A Retrospective Study on the Effect of Empowerment Psychological Intervention Led by Specialist Nurses on Post-traumatic Stress Disorder in ICU Patients.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2023-12-01
Jie Yu, Huiyan Zhu, Bei Han, Na Zhu
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Abstract

Background: Many patients in the intensive care unit (ICU) suffer from post-traumatic stress disorder (PTSD), which seriously affects the treatment, recovery, and prognosis of patients.

Objective: To observe the effect of empowerment psychological intervention on the status of PTSD in ICU patients.

Methods: A total of 86 patients with PTSD who were treated in ICU from July 2019 to December 2021 were divided into two groups according to the intervention method. The control group (n = 43) used routine psychological intervention, while the intervention group (n = 43) used empowerment psychological intervention led by specialist nurses. The Pittsburgh Sleep Quality Index (PSQI) was used to assess the sleep quality of the patients. The Resilience Questionnaire (CD-RISC) was used to evaluate the resilience of the patients, and the Post Traumatic Stress Disorder Self-Rating Scale (PTSD-SS) was used to assess the severity of the symptoms. The Hamilton Anxiety and Depression Inventory (HAMA and HAMD) was adapted to assess the degree of anxiety and depression, and the Post-Traumatic Growth Inventory (PTGI) was adapted to evaluate the post-traumatic growth of the patients.

Results: After the intervention, the total CD-RISC score and its tenacity, self-improvement, and optimism scores in the two groups were all higher than before, and the total PSQI score and its sleep quality, time, efficiency and impairment, as well as hypnotic drugs, daytime dysfunction and time to sleep were lower than before, and the CD-RISC score in the intervention group was higher than that in the control group, PSQI score was lower than that in the control group (p < 0.05). After the intervention, PTSD-SS scores and anxiety-depression scores were lower, and PTGI scores were higher in both groups than before (p < 0.05).

Conclusion: The empowerment psychological intervention led by specialist nurses applied to ICU patients with PTSD can improve their psychological resilience and sleep quality, reduce negative emotions, alleviate clinical symptoms, and promote post-traumatic growth.

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由专科护士主导的赋权心理干预对重症监护病房患者创伤后应激障碍影响的回顾性研究。
背景:许多重症监护病房(ICU)的患者患有创伤后应激障碍(PTSD):许多重症监护室(ICU)患者患有创伤后应激障碍(PTSD),严重影响患者的治疗、康复和预后:观察赋权心理干预对 ICU 患者创伤后应激障碍状况的影响:选取2019年7月至2021年12月在ICU接受治疗的PTSD患者共86例,按照干预方法分为两组。对照组(n = 43)采用常规心理干预,干预组(n = 43)采用由专科护士主导的赋权心理干预。采用匹兹堡睡眠质量指数(PSQI)评估患者的睡眠质量。复原力问卷(CD-RISC)用于评估患者的复原力,创伤后应激障碍自评量表(PTSD-SS)用于评估症状的严重程度。汉密尔顿焦虑抑郁量表(HAMA和HAMD)用于评估患者的焦虑和抑郁程度,创伤后成长量表(PTGI)用于评估患者的创伤后成长情况:干预后,两组患者的CD-RISC总分及其韧性、自强、乐观评分均高于干预前,PSQI总分及其睡眠质量、时间、效率、障碍,以及催眠药物、日间功能障碍、入睡时间均低于干预前,且干预组CD-RISC评分高于对照组,PSQI评分低于对照组(P<0.05)。干预后,两组的 PTSD-SS 评分和焦虑抑郁评分均低于干预前,PTGI 评分高于干预前(P < 0.05):由专科护士主导的赋权心理干预应用于ICU创伤后应激障碍患者,可提高其心理适应能力和睡眠质量,减少负面情绪,缓解临床症状,促进创伤后成长。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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