中西医结合护理对肺结核合并抑郁症患者睡眠质量的影响

Effect of nursing of integrated traditional Chinese and western medicine on sleep quality of patients with pulmonary tuberculosis and depression

目的探讨中西医结合护理对肺结核合并抑郁症患者睡眠质量和心理状态的影响。方法以2019年4月至2020年4月聊城市传染病医院收治的94例肺结核合并抑郁症患者作为研究对象,将其按照随机数字表法分为对照组和观察组,每组47例。2组患者均给予一般治疗,对照组患者在一般治疗的基础上给予常规护理,观察组患者在一般治疗和常规护理的基础上加入中西医结合护理。比较2组在护理前和护理1个月后的匹兹堡睡眠质量指数(PSQI)、汉密尔顿焦虑量表(HAMA)及汉密顿抑郁量表(HAMD)得分。结果护理前,2组间PSQI各单项得分及总得分比较均无统计学差异(P均>0.05);护理1个月后,2组的PSQI各单项得分及总得分均低于护理前(P均<0.05),且观察组均低于对照组(P均<0.05)。将2组在护理前的HAMA、HAMD得分比较,均未见统计学差异(P均>0.05)。护理1个月后,观察组的HAMA和HAMD得分较护理前和对照组均降低(P均<0.05);对照组的HAMA和HAMD得分较护理前均降低(P均<0.05)。结论中西医结合护理能够有效改善肺结核合并抑郁症患者的睡眠质量和心理状态。

Objective To investigate the effect of nursing of integrated traditional Chinese and western medicine on the sleep quality and psychological state of patients with pulmonary tuberculosis and depression.Methods A total of 94 patients with pulmonary tuberculosis and depression who were admitted to Liaocheng Infectious Diseases Hospital from April 2019 to April 2020 were selected as the research objects,and they were divided into control and observation groups according to the random number table method.Both groups contained 47 cases and received general treatment.The patients in the control group were given routine nursing on the basis of general treatment,and the patients in the observation group were given nursing of integrated traditional Chinese and western medicine on the basis of general treatment and routine nursing.The scores of Pittsburgh sleep quality index(PSQI),Hamilton anxiety scale(HAMA),and Hamilton depression scale(HAMD)before and after 1 month of nursing were compared between the two groups.Results Before nursing,there were no significant differences in PSQI single and total scores between the two groups(all P>0.05).After 1 month of nursing,the PSQI single and total scores of the two groups were lower than those before nursing(all P<0.05),and the observation group was lower than the control group(all P<0.05).Before nursing,there were no significant differences in HAMA and HAMD scores between the two groups(both P>0.05).After 1 month of nursing,the HAMA and HAMD scores of the observation group were lower than those before nursing and those of the control group(all P<0.05),and the HAMA and HAMD scores of the control group were lower than those before nursing(both P<0.05).Conclusion Nursing of integrated traditional Chinese and western medicine can effectively improve the sleep quality and psychological state of patients with pulmonary tuberculosis and depression.