Analysis of sleep quality improvement and nursing effect of patients undergoing cardiac surgery in the intensive care unit
重症监护室心脏手术患者睡眠质量改善及护理效果分析

摘要

目的 探讨针对性护理对重症监护室心脏手术患者睡眠质量的改善效果。方法 抽取2024年1月至2025年1月期间，在我院重症监护室接受心脏手术治疗的60例患者作为本次对象，根据护理模式的差异按乱数表法进行分组。对照组给予常规护理，观察组在常规护理基础上增加针对性的睡眠改善护理措施。两组护理满意度、睡眠质量以及两组心理状态进行比较。结果 相较于对照组，观察组在护理满意度展现出显著提升；观察组的睡眠质量评分相较于对照组有了显著降低，且这种差异在统计学上达到了显著水平（p＜0.05）；观察组心理状况相较于对照组表现更佳（p＜0.05）。结论 针对性睡眠改善护理措施能够显著提高ICU心脏手术患者的睡眠质量，降低不良反应发生率，提高满意度。值得在临床护理中推广和应用。

Abstract

Objective To explore the effectiveness of targeted nursing care in improving sleep quality for patients undergoing cardiac surgery in the intensive care unit.
Methods A total of 60 patients who received cardiac surgery at our hospital's intensive care unit from January 2024 to January 2025 were selected as subjects. Patients were randomly divided into groups based on differences in nursing models using a random number table method. The control group received routine nursing care, while the observation group received additional targeted sleep improvement measures on top of routine care. The satisfaction with nursing care, sleep quality, and psychological state were compared between the two groups.
Results Compared to the control group, the observation group showed a significant improvement in nursing satisfaction; the sleep quality score of the observation group was significantly lower than that of the control group, and this difference reached a statistically significant level (p<0.05); the psychological condition of the observation group was better than that of the control group (p<0.05).
Conclusion   Targeted sleep improvement nursing measures can significantly enhance sleep quality for patients undergoing cardiac surgery in the ICU, reduce the incidence of adverse reactions, and improve satisfaction. These measures are worth promoting and applying in clinical nursing.