| Objective: To explore the influence of family participation nursing mode on anxiety,depression,quality of life of delirium patients,prognosis,time and satisfaction of living in ICU,and to explore the influence of family participation nursing mode on family satisfaction of sober patients in ICU.Method: Using the method of quasi-experiment,the patients who met the inclusion criteria in the intensive care unit of Qinhuangdao first Hospital from January 2019 to December 2019 were enrolled.32 patients from January 2019 to June 2019 were selected as the control group to receive ICU routine nursing,and 34 patients from July 2019 to December 2019 were selected as the experimental group to introduce family members' participatory nursing.Including the establishment of family-participated care groups,the implementation of flexible visits,family information sharing of medical care patients,family participation in patient hospital care and aftercare.The levels of anxiety and depression,incidence of delirium,satisfaction with nursing services,length of hospital stay and disease prognosis were compared between the two groups of patients.After all the collected data were checked correctly,the data were analyzed by SPSS 22.0.P <0.05 was considered statisticallysignificant.Results:In this study,66 patients were included,including 4 patients in the experimental group and the control group: 1 patient in the control group changed into coma,1 patient died in the course of the study;2 patients in the experimental group automatically quit due to personal reasons.1.The anxiety score of the two groups was(39.13 ± 5.06)in the experimental group and(47.15 ± 5.42)in the control group.The anxiety of thecontrolgroupwashigherthanthatoftheexperimentalgroup,The difference was statistically significant(P < 0.05).2.Comparison of the two groups: the depression score of the experimental group was(53.12 ± 8.24);the depression score of the control group was(64.07 ± 9.11).The degree of depression in the control group was higher than that in the experimental group,The difference was statistically significant(P <0.05).3.Comparison of the two groups: the patients' satisfaction score of the experimental group was(97.3 ± 1.2)points;the patients' satisfaction score of the control group was(80.4 ± 2.4)points.The satisfaction level of the test group is higher than that of the control group,The difference was statistically significant(P <0.05).4.The satisfaction score of the family members of the patients in the experimental group was(94.3 ± 1.57),and that in the control group was(80.7 ± 2.3).The satisfaction level of the test group is higher than that of the control group,The difference was statistically significant(P <0.05).5.Comparison of the two groups: the average time of ICU inthe experimental group was(6.5 ± 0.5)days;the average time of ICU in the control group was(7.6 ± 0.3)days.The average hospital stay was shorter in the test group than in the control group,The difference was statistically significant(P < 0.05).6.The incidence of severe delirium in the experimental group was 6.25% and that in the control group was 30.00%.The delirium rate in the control group was higher than that in the control group,The difference was statistically significant(P <0.05).7.The quality of life scores of the two groups were compared with APACHE-II scores: before intervention,the quality of life scores of the control group and the test group were similar to APACHE-II scores,with no significant difference(P > 0.05);after nursing,the quality of life scores of the control group and APACHE-II scores were(82.72 ± 2.13)and(12.35 ± 1.57),respectively,and the quality of life scores of the test group and APACHE-II scores were(96 72 ± 2.46),(5.70 ± 1.22).The quality of lifeand prognosis of the test group were better than those of the control group,The difference was statistically significant(P < 0.05).Conclusions:1.Family-based participatory care can reduce anxiety and depression in patients with ICUconsciousness.2.Family-participated nursing can improve the satisfaction of conscious patients and their families in ICU.3.Family-based participatory care can shorten the length of hospital stay for awake patients in ICU.4.Family-based participatory care can better prevent delirium in ICU consciouspatients.5.Family-based participatory care can improve the quality of life of awake patients in ICU and is beneficial to the long-term prognosis of patients. |
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