摘要
目的:观察基于Watson人性照顾理论的干预对重症肺炎合并呼吸衰竭患者的应用效果。方法:选取2021年6月至2023年6月泉州市第一医院呼吸与危重症医学科收治的重症肺炎合并呼吸衰竭患者94例作为研究对象,按照随机数字表法分为对照组和观察组,每组47例。对照组给予常规护理干预,观察组在对照组基础上给予Watson人性照顾理论的干预。采用匹兹堡睡眠质量指数量表(PSQI)比较2组患者干预前后睡眠质量的变化,采用阿森斯失眠量表(AIS)评估2组患者干预前后失眠的改善效果,并通过2组患者护理后的呼吸困难缓解时间、机械通气时间、重症监护室住院时间,以判断恢复情况。结果:干预后,观察组患者PSQI评分、AIS评分均显著低于对照组,观察组呼吸困难缓解时间、机械通气时间及重症监护室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)。结论:对重症肺炎合并呼吸衰竭患者应用基于Watson人性照顾理论的护理干预可有效改善其睡眠质量,促进病情恢复,值得临床推广应用。
Objective:To observe the application effect of interventions based on Watson′s theory of human care on patients with severe pneumonia complicated with respiratory failure.Methods:A total of 94 patients with severe pneumonia complicated with respiratory failure admitted to the Respiratory and Critical Care Medicine Department of Quanzhou First Hospital from June 2021 to June 2023 were selected as the study subjects.They were randomly divided into a control group and an observation group,with 47 cases in each group,using a random number table method.The control group received routine nursing intervention,while the observation group received Watson′s theory of human care intervention on the basis of the control group.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes in sleep quality between two groups of patients before and after intervention.The Asens Insomnia Scale(AIS)was used to evaluate the improvement effect of insomnia in both groups of patients before and after intervention.The recovery status was evaluated based on the respiratory distress relief time,mechanical ventilation time,and intensive care unit hospitalization time of the two groups of patients after nursing.Results:After intervention,the PSQI score and AIS score of the observation group were significantly lower than those of the control group.The observation group had significantly shorter respiratory distress relief time,mechanical ventilation time,and intensive care unit hospitalization time than the control group,and the differences between the two groups were statistically significant(P<0.05).Conclusion:The application of nursing interventions based on Watson′s theory of human care in patients with severe pneumonia and respiratory failure can effectively improve their sleep quality,promote disease recovery,and is worthy of clinical promotion and application.
作者
王宝玉
WANG Baoyu(Quanzhou First Hospital,Quanzhou,Fujian Province,Quanzhou 362000,China)
出处
《世界睡眠医学杂志》
2024年第5期1173-1176,共4页
World Journal of Sleep Medicine
