综合性心理干预对老年心衰患者负性情绪和睡眠质量的影响

Effects of comprehensive psychological intervention on negative mood and sleep quality of elderly patients with heart failure

目的:探讨综合性心理干预对老年心衰(HF)患者焦虑、抑郁等负性情绪和睡眠质量的影响。方法:老年HF患者80例,随机分为干预组与对照组各40例。2组均给予常规治疗和护理,干预组加用心理疏导、认知疗法、加强社会和家庭支持系统、指导辅助睡眠等综合性心理干预。干预前后应用焦虑量表(SAS)、抑郁自评量表(SDS)和匹兹堡睡眠质量指数量表(PSQI)评定。结果:干预3周后,干预组的SAS、SDS评分显著低于干预前及对照组干预后(P<0.01)。干预组PSQI总分及分项中睡眠质量、入睡时间、睡眠时间、睡眠障碍评分均较干预前及对照组干预后显著下降(P<0.01)。结论:综合性心理干预能够有效改善老年HF患者焦虑、抑郁情绪等负性情绪,提高患者的睡眠质量。

Objective： To explore the effects of comprehensive psychological intervention on negative mood（anxiety, depression）and sleep quality of elderly patients with heart failure（HF）. Methods：Eighty elderly HF patients were randomly divided into intervention group and control group, with 40 cases in each group. Both groups received rou- tine treatment and nursing care, and intervention group was given comprehensive psychological intervention addition- ally,including psychological courseling, cognitive therapy, enhancing social and family support, guiding sleep. Self- rating anxiety scale（SAS）, self-rating depression scale（SDS）and Pittsburgh sleep quality index（PSQI）were assessed before and after intervention. Results：After 3 weeks of intervention,SAS and SDS scores in intervention group were significantly lower than before and control group after intervention（P〈0.01）. PSQI total scores and sleep quality, time to fall asleep, sleep duration and sleep disorder scores in subentry of intervention group were significantly lower than before and control group after intervention （P〈 0. 01）. Conclusion： Comprehensive psychological intervention can effectively improve the negative moods of elderly patients with HF and increase the sleep quality.