| Objective:The main purpose of this study is to explore the effective nursing measures of mindfulness therapy in accordance with the critically ill patients.It can be used for reference in the future to alleviate the anxiety problems of patients with acute and severe diseases,reduce the psychological pain of patients,increase the confidence of patients to overcome the disease,and promote patients to recover as soon as possible,so as to reduce the incidence of ICU syndrome and post ICU syndrome.Method:A quantitative study method designed before and after the experiment was used to complete the study in four departments,such as the CCU、ICU、NICU、RICU of a Grade 3A Hospital in Jingzhou City,Hubei Province.From January to December,2019,108 patients who met the inclusion criteria were divided into four district groups,and then the subjects of each district group were divided into experimental group and control group according to the random numbers generated by computer.On the first day of admission,all subjects were investigated for status using hamilton anxiety scale(HAMA),regulation emotion self-efficacy scale(RESE)and mindful attention awareness scale(MAAS).Then the experimental group received positive ideation therapy nursing measures and routine nursing measures,while the control group only gave routine nursing measures.The experimental group was evaluated on the 3rd and 7th day after the intervention of positive ideation therapy,and the control group was evaluated at the same time point,and the two groups were compared to reveal the effect of positive ideation therapy.Specific methods and measures of positive ideation therapy are presented in the text.Results:1.Analysis of general data:All of the subjects in this study were patients with stable acute and severe illness.The average age was 57.44±13.72 years,the proportion of men was 63.6%and that of women was 36.4%.The proportion of patients with university or higher education is 2.0%,that of patients with high school or above is 16.2%,that of patients with junior high school or above is 52.5%,and that of primary school or below is 29.3%.82.8%of medical expenses incurred during hospitalization were covered by medical insurance.The percentage of patients with per capita monthly income above 1000 yuan per month is 81.8%.A total of 108 patients with acute and severe illness had anxiety on the first day of admission,accounting for 100%of the total,and the generation of anxiety was negatively correlated with the patient’s education level,and the correlation coefficient between anxiety and education level of the patient was-0.375.2.Anxiety measurement results:On the first day of admission,the HAMA scale was used to measure the two groups of patients in the experimental group and the control group.The scores were all>29 points.According to the HAMA scale,the scores were extremely severe anxiety,and there was no significant difference between the experimental group and the control group(p>0.05).There was no statistical difference(p>0.05)between the HAMA score on the 3rd day and the 1st day after the nursing measures given positive ideation therapy to the experimental group,and significant difference between the HAMA score on the 7th day and the 3rd day(p<0.05).The experimental group compared with the control group HAMA the scale score in each same time period.the experimental group was significantly smaller than the control group and had statistical differences(p<0.05).It was suggested that the anxiety of patients was improved obviously after the nursing of positive ideation therapy.3.Positive ideology level test results:The total score of the experimental group and the control group on MAAS on the first day of admission was<40,and the score had no statistical difference(p>0.05),which was in the state of low normal level.The scores of the experimental group increased rapidly after the nursing measures MAAS positive ideation therapy,and the score>50 on the third day,reached the level of moderate mindfulness awareness.while there was no change in the scores in the control group,until the seventh day,the scores MAAS the patients in the experimental group continued to increase and were significantly higher than those in the control group,and the difference was statistically significant(p<0.05).It is suggested that the nursing measures of positive ideation therapy can improve the level of mindfulness awareness,increase the sensitivity of patients to positive ideation activities,help patients to concentrate,and facilitate patients to successfully complete all kinds of activities to regulate their emotions.4.Results of comparison between HAMA and MAAS measurements:The HAMA scores of the patients in the experimental group were compared with those of the MAAS scale.The correlation coefficients before,after and after the intervention were 0.156、0.336、-0.738.r<0.3 before intervention indicated that the patient’s anxiety production was not related to mindfulness;the third day after intervention r>0.3,indicating that the patient’s mindfulness level had a good correlation with the degree of anxiety;the seventh day after intervention |r|>0.3,negative correlation,indicating that the higher the level of positive ideation,the lower the level of anxiety.5.Results of assessment of emotional self-regulation ability:The RESE scale was used to evaluate the patients.The results showed that the RESE scale of the first day of admission between the experimental group and the control group was divided into 28.62 points on average,and there was no statistical difference between the RESE scale scores of the two groups(p>0.05).The scores of RESE in the experimental group increased significantly after the nursing measures of positive ideation therapy,and the scores of the control group did not change.Among them,ICU、RICU two groups had statistical difference(p<0.05)between the 3rd day and the 1st day,and the rese scores of the four groups from the 7th day were significantly different and statistically significant(p<0.05).It is suggested that the nursing measures of positive ideation therapy can enhance the emotional self-regulation ability of patients,thus reducing the anxiety of patients.6.Results of comparison between HAMA and RESE measurements:The HAMA scale scores of the acute and severe patients in the experimental group were compared with the RESE scale scores,the correlation coefficients were-0.401、-0.017、-0.304.Before intervention on the third day after intervention,and the seventh day after intervention.The results showed a negative correlation |r|0.3 before intervention and on the seventh day after intervention.It shows that the size of emotional self-regulation ability is closely related to the production of anxiety,the smaller the regulation ability,the higher the degree of anxiety,and that improving the emotional self-regulation ability of patients can effectively reduce the anxiety of patients.Conclusion:1.Critically ill patients have many causes,high probability of anxiety,and the situation is serious,which is not conducive to overcome the disease.If not early to overcome anxiety,letting its development can not only aggravate the disease,but also accelerate the occurrence of ICU syndrome,and for the emergence of post ICU syndrome bury hidden dangers.Medical personnel should be highly valued.2.Positive ideation therapy can effectively relieve anxiety in patients with acute and severe illness.It is suggested that medical staff should integrate positive ideation therapy into the daily care of patients with acute and severe illness,so that patients can always maintain positive ideation,enhance confidence and relieve anxiety in the process of receiving treatment,so as to promote the early recovery of patients.3.In this study,five positive mental nursing measures,including positive meditation,positive breathing,positive movement,positive music and positive communication,are simpler and easier than the eight weeks mindfulness course.There are no adverse events in the nursing.The patients feel good,accept highly and have strong feasibility.Therefore,they can be recommended as routine nursing measures.4.Positive ideation therapy can effectively improve the level of mindfulness awareness and enhance the ability of emotional self-regulation of patients with acute and severe illness,so that patients have a higher level of mindfulness awareness and strong ability of emotional regulation,which is conducive to patients processing of positive ideation activity signals,faster grasp of positive ideation activity points,effectively overcome negative emotions,relax mood,relieve bad emotions,and finally achieve the purpose of relieving anxiety of patients with acute and severe illness. |
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