Prospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. May 19, 2024; 14(5): 735-741
Published online May 19, 2024. doi: 10.5498/wjp.v14.i5.735
Effects of strengthening prospective nursing practice on sleep quality, anxiety, and depression of awake patients in intensive care unit
Fei Lin, Lei Liu
Fei Lin, Lei Liu, Department of Intensive Care Unit, Dushu Lake Hospital Affiliated to Soochow University, Suzhou 215000, Jiangsu Province, China
Author contributions: Lin F and Liu L contributed equally to this work. Lin F and Liu L contributed to designed the research study, performed the research, contributed new reagents and analytical tools, and analyzed the data and wrote the manuscript; and all authors have read and approved the final manuscript.
Institutional review board statement: This study was reviewed and approved by the Institutional Review Committee of the Dushu Lake Hospital Affiliated to Soochow University Ethics Committee (No. 2023-231005).
Clinical trial registration statement: The study was registered at the Clinical Trial Center (www.researchregistry.com) with registration number: researchregistry9734.
Informed consent statement: All study participants, or their legal guardian, provided written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: There is no additional data available.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
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: Lei Liu, MNurs, Nurse, Department of Intensive Care Unit, Dushu Lake Hospital Affiliated to Soochow University, No. 9 Chongwen Road, Suzhou Industrial Park, Suzhou 215000, Jiangsu Province, China. sz62175705@126.com
Received: February 19, 2024
Revised: April 8, 2024
Accepted: April 23, 2024
Published online: May 19, 2024
Processing time: 87 Days and 5.9 Hours
Abstract
BACKGROUND

The intensive care unit (ICU) is a specialized hospital department. Awake patients in the ICU frequently encounter adverse psychological states, such as anxiety and fear, often accompanied by poor sleep quality. This situation has garnered significant attention within the medical community.

AIM

To investigate the impact of prospective nursing intervention strategies on the sleep quality and negative emotional state of conscious ICU patients.

METHODS

One hundred and twenty ICU awake patients admitted to our hospital were selected and randomly divided into control (n = 60) and observation (n = 60) groups. Patients in the control group were cared for using the conventional nursing model, while patients in the observation group were cared for using the prospective nursing model. Sleep improvement was assessed using the International Standardized Sleep Efficiency Formula and Pittsburgh Sleep Quality Index (PSQI). The PSQI, Generalized Anxiety Disorder 7-item (GAD-7) scale, Self-Depression Scale (SDS), and satisfaction before and after treatment were used to assess the negative emotional states of patients under the two care models.

RESULTS

Patient satisfaction in the observation group was significantly higher than in the control group. The GAD-7 and SDS scores in the observation group were significantly lower than those in the control group, and the total effective rate of sleep improvement in the observation group was significantly higher than in the control group. After treatment, the PSQI scores of the two groups significantly decreased (P < 0.05). The decrease in the observation group was more significant than that in the control group, and the difference between the two groups was statistically significant.

CONCLUSION

Prospective nursing interventions can improve sleep quality and psychological levels and significantly affect conscious patients in the ICU, which is worthy of clinical application.

Keywords: Prospective nursing; Intensive care unit; Sobriety; Mental health sleep quality; Anxiety and depression

Core Tip: This study establishes a theoretical foundation for the practical application of prospective nursing methods in clinical care and the rehabilitation prognosis of conscious patients within the intensive care unit (ICU). In the future, more attention should be focused on the sleep quality and mental well-being of awake patients in the ICU.