摘要
目的 探讨心理护理对ICU重症护理效果的影响。方法 选取2022年6月~2024年8月期间本院ICU重症护理的70例患者,经照随机数字表法分为常护组和强化心护组,各35例。常护组根据病情常规护理,强化心护组在常护组基础上增加心理护理强化干预,观察患者病情改善情况。结果 强化心护组干预3d、5d、7d后急性生理学和慢性健康状况Ⅱ(APACHEⅡ)评分显著低于常护组(P<0.05)。强化心护组患者并发症发生率(20.00%,7/35)显著低于常护组(34.29%,12/35)(P<0.05)。强化心护组干预7d后生活质量评分(87.59±4.11分)显著高于常护组(72.16±3.76分)(P<0.05)。结论 心理护理强化干预,可有效促进患者病情转归,并可降低并发症风险,并可提升患者心理功能、躯体功能等生活质量指标。
关键词: ICU;重症护理;心理护理;生活质量;心理功能
Abstract
Objective Exploring the impact of psychological nursing on the effectiveness of ICU intensive care. Methods Seventy patients who received intensive care in the ICU of our hospital from June 2022 to August 2024 were randomly divided into a regular care group and an intensive care group, with 35 patients in each group, using a random number table method. The regular care group provides routine care based on the patient's condition, while the enhanced psychological care group adds psychological care interventions on the basis of the regular care group, observes the improvement of the patient's condition. Results The acute physiology and chronic health status II (APACHE II) scores of the intensive care group were significantly lower than those of the regular care group after 3 days, 5 days, and 7 days of intervention (P<0.05). The incidence of complications in the intensive care group (20.00%, 7/35) was significantly lower than that in the regular care group (34.29%, 12/35) (P<0.05). After 7 days of intervention, the quality of life score of the intensive care group (87.59 ± 4.11 points) was significantly higher than that of the regular care group (72.16 ± 3.76 points) (P<0.05). Conclusion Strengthening psychological nursing interventions can effectively promote the progression of patients' conditions, reduce the risk of complications, and improve quality of life indicators such as psychological and physical functions.
Key words: ICU; Critical care nursing; Psychological care; Quality of life; Psychological function
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