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综合心理干预在抑郁症并发睡眠障碍患者护理中的应用及对患者睡眠质量的影响 被引量:8

Application of Comprehensive Psychological Intervention in Nursing Patients with Depression Complicated with Sleep Disorder and Its Effect on Sleep Quality of Patients
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摘要 目的:分析综合心理干预在抑郁症并发睡眠障碍患者护理中的应用效果及对患者睡眠质量的影响.方法:回顾性分析2017年12月至2018年12月期间于龙岩市第三医院治疗的抑郁症并发睡眠障碍患者74例作为研究对象,按照随机数字表法分为对照组和观察组,每组37例.对照组给予常规护理干预,观察组在此基础上实施综合心理干预.比较2组患者干预前后睡眠质量、生命质量和心理状况.结果:干预后,2组患者的睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍及PSQI总分均下降,观察组均明显低于对照组,2 组比较差异有统计学意义(P<0.05);2组患者的躯体功能、心理功能、社会功能、物质生活状态和GQOLI-74总分均明显升高,观察者均高于对照组,2 组比较差异有统计学意义(P<0.05);2组患者的SAS评分和SDS评分均明显降低,观察者低于对照组,2 组比较差异有统计学意义(P<0.05).结论:针对抑郁症并发睡眠障碍患者实施综合心理干预后,睡眠质量明显提升,生命质量和心理状况显著改善,临床应用价值高. Objective:To analyze the effect of comprehensive psychological intervention in the nursing of patients with depression complicated with sleep disorder and its influence on sleep quality.Methods:The data of 74 patients with depression complicated with sleep disorder treated in our hospital from December 2017 to December 2018 were retrospectively analyzed.They were divided into routine group and observation group according to random number table,37 cases in each group.The routine group was given routine nursing intervention,and the observation group was given comprehensive psychological intervention on the basis of routine nursing intervention.Sleep quality,quality of life and psychological status before and after intervention were compared between the two groups.Results:After intervention,the sleep quality,sleeping time,sleeping time,sleep efficiency,sleep disorder,hypnotic drugs,daytime dysfunction and PSQI total scores of the two groups decreased significantly,while those of the observation group were significantly lower than those of the control group(P<0.05);the physical function,psychological function,social function,material life status and GQOLI-74 total scores of the two groups were significantly higher than those of the control group(P<0.05).The SAS and SDS scores of the two groups were significantly lower than those of the conventional group,and the difference between the two groups was significant(P<0.05).Conclusion:After comprehensive psychological intervention for depressive patients with sleep disorders,the sleep quality has been significantly improved,the quality of life and psychological status have been significantly improved,and the clinical application value is high.
作者 谢芳 XIE Fang(Nursing Department of Longyan Third Hospital,Longyan 364000,China)
出处 《世界睡眠医学杂志》 2020年第1期99-101,共3页 World Journal of Sleep Medicine
关键词 抑郁症 睡眠障碍 综合心理干预 睡眠质量 生命质量 心理状况 Depression sleep disorder Comprehensive psychological intervention Sleep quality Quality of life Psychological status
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