评估心理护理对营养风险重症监护室患者的有效性:一项比较研究
Xiao Wan1, Li Tan2, Fang Deng3
1Department of Surgery, The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi 445000, Hubei Province, China.
World journal of psychiatry
|October 20, 2025
概括
心理护理干预措施显著减少了ICU患者的焦虑和抑郁. 这些干预措施还降低了全因死亡率,改善了患者的治疗结果和预后.
科学领域:
- 关键护理医学 关键护理医学
- 心理护理 心理护理
- 患者的治疗结果.
背景情况:
- 重症监护病房 (ICU) 为患者提供了高度压力的环境,往往导致心理困扰,如焦虑和抑郁.
- 高达50%的ICU患者患有心理障碍,对治疗遵守和预后产生负面影响.
- 心理压力可以通过神经内分泌路径加剧代谢障碍,恶化患者的结果.
研究的目的:
- 评估心理护理干预对ICU患者心理状态的影响.
- 评估这些干预措施对ICU患者全因死亡率的影响.
主要方法:
- 一项随机对照试验,涉及100名具有营养风险的ICU患者.
- 患者被分为一个控制组和一个接受心理护理干预的研究组.
- 心理状况是用Zung自我评价焦虑量表 (SAS) 和自我评价抑郁量表 (SDS) 来衡量的;所有原因的死亡率都被跟踪.
主要成果:
- 与对照组相比,心理护理干预显著降低了SAS和SDS得分.
- 干预组 (20%) 的全因死亡率低于对照组 (40%).
- 良好的心理状态独立地与减少全因死亡率有关.
结论:
- 心理护理干预措施在减轻营养风险的ICU患者的焦虑和抑郁方面是有效的.
- 这些干预措施改善了心理状态,并减少了全因死亡率,从而导致更好的预后.
- 这项研究强调了在重症监护机构提供心理支持的重要性.
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