研究零缺陷理念联合行为分阶段转变干预对维持性血液透析患者睡眠质量的影响效果

Study on the Effect of Zero Defect Concept Combined with Phased Behavioral Change Intervention on the Sleep Quality of Maintenance Hemodialysis Patients

目的:探究对维持性血液透析患者护理时开展零缺陷理念联合行为分阶段转变干预对睡眠质量以及生命质量的影响。方法:选取2022年4月至2023年12月石狮市总医院血液透析室收治的血液透析患者96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48例。对照组给予常规护理干预,观察组给予零缺陷理念联合行为分阶段转变干预。采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的差异,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)比较2组患者焦虑、抑郁症状改善情况,采用生命质量测定量表简表(WHOQOL-BREF)比较2组患者干预前后生命质量的变化,并比较2组患者入睡用时以及夜间觉醒次数。结果:干预后,观察组PSQI评分、SAS评分、SDS评分均显著低于对照组,观察组WHOQOL-BREF评分显著高于对照组,观察组入睡用时以及夜间觉醒次数均显著低于对照组,差异均有统计学意义(均P<0.05)。结论:在对维持性血液透析患者护理时开展零缺陷理念联合行为分阶段转变干预,可提升患者睡眠质量及生命质量,纠正治疗期间患者心理状态,值得临床推广应用。

Objective:To explore the impact of zero defect concept combined with phased behavioral change intervention on sleep quality and quality of life in the care of maintenance hemodialysis patients.Methods:A total of 96 hemodialysis patients admitted to the hemodialysis room of Shishi General Hospital from April 2022 to December 2023 were selected as the research subjects.They were randomly divided into a control group and an observation group using a random number table method,with 48 cases in each group.The control group received routine nursing intervention,while the observation group received a combination of zero defect concept and phased behavioral change intervention.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the differences in sleep quality between two groups of patients.The Self Rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS)were used to compare the improvement of anxiety and depression symptoms in the two groups of patients.The Short Form of Quality of Life Scale(WHOQOL-BREF)was used to compare the changes in quality of life before and after intervention,and the time taken to fall asleep and the number of awakenings at night were compared between the two groups of patients.Results:After intervention,the PSQI score,SAS score,and SDS score of the observation group were significantly lower than those of the control group.The WHOQOL-BREF score of the observation group was significantly higher than that of the control group.The number of times the observation group fell asleep and awakened at night was significantly lower than that of the control group.The difference between the two groups was statistically significant(P<0.05).Conclusion:Implementing zero defect concept combined with phased behavioral change intervention in the care of maintenance hemodialysis patients can improve their sleep quality and quality of life,correct their psychological state during treatment,and is worthy of clinical promotion and application.