針對(duì)性干預(yù)對(duì)心外重癥患者睡眠障礙的效果

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AbstractObjective：Toinvestigatetheefectsof targetedinterventionsonsleepdisturbancesincriticallillcardiacsurgerypatients.Methods：Atotalof8OpostoperativeciticallillICUinpatientsadmitedtotheExtracardiacIntensiveCareUnitof Qilu Hospital，handongUniversityfromJanuaryO22toDecember24wereselectedasthesudysubjects.eywererandomlydi vided intoacontrol groupandanobservation groupusingarandomnumber table method，with40patients ineach group.Thecontrolgroupreceivedroutieursingintervention，hiletheobservationgroupreceivedindividualizedslpmaagementinadition to routinenursing.The Pitsburgh SleepQuality Index（PSQI）wasusedtocomparethediffrences insleepqualitybetweentwo groups of patients，andthe Hamilton Anxiety Scale（HAMA）and Hamilton DepressionScale（HAMD）were used tocompare the changesinanxietyanddepressionbeforeandafterinterventionbetweenthetwogroupsofpatients.Results：Afterintervention，the PSQI score，HAMA score，and HAMD scoreof theobservationgroup were significantlylower thanthoseof thecontrol group，and the differences between the two groups were statistically significant（ P<0.05 ）. Conclusion：Targeted interventions can efectively aleviate sleepdisturbances，educeanxietyanddpresionsymptoms，andimprovethequalityof ifeof postoperativepatitswith severeextracardiacconditions.Clinicalursingsould focusonindividualized intervention methods toenhance postoperativeehbilitation outcomes.

KeywordsCardiac surgery ； Critical illness； Sleep disturbances； Targeted nursing中圖分類號(hào)：R473.5;R338.63 文獻(xiàn)標(biāo)識(shí)碼：A doi：10.3969/j. issn.2095 -7130.2025.04.047

心外重癥術(shù)后患者常常面臨病情復(fù)雜、病程危重的挑戰(zhàn)，容易出現(xiàn)嚴(yán)重的睡眠障礙。（剩余5158字）