约翰霍普金斯循证干预对普外科ICU患者睡眠、生命质量的影响
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AbstractObjective：Toobservetheeffectof implementing Johns HopkinsEvidence-basedPractice Interventiononsleepand qualityoflifeinIntensiveCareUnit（ICU）patientsofthegeneralsurgerydepartmentMethods：Atotalof7OICUpatientsinthe generalsurgerydepartmentadmitedtoThe91OthHospitaloftheJointLogistics SupportForceofthChinesePeople'sLiberation Armyfrom May2O23 toAugust2O24 wereselectedas the studysubjects.Theincludedcaseswere evenlydivided intoacontrol groupand an observation group（35 patientseach）using arandomized sampling grouping method.Thecontrol groupreceived routineICU nursingcare，whiletheobservationgroupreceivedJohns HopkinsEvidence-basedPractice Intervention.Sleepquality， qualityoflife，psychologicalstatus，and insomnia symptoms werecomparedbetweenthetwogroups.Results：Afer nursing，the Pitsburgh Slep QualityIndex（PSQI）score（indicating sleepquality）in theobservation groupwaslowerthan thatinthecontrol group，with a statistically significant difference （ P<0.05 ）. The World Health Organization Quality of Life-BREF（WHOQOLBREF）score（indicatingqualityoflife）intheobservation groupafter nursing was higherthan that inthecontrol group，witha statistically significant difference （ P<0.05 ）.Regarding psychological resilience，the observation group scored higher than the control group after nursing，with a statistically significant difference（ P<0.05） .The Athens Insomnia Scale（AIS）and Epworth Sleepiness Scale（ESS）scores intheobservationgroupafternursingwere lowerthanthoseinthecontrolgroup，withstatisticaly significant differences （ P<0.05 ）. Conclusion： Implementing Johns Hopkins Evidence-based Practice Intervention for general surgery ICU patientscanimprove theirsleepqualityandqualityoflife，enhancepsychologicalstatus，andallviate insomia syptoms.
KeywordsJohns HopkinsEvidence-basedPractice Intervention；Generalsurgery；ICU；Slepquality；Qualityoflife；Psycho logical status； Insomnia；Rehabilitation
中图分类号：R473.6;R459.7 文献标识码：A doi：10.3969/j. issn.2095-7130.2025.05.050
普外科ICU患者病症多较为严重，部分患者生命指标尚未稳定，在ICU治疗期间受到各方面治疗操作的影响以及患者自身心理因素等，容易存在有不同程度睡眠障碍，影响患者精力以及生命质量[1-3]。（剩余5191字）
