焦点式心理干预联合强化健康教育对老年慢性支气管炎患者负面情绪及睡眠质量的影响

Effects of Focused Psychological Intervention Combined with Intensive Health Education on Negative Mood and Sleep Quality in Elderly Patients with Chronic Bronchitis

目的探讨焦点式心理干预联合强化健康教育在老年慢性支气管炎(CB)患者中的应用效果.方法选取我院2021年1月—2023年9月收治的68例老年CB患者为研究对象,按随机数字表法将其分为对照组与观察组,各34例.对照组采用常规护理,观察组采用焦点式心理干预联合强化健康教育.对比两组患者的负面情绪、睡眠质量及生活质量.结果干预后,观察组焦虑自评量表评分为(40.69±5.80)分,抑郁自评量表评分为(44.70±5.21)分,匹兹堡睡眠质量指数量表中的睡眠时间评分为(0.45±0.13)分,入睡时间评分为(0.55±0.16)分,睡眠质量评分为(0.84±0.17)分,日间功能障碍评分为(0.72±0.25)分,睡眠障碍评分为(0.88±0.12)分,催眠药物评分为(0.61±0.17)分,睡眠频率评分为(1.03±0.24)分,圣乔治呼吸问卷中的疾病影响评分为(6.39±0.88)分,活动能力评分为(12.54±2.55)分,呼吸症状评分为(9.20±1.78)分,均低于对照组的(46.45±4.67)分、(52.85±6.15)分、(0.67±0.12)分、(0.71±0.14)分、(1.18±0.16)分、(1.14±0.23)分、(1.17±0.20)分、(0.83±0.19)分、(1.03±0.24)分、(8.24±1.33)分、(16.80±2.61)分、(11.94±1.04)分,组间差异有统计学意义(P<0.05).结论焦点式心理干预联合强化健康教育可以减轻老年CB患者的负面情绪与睡眠障碍,提高患者生活质量.

Objective To explore the application effect of focused psychological intervention combined with intensive health education in elderly patients with chronic bronchitis(CB).Methods 68 elderly CB patients admitted to our hospital from January 2021 to September 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 34 cases in each group.The control group received routine nursing,and the observation group received focused psychological intervention combined with intensive health education.Negative mood,sleep quality and quality of life were compared between the two groups.Results After intervention,the scores of Self-rating Anxiety Scale and Self-rating Depression Scale in observation group were(40.69±5.80)points and(44.70±5.21)points,respectively,the sleep duration score of the Pittsburgh Sleep Quality Index was(0.45±0.13)points,the sleep duration score was(0.55±0.16)points,the sleep quality score was(0.84±0.17)points,the daytime dysfunction score was(0.72±0.25)points,the sleep disorder score was(0.88±0.12)points,and the hypnotic drug score was(0.61±0.17)points,sleep frequency score was(1.03±0.24)points,disease impact score was(6.39±0.88)points,mobility score was(12.54±2.55)points,respiratory symptom score was(9.20±1.78)points,the results were lower than those of the control group(46.45±4.67)points,(52.85±6.15)points,(0.67±0.12)points,(0.71±0.14)points,(1.18±0.16)points,(1.14±0.23)points,(1.17±0.20)points,(0.83±0.19)points and(1.03±0.24)points,(8.24±1.33)points,(16.80±2.61)points and(11.94±1.04)points,with statistically significant between groups(P<0.05).Conclusion Focused psychological intervention combined with intensive health education can alleviate the negative emotions and sleep disorders of elderly CB patients,and improve the quality of life of patients.