Application of psychological nursing intervention based on SCL-90 Scale in ICU patients with artificial airway

Abstract

Objective To explore the application of psychological nursing intervention based on Symptom Checklist 90 Scale (SCL-90) in ICU patients with artificial airway. Method A total of 94 cases of ICU patients with artificial airway in Beijing Luhe Hospital Affilated to Capital Medical University from March 2016 to March 2017 were selected as the research subjects. SCL-90 was used to assess the psychological status of the patients. All patients were randomly divided into observation group and control group with 47 cases in each. Two groups were given routine nursing intervention. The observation group was also given psychological nursing intervention on the basis of the SCL-90 Scale. The psychological status of the two groups of patients was analyzed before and after intervention by Hamilton Anxiety Scale (HAMA) , Hamilton Depression Scale (HAMD) and Visual Analogue Scale for Fear (FAVS) methods. Results The scores of anxiety (1.80±0.35) , depression (1.82±0.47) and fear (1.59±0.34) of ICU patients with artificial airway were higher than those of adult norm, which was (1.39±0.43) , (1.50±0.59) and (1.23±0.41) respectively. The differences were statistically significant (t=9.043, 5.148, 8.321; P<0.01) . The scores of HAMA, HAMD and FAVS after intervention in the two groups were lower than those before intervention. The HAMA score (9.15±2.20) , the HAMD score (10.94±2.50) and the FAVS score (1.95±0.41) in the observation group were lower than those in the control group (13.41±2.37) , (14.98±2.11) and (2.73±0.59) respectively. The differences were statistically significant (t=9.031, 8.466, 7.443; P<0.01) . Conclusions ICU patients with artificial airway are mainly accompanied with anxiety, depression and fear. Targeted psychological nursing can improve the patient's unhealthy psychological mood, which is of great significance to promote the prognosis of the disease. Key words: Nursing care; Intensive care units; Artificial airway; Negative emotion