分析心理护理联合睡眠干预对重度抑郁症伴睡眠障碍患者心理状态及睡眠质量的影响

Analysis of the Impact of Psychological Nursing Combined with Sleep Intervention on the PsychologicalStatus and Sleep Quality of Patients with Severe Depression and Sleep Disorders

目的:分析心理护理联合睡眠干预对重度抑郁症伴睡眠障碍患者心理状态及睡眠质量的影响。方法:选取2022年1月至2023年6月厦门市仙岳医院收治的住院治疗的重度抑郁症伴睡眠障碍患者80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40例,对照组常规对症治疗,观察组在对照组基础上同时配合心理护理和睡眠干预治疗。采用汉密尔顿抑郁量表(HAMD)比较2组患者干预前后抑郁状态的改善效果,采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的变化,应用睡眠检测仪测定睡眠时长、入睡潜伏期、觉醒时间及睡眠效率。结果:干预后,观察组患者PSQI评分、HAMD评分均显著低于对照组,观察组睡眠时长、睡眠效率、觉醒时间均显著高于对照组,差异均有统计学意义(均P<0.05)。结论:对重度抑郁症伴睡眠障碍患者实施心理护理联合睡眠干预有助于改善患者抑郁心理和睡眠质量,具有重要的临床意义,值得临床推广应用。

Objective:To analyze the impact of psychological nursing combined with sleep intervention on the psychological status and sleep quality of patients with severe depression and sleep disorders.Methods:Eighty hospitalized patients with severe depression and sleep disorders admitted to Xiamen Xianyue Hospital from January 2022 to June 2023 were selected as the study subjects.They were randomly divided into an observation group(n=40)and a control group(n=40)using a random number table method.The control group received routine symptomatic treatment,while the observation group received psychological nursing and sleep intervention treatment in addition to the control group.The Hamilton Depression Scale(HAMD)was used to compare the improvement effect of depression status between two groups of patients before and after intervention.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes in sleep quality between the two groups of patients before and after intervention.Sleep duration,sleep latency,awakening time,and sleep efficiency were measured using a sleep detector.Results:After intervention,the PSQI score and HAMD score of the observation group were significantly lower than those of the control group,and the sleep duration,awakening time and sleep efficiency of the observation group were significantly higher than those of the control group.The differences between the two groups were statistically significant(P s<0.05).Conclusion:The implementation of psychological nursing combined with sleep intervention for patients with severe depression and sleep disorders can help improve their depressive psychology and sleep quality,which has important clinical significance and is worthy of clinical promotion and application.