中西医结合护理 (Jun 2023)

Evaluation of comprehensive interventions based on the checklist system for critically ill patients in ICU (基于清单制度的综合干预在ICU重症患者中的应用效果分析)

  • RU Jiangli (茹江丽),
  • LI Jing (李静),
  • JIANG Jianxin (蒋建新),
  • ZHANG Mengmeng (张梦梦),
  • CHANG Qing (常青)

DOI
https://doi.org/10.55111/j.issn2709-1961.202302001
Journal volume & issue
Vol. 9, no. 6
pp. 181 – 185

Abstract

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Objective To investigate the effect of comprehensive interventions based on the checklist system for critically ill patients in ICU. Methods A single-blind randomized controlled trail was conducted, and 62 critically ill patients in ICU were divided into study group and control group, with 31 cases in each group. The control group received routine nursing procedures, and the study group was given comprehensive interventions based on the checklist system. The Generalized Anxiety Disorder-7(GAD-7) and 9-item Patient Health Questionnaire (PHQ-9) were used to evaluate the anxiety and depression status of patients. The incidence of complications, sleep quality measured by Pittsburgh Sleep Quality Index (PSQI) and quality of life measures by Short Form 36 (SF-36) Health Survey Questionnaire were compared between two groups. Results GAD-7 score and PHQ-9 score in the study group were lower than those in the control group after intervention(P＜0. 01). The total incidence rate of complications in the study group was lower than that in the control group after intervention(P＜0. 05). The PSQI score in the study group was lower than that in the control group after intervention (P＜0. 01). The SF-36 score in the study group was higher than that in the control group after intervention (P＜0. 01). Conclusion The comprehensive interventions based on the checklist system are effective to reduce the incidence of complications and improve the mental status, sleep quality and quality of life of critically ill patients in ICU. (目的 探讨基于清单制度的综合干预在重症监护室(ICU)重症患者中的应用效果。方法 采用随机单盲对照试验方法连续纳入从2019年2月—2021年2月受试者的62例ICU重症患者, 分为研究组和对照组, 各31例。对照组开展常规干预, 研究组则于常规干预的基础上增用基于清单制度的综合干预。采用广泛性焦虑障碍(GAD-7)量表和病人健康问卷抑郁量表(PHQ-9)评估患者焦虑、抑郁情绪, 统计并发症发生情况, 采用匹兹堡睡眠质量指数(PSQI)评分评估睡眠质量, 采用健康状况调查简表(SF-36)评估患者生活质量。结果 干预后研究组GAD-7和PHQ-9评分低于对照组, 差异有统计学意义(P＜0. 01)。研究组并发症总发生率低于对照组, 差异有统计学意义(P＜0. 05)。干预后研究组PSQI量表评分低于对照组, 差异有统计学意义(P＜0. 01)。干预后研究组SF-36量表评分高于对照组, 差异有统计学意义(P＜0. 01)。结论 基于清单制度的综合干预应用于ICU重症患者中的效果明确, 能有效改善患者心理状态、睡眠质量以及生活质量, 降低并发症发生风险。)

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