Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Feb 19, 2024; 14(2): 266-275
Published online Feb 19, 2024. doi: 10.5498/wjp.v14.i2.266
Sepsis one-hour bundle management combined with psychological intervention on negative emotion and sleep quality in patients with sepsis
Ming Xia, Guang-Yan Dong, Shi-Chao Zhu, Huan-Min Xing, Li-Ming Li
Ming Xia, Guang-Yan Dong, Shi-Chao Zhu, Huan-Min Xing, Department of Intensive Care Unit, Henan Provincial Key Medicine Laboratory of Nursing, Henan Provincial People’s Hospital, Zhengzhou University People’s Hospital, Zhengzhou 450003, Henan Province, China
Li-Ming Li, Department of Nursing, Henan Provincial Key Medicine Laboratory of Nursing, Henan Provincial People’s Hospital, Zhengzhou University People’s Hospital, Zhengzhou 450003, Henan Province, China
Author contributions: Xia M designed and performed the research; Li LM designed the research and supervised the report; Dong GY, Zhu SC and Xing HM collected and analyzed data; all authors approved the final manuscript.
Supported by Key R&D and Promotion Special Project (Science and Technology Research) in Henan Province in 2023, No. 232102310089.
Institutional review board statement: This study was reviewed and approved by the Henan Provincial People’s Hospital Institutional Review Board.
Informed consent statement: Because of the retrospective nature of the study and the anonymization of data, applied for application for exemption from informed consent form.
Conflict-of-interest statement: The authors declare no conflict of interest.
Data sharing statement: The clinical data used in this study can be obtained from the corresponding author upon reasonable request.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Li-Ming Li, MPhil, Chief Nurse, Department of Nursing, Henan Provincial Key Medicine Laboratory of Nursing, Henan Provincial People’s Hospital, Zhengzhou University People’s Hospital, No. 7 Weiwu Road, Jinshui District, Zhengzhou 450003, Henan Province, China. lilimingand@163.com
Received: November 30, 2023
Peer-review started: November 30, 2023
First decision: December 15, 2023
Revised: December 26, 2023
Accepted: January 22, 2024
Article in press: January 22, 2024
Published online: February 19, 2024
ARTICLE HIGHLIGHTS
Research background

Cluster management has been rapidly developing and increasingly recognized in the clinical care of critically ill patients. Psychological interventions have considerable impact on the mood, sleep, and quality of life of critically ill patients. Therefore, we analyzed the influence of one-hour bundle (H1B) management combined with psychological interventions in patients with sepsis.

Research motivation

Severe cases of sepsis are often accompanied by mood and sleep disorders. We postulate that H1B management combined with psychological interventions may have an important impact on patients with sepsis.

Research objectives

The purpose of this research was to discuss the effects of H1B management combined with psychological intervention on negative emotions, sleep quality, and post-traumatic growth in patients with sepsis and to provide a reference for clinical treatment.

Research methods

Patients were divided into a group undergoing H1B management only (simple group, SG) and a group undergoing H1B management combined with psychological intervention (combination group, CG). The clinical data were retrospectively analyzed to compare the influence of negative emotions, sleep quality, post-traumatic growth, and prognosis of patients in the two groups before (T0) and after (T1) intervention.

Research results

At T1, the Hamilton Anxiety scale and Hamilton Depression scale scores of the CG group were significantly lower than those of the SG group. The Pittsburgh Sleep Quality Index score of the CG group was significantly lower than that of the SG group. The Post Traumatic Growth Inventory score of the CG group was significantly higher than that of the SG group. The MOS36-item short-form health survey scores of the CG group were higher than those of the SG group. The mechanical ventilation time, intensive care unit stay time, and 28-d mortality of the CG group were lower than those of the SG group. These differences were significant (P < 0.05).

Research conclusions

H1B management combined with psychological nursing interventions can effectively alleviate the adverse emotions of patients with sepsis, increase quality of sleep, and enhance the level of post-traumatic growth and quality of life.

Research perspectives

Future research should further explore the impact of H1B management combined with psychological intervention on patients with sepsis from the perspective of negative emotions, sleep quality, post-traumatic growth, and prognosis. These findings may provide a reference for nursing management and treatment strategies for patients with sepsis.