摘要
目的探讨ICU后综合征全程照护模型对多发伤患者ICU后综合征和生活质量的影响。方法选取2020年9~12月于贵州省某三级甲等医院就诊的72例多发伤患者为研究对象。对照组进行常规护理,观察组在对照组基础上采用ICU后综合征全程照护模型进行护理。采用相关症状量表评估两组患者转出EICU当天和出院后1个月ICU后综合征发生情况,采用健康调查简表SF-36评估两组患者出院后1个月生活质量。结果转出EICU当天观察组和对照组抑郁得分分别为(8.71±1.74、9.88±2.53)分,(P<0.05);睡眠质量得分分别为(10.20±3.72、12.26±3.56)分,(P<0.05);出院后1个月观察组和对照组焦虑得分分别为(7.37±1.44、8.85±1.71)分,(P<0.05);抑郁得分分别为(6.60±1.24、9.71±1.99)分,(P<0.05);创伤后应激障碍得分分别为(30.94±4.55、46.06±8.50)分,(P<0.05);疲劳得分分别为(4.67±0.44、5.03±0.58)分,(P<0.05);睡眠质量得分分别为(5.91±1.48、8.53±1.46)分,(P<0.05);生活质量方面,除生理职能和生理机能维度外其余均有显著意义(P<0.05),其中,情感职能维度影响最大(0[0,100]VS 0[0,0],P<0.05)。结论ICU后综合征全程照护模型对多发伤患者ICU后综合征的改善有积极作用且能有效改善其生活质量尤其是情感职能维度方面。
Objective To investigate the effect of the Post-intensive care syndrome Whole Care Model on Post-intensive care syndrome(PICS)and quality of life in patients with multiple trauma.Methods A total of 72 patients with multiple trauma who were treated in a tertiary hospital in Guizhou Province from September,2020 to December,2020 was selected as the research objects.The control group received routine care,and the observation group used the Whole Care Model on the basis of routine care.The related symptom scales were used to evaluate the occurrence of syndromes on the day of transfer from the EICU and one month after discharge from the ICU of the two groups of patients.The health questionnaire SF-36 was used to assess the quality of life of the two groups of patients one month after discharge.Results The depression scores of the observation group and the control group were(8.71±1.74 and 9.88±2.53)points,respectively,on the day of transfer from EICU(P<0.05).One month after discharge,the sleep quality scores were(10.20±3.72,12.26±3.56)points,respectively(P<0.05).The anxiety scores of the observation group and the control group were(7.37±1.44,8.85±1.71)points,respectively.The depression scores were(6.60±1.24,9.71±1.99)points,respectively.The scores of irritability were(30.94±4.55,46.06±8.50)points,respectively.The fatigue scores were(4.67±0.44,5.03±0.58)points,respectively.The sleep quality scores were(5.91±1.48,8.53±1.46)points.In terms of quality of life,except for physiological and physiological function dimensions,the rest was statistically significant(P<0.05).Among them,the dimension of emotional function had the greatest impact(0[0,100]VS 0[0,0],P<0.05).Conclusion The Whole Care Model has a positive effect on the improvement of PICS in patients with multiple trauma,and could effectively ameliorate their quality of life,especially in the dimension of emotional function.
作者
张习莹
江智霞
林凤芝
何敏
袁晓丽
刘竹
张芳
刘其兰
向黔灵
Zhang Xiying;Jiang Zhixia;Lin Fengzhi;He Min;Yuan Xiaoli;Liu Zhu;Zhang Fang;Liu Qilan;Xiang Qianling(the Affiliated Hospital of Zunyi Medical University,Zunyi Guizhou 563099,China;Guizhou Nursing Vocational College,Guiyang Guizhou 550001,China;School of Nursing Midwives,University of Griffith,Brisbane Southport,Australia)
出处
《遵义医科大学学报》
2021年第4期522-528,534,共8页
Journal of Zunyi Medical University
基金
2017年度学术新苗培养及创新探索专项资助项目(NO:黔科合平台人才[2017]5733-073)
遵义市科技局课题(NO:遵市科合社字[2018]91)。
关键词
ICU后综合征
多发伤
生活质量
Post-intensive care syndrome
multiple trauma
quality of life
