叙事护理联合以家庭为中心的护理干预对卒中后抑郁患者抑郁情绪及睡眠质量的影响

The Effect of Narrative Nursing Combined with Family Centered Nursing Intervention on Depression and Sleep Quality in Patients with Post-Stroke Depression

目的探讨叙事护理联合以家庭为中心的护理干预对卒中后抑郁(PSD)患者的干预效果.方法选取菏泽市第三人民医院2021年6月—2023年6月收治的80例PSD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40例.对照组实施以家庭为中心的护理干预,观察组在对照组基础上实施叙事护理,为期3个月.对比两组抑郁情绪、睡眠质量、生活质量.结果干预后,两组汉密尔顿抑郁量表评分、匹兹堡睡眠质量指数评定量表评分均较干预前降低,且观察组较对照组低,差异有统计学意义(P﹤0.05);两组健康调查简表各维度评分较干预前升高,且观察组较对照组高,差异有统计学意义(P﹤0.05).结论叙事护理联合以家庭为中心的护理干预,能有效减轻PSD患者抑郁情绪,并改善睡眠质量与生活质量.

Objective To explore the effect of narrative nursing combined with family-centered nursing intervention on patients with post-stroke depression(PSD).Methods 80 PSD patients admitted to the Third People's Hospital of Heze from June 2021 to June 2023 were selected as the research objects.According to the random number table method,they were divided into a control group and an observation group,with 40 cases in each group.The control group carried out family-centered nursing intervention,and the observation group implemented narrative nursing on the basis of the control group for 3 months.The depression,sleep quality and quality of life were compared between the two groups.Results After the intervention,the Hamilton Depression Scale score and Pittsburgh Sleep Quality Index score of the two groups were lower than those before the intervention,and the scores of the observation group was lower than the control group,and the differences were statistically significant(P﹤0.05).The scores of all dimensions of the 36-Item Short Form Survey in the two groups were higher than those before intervention,and those in the observation group were higher than those in the control group,and the differences were statistically significant(P﹤0.05).Conclusion Narrative nursing combined with family-centered nursing intervention can effectively reduce the depression of PSD patients and improve the quality of sleep and life.