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. 2021 May 15;13(5):4884-4891.
eCollection 2021.

Influence of humanized care on self-efficacy, sleep and quality of life of patients in cardiovascular surgery intensive care unit

Zhihui Zeng  1 , Yuzhen Guan  1
Affiliations

Influence of humanized care on self-efficacy, sleep and quality of life of patients in cardiovascular surgery intensive care unit

Zhihui Zeng et al. Am J Transl Res. .

Abstract

Objective: The present study aims to investigate the influence of humanized care on self-efficacy, sleep quality (SQ) and quality of life (QOL) of patients in a cardiovascular surgery intensive care unit (CSICU).

Methods: A total of 134 patients hospitalized in CSICU from July, 2017 to September, 2019 were randomly allocated into control group and observation group, of which 64 in control group were given routine nursing care, and 70 in observation group were given humanized care additionally. The cardiopulmonary function, self-efficacy, SQ, incidence of adverse reactions, anxiety and depression, QOL, and patient satisfaction were evaluated.

Results: After nursing, patients in the observation group showed enhanced cardiopulmonary function and self-efficacy, better SQ and QOL, as well as lower incidence of adverse reactions and anxiety and depression, and higher satisfaction.

Conclusion: Humanized care contributes to the recovery of cardiopulmonary function, and is effective in alleviating anxiety and depression and enhancing self-efficacy, SQ and QOL of patients in CSICU.

Keywords: Humanized care; cardiovascular surgery intensive care unit; self-efficacy; sleep quality and quality of life.

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Conflict of interest statement

None.

Figures

Figure 1
Figure 1
Cardiopulmonary function of patients. A. FEV1/FVC: FEV1/FVC level of patients in two groups increase significantly after nursing, and the observation group is significantly higher than the control group (P<0.05); B. 6MWD: 6MWD level in observation group is significantly higher than that in control group after nursing (P<0.05). Note: *P<0.05 vs. on admission, #P<0.05 vs. control group. FEV1/FVC: forced expiratory volume in the first second/forced vital capacity (FEVI/FVC); 6MWD: 6-minute walking distance.
Figure 2
Figure 2
Self-efficacy of patients. GSES scores in the two groups increase evidently after 7 and 14 days of nursing, and the observation group is remarkably higher than the control group. Note: *P<0.05 vs. on admission, #P<0.05 vs. control group, ^P<0.05 vs. after 7 days of nursing.
Figure 3
Figure 3
Sleep quality of patients. PSQI scores in two groups decrease significantly after 7 and 14 days of nursing, and the observation group is remarkably lower than the control group (P<0.05). Note: *P<0.05 vs. on admission, #P<0.05 vs. control group, ^P<0.05 vs. after 7 days of nursing.
Figure 4
Figure 4
SAS and SDS scores of patients. A. SAS: SAS score decreases significantly in the two groups after nursing, and the observation group is significantly lower than the control group (P<0.05); B. SDS: SDS score decreases significantly in the two groups after nursing, and the observation group is significantly lower than the control group (P<0.05). Note: *P<0.05 vs. on admission, #P<0.05 vs. control group. SAS: Self-rating anxiety scale; SDS: Self-rating depression scale.
See this image and copyright information in PMC

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