期刊目次

加入编委

期刊订阅

添加您的邮件地址以接收即将发行期刊数据:

Open Access Article

Journal of Advances in Clinical Nursing. 2026; 5: (3) ; 60-62 ; DOI: 10.12208/j.jacn.20260132.

The value of meticulous nursing based on the theory of knowledge, belief, and action in the intervention of ICU patients with severe pneumonia and sleep disorders
知信行理论的细致化护理对ICU重症肺炎睡眠障碍患者干预的价值

作者: 张婷, 向娇 *

长沙市第一医院 湖南长沙

*通讯作者: 向娇,单位:长沙市第一医院 湖南长沙;

发布时间: 2026-03-31 总浏览量: 82

摘要

目的 探讨知信行理论的细致化护理对ICU重症肺炎睡眠障碍患者干预的价值。方法 收集2023年1月-2023年12月期间,本院收治的30例ICU重症肺炎睡眠障碍患者资料,此期间实施常规护理,作为对照组(n=30例)。再收集2024年1月-2024年12月期间的30例同类型患者资料,此期间实施基于知信行理论的细致化护理,作为观察组(n=30例)。对比两组患者的睡眠质量、心理状态、生命质量。结果 观察组患者在出院时、随访1个月后的睡眠质量,均明显优于对照组患者,且观察组患者的心理状态、生命质量,均显著优于对照组患者,差异均有统计学意义(P<0.05)。结论 对ICU重症肺炎睡眠障碍患者实施基于知信行理论的细致化护理干预,可有效改善患者睡眠质量、减轻负性情绪、提升生命质量。

关键词: ICU重症肺炎;睡眠障碍;知信行理论;细致化护理

Abstract

Objective Exploring the value of meticulous nursing based on the theory of knowledge, belief, and action in the intervention of ICU patients with severe pneumonia and sleep disorders.
Methods Data of 30 ICU patients with severe pneumonia and sleep disorders admitted to our hospital from January 2023 to December 2023 were collected. During this period, routine nursing was implemented as the control group (n=30 cases). Collect data from 30 patients of the same type between January 2024 and December 2024, and implement detailed nursing based on the theory of knowledge, belief, and action during this period as the observation group (n=30 cases). Compare the sleep quality, psychological state, and quality of life of two groups of patients.
Results The sleep quality of the observation group patients at discharge and one month follow-up was significantly better than that of the control group patients, and the psychological state and quality of life of the observation group patients were significantly better than those of the control group patients, with statistically significant differences (P<0.05).
Conclusion   Implementing detailed nursing interventions based on the theory of knowledge, belief, and action for ICU patients with severe pneumonia sleep disorders can effectively improve their sleep quality, reduce negative emotions, and enhance their quality of life.

Key words: ICU severe pneumonia; Sleep disorders; Theory of knowledge, belief, and action; Refined nursing care

参考文献 References

[1] 池毓琪,林梅莲. SLEEP-MAD护理模式对ICU重症肺炎睡眠障碍患者睡眠改善的效果[J]. 世界睡眠医学杂志,2024,11(6):1374-1376. 

[2] 兰秀平. 4R危机理论的护理对ICU重症肺炎患者睡眠质量及肺功能的影响[J]. 医学信息,2025,38(13):180-183,188.  

[3] 罗丽云,黄芳,肖秋萍. 知信行理论3H模式对复发和难治性多发性骨髓瘤患者睡眠质量的影响[J]. 世界睡眠医学杂志,2025,12(8):1805-1809. 

[4] 秦丹凤,胡晓峰. 重症肺炎住院患者睡眠障碍的危险因素及疗效观察[J]. 国际精神病学杂志,2024,51(4):1257-1261. 

[5] 庄红燕,洪小梅,陈丽媛. 观察重症肺炎伴睡眠障碍患者SLEEP-MAD模式干预对睡眠质量的影响[J]. 世界睡眠医学杂志,2024,11(8):1684-1687.  

[6] 黄丽燕,郭团团,谢婷婷. "知信行"护理模式对老年糖尿病患者睡眠质量及疲乏程度的影响[J]. 世界睡眠医学杂志,2021,8(10):1713-1715.  

[7] 叶菲. 模块化护理对ICU重症肺炎患者睡眠质量的价值[J]. 医学论坛,2023,5(11):208-210

[8] 张小玉,李舟,孙梦翔,等. 知信行理念指导下的健康教育对脑梗死患者认知功能及睡眠质量的影响[J]. 海南医学,2025,36(14):2110-2114.

引用本文

张婷, 向娇, 知信行理论的细致化护理对ICU重症肺炎睡眠障碍患者干预的价值[J]. 临床护理进展, 2026; 5: (3) : 60-62.