects of Early Goal-directed Activities on Sleep Quality and Acquired Weakness in Icu in Patients with Mechanical Ventilation

骆爱萍 1陈兰兰 1黄梅香2
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作者信息

  • 1. 泉州市第一医院,泉州,362000
  • 2. 福建中医药大学附属康复医院,福州,350000
  • 折叠

摘要

目的:分析早期目标导向活动对机械通气患者睡眠质量及ICU获得性衰弱的影响.方法:选取2023年2月至2024年3月于泉州市第一医院重症监护病房接受机械通气治疗的患者80例作为研究对象,采取整体抽样法将患者分为对照组和观察组,每组40例.对照组给予常规护理干预,观察组在常规护理基础上开展早期目标导向活动干预,采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的变化,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,比较2组的临床指标,包括机械通气时间、ICU住院时间、总住院时间,并比较2组患者获得性衰弱的影响.结果:干预后,观察组PSQI评分显著低于对照组,观察组生命质量SF-36评分显著高于对照组,差异均有统计学意义(均P<0.05);干预后,观察组的机械通气时间、ICU住院时间、总住院时间均显著短于对照组,差异均有统计学意义(均P<0.05);干预后,观察组获得性衰弱发生率显著低于对照组,差异均有统计学意义(均P<0.05).结论:早期目标导向活动的运用更有利于缩短机械通气患者的治疗与住院时间,降低获得性衰弱的发生风险,同时可显著改善患者的睡眠质量和生命质量,值得临床推广应用.

Abstract

Objective:To analyze the effects of early goal-directed activities on sleep quality and acquired weakness in ICU in pa-tients with mechanical ventilation.Methods:A total of 80 patients receiving mechanical ventilation treatment in the intensive care unit of Quanzhou First Hospital from February 2023 to March 2024 were selected as the study objects,and the patients were divid-ed into control group and observation group with 40 cases in each group by whole sampling method.The control group was given routine nursing intervention,and the observation group was given early goal-oriented activity intervention based on routine nurs-ing.Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes of sleep quality before and after intervention in the two groups.The brief form of health survey(SF-36)was used to compare the changes of life quality before and after intervention in the two groups,and the clinical indicators of the two groups were compared.Duration of mechanical ventilation,length of stay in ICU,and total length of stay were included,and the effects of acquired frailty were compared between the two groups.Results:Af-ter intervention,PSQI score in observation group was significantly lower than that in control group,and Sf-36 score in quality of life in observation group was significantly higher than that in control group,the difference between the two groups was statistically significant(P<0.05).After intervention,the mechanical ventilation time,ICU stay and total stay in the observation group were significantly shorter than those in the control group,and the differences between the two groups were statistically significant(P<0.05).After intervention,the incidence of acquired asthenia in the observation group was significantly lower than that in the con-trol group,and the difference between the two groups was statistically significant(P<0.05).Conclusion:The use of early goal-o-riented activities is more conducive to shorten the treatment and hospital stay of patients with mechanical ventilation,reduce the risk of acquired asthenia,and significantly improve the sleep quality and quality of life of patients,which is worthy of clinical ap-plication.

关键词

重症监护病房/机械通气/早期目标导向活动/睡眠质量/获得性衰弱/生命质量/临床指标/干预效果

Key words

Intensive care unit/Mechanical ventilation/Early goal-oriented activities/Sleep quality/Acquired asthenia/Quali-ty of life/Clinical index/Intervention effect

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出版年

2024
世界睡眠医学杂志

世界睡眠医学杂志

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