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
Processing time: 67 Days and 20.5 Hours
Abstract
BACKGROUND

Sepsis is a serious infectious disease caused by various systemic inflammatory responses and is ultimately life-threatening. Patients usually experience depression and anxiety, which affect their sleep quality and post-traumatic growth levels.

AIM

To investigate the effects of sepsis, a one-hour bundle (H1B) management was combined with psychological intervention in patients with sepsis.

METHODS

This retrospective analysis included 300 patients with sepsis who were admitted to Henan Provincial People’s Hospital between June 2022 and June 2023. According to different intervention methods, the participants were divided into a simple group (SG, n = 150) and combined group (CG, n = 150). H1B management was used in the SG and H1B management combined with psychological intervention was used in the CG. The changes of negative emotion, sleep quality and post-traumatic growth and prognosis were compared between the two groups before (T0) and after (T1) intervention.

RESULTS

After intervention (T1), the scores of the Hamilton Anxiety scale and Hamilton Depression scale in the CG were significantly lower than those in the SG (P < 0.001). Sleep time, sleep quality, sleep efficiency, daytime dysfunction, sleep disturbance dimension score, and the total score in the CG were significantly lower than those in the SG (P < 0.001). The appreciation of life, mental changes, relationship with others, personal strength dimension score, and total score of the CG were significantly higher than those of the SG (P < 0.001). The scores for mental health, general health status, physiological function, emotional function, physical pain, social function, energy, and physiological function in the CG were significantly higher than those in the SG (P < 0.001). The mechanical ventilation time, intensive care unit stay time, and 28-d mortality of the CG were significantly lower than those of the SG (P < 0.05).

CONCLUSION

H1B management combined with psychological intervention can effectively alleviate the negative emotions of patients with sepsis and increase their quality of sleep and life.

Keywords: Cluster management; Psychological intervention; Sepsis; Negative emotions; Sleep quality; Post-traumatic growth

Core Tip: This study investigated changes in negative emotions, quality of life, and prognosis of patients with sepsis after one-hour bundle (H1B) management and psychological intervention. The results showed that the Hamilton Anxiety scale, Hamilton Depression scale, and Pittsburgh Sleep Quality Index scores of the patients were significantly lower after the intervention, and the Post Traumatic Growth Inventory scores were higher than those before the intervention. These results indicate that H1B management combined with psychological intervention can effectively improve negative emotions, sleep quality, post-traumatic growth levels, and quality of life in patients with sepsis.