叙事干预对抑郁症患者焦虑、抑郁及睡眠质量的影响研究

Effects of narrative nursing on the anxiety and depression emotions as well as sleep quality of patients with depression

目的研究叙事干预用于改善抑郁症患者负性情绪及睡眠质量的作用。方法选取2019年1月至2021年1月住院且确诊为抑郁症的患者84例,按随机数字表法设组,对照组(n=42)接受常规干预,观察组(n=42)基于对照组条件开展叙事干预,比较2组不同干预阶段的焦虑、抑郁情绪状况及睡眠质量。结果干预前,2组情绪状况(SAS与SDS测评结果)比较差异无统计学意义(P>0.05);干预后,观察组上述2项情绪状况量表测评结果均低于对照组,差异有统计学意义(P<0.05)。观察组干预后积极应对评分[(25.23±3.72)分]显著高于对照组,消极应对评分[(8.92±1.13)分]显著低于对照组,2组比较差异有统计学意义(P<0.05)。2组干预前PSQI测评总分比较,差异无统计学意义(P>0.05);干预后,观察组测评总分明显较对照组低,差异有统计学意义(P<0.05)。结论叙事干预能够显著减轻抑郁症患者的焦虑以及抑郁情绪,并且也利于患者睡眠质量的改善。

Objective To investigate the effects of narrative nursing on the negative emotions and sleep quality of patients with depression.Methods A total of 84 patients with depression who were treated in our hospital from January 2019 to January 2021 were enrolled in the study,who were randomly divided into two groups,with 42 cases in each group.The patients in control group were treated by routine nursing,however,those in observation group,on the basis of control group,were treated by narrative nursing intervention.The anxiety and depression emotions as well as sleep quality of patients were observed and compared between the two groups.Results Before intervention,there were no significant differences in SAS scores and SDS scores between the two groups(P>0.05).After intervention,the SAS scores and SDS scores in observation group were significantly lower than those in control group(P<0.05).And the positive coping scores in observation group were significantly higher than those in control group(P<0.05),but,the negative coping scores in observation group were significantly lower than those in control group(P<0.05).Before intervention,there were no significant differences in the total scores of PSQI between the two groups(P>0.05).After intervention,the total scores of PSQI in observation group were significantly lower than those in control group(P<0.05).Conclusion The narrative nursing mode can significantly relieve the anxiety and depression emotions of patients with depression,which is conducive to the improvement of sleep quality of patients.