浅析认知护理对100例首次人工流产患者焦虑与睡眠的影响

Research on the effects of Cognitive care to first abortion patients with anxiety and sleeping

目的:观察认知护理对首次人工流产患者焦虑与睡眠的影响。方法:选取100例首次人工流产患者为研究对象,随机分成实验组及对照组各50例,实验组在常规人工流产护理的基础上实施认知护理,对照组予人工流产常规护理,比较两组患者护理前后焦虑及睡眠质量的变化情况。结果:两组患者术前汉密尔顿焦虑量表(HAMA)评分比较差异无统计学意义(P>0.05),实验组术前2h及术后1h的HAMA评分下降幅度较对照组明显,实验组HAMA评分(5.65±1.33)低于对照组(8.96±1.54),两组比较差异有统计学意义(P<0.05)。两组患者术前3天采用匹兹堡睡眠质量指数(PSQI)评分比较差异无统计学意义(P>0.05),实验组术前3天及术后3天的PSQI评分下降幅度较对照组明显,实验组PSQI评分(6.28士1.45)低于对照组(7.29士1.74);实验组睡眠良好率(82%)优于对照组(66%),差别均有统计学意义(P<0.05)。结论:认知护理可有效缓解人流患者焦虑情绪,提高患者睡眠质量。

Purpose Observe the effect of cognitive intervention to first abortion patients of anxiety and sleeping. Method Select 100 cases from October 2011 to September 2012 of induced abortion patients for the first time, random divided into experimental group and control group, Control group to abortion routine nursing, In the conventional induced abortion care implementation based on cognitive nursing, Compared anxiety and sleeping quality changes between the two groups patients care before and after. Result Two groups of patients with preoperative Hamilton anxiety scale （HAMA） score comparison difference was not statistically significant （ P 〉 0. 05 ）, The Hamilton anxiety scale score for experimental group of preoperative 1 h and postoperative 2 h was decreased obviously than that for control group, The HAMA score （ 5.65 ± 1.33 ） was lower than those of the control group （ 8.96 ± 1.54）, differences was statistically significant between the two groups （ P 〈 0. 05 ）. Two groups of patients with 3 days before the Pittsburgh sleep quality index （PSQI） score comparison difference was not statistically significant （ P 〉 0. 05 ）, The Pittsburgh sleep quality index score for experimental group of preoperative 3 days and postoperative 3 days was decreased significantly than that for control group, The PSQI score of experimental group （ 6. 28 ± 1.45 ） was lower than those of the control group （7.29 ± 1.74）. The sleep good rates for experimental group （ 82% ） was superior to control group （66%） , there were statistically significant differences in sleep good rate between the two groups. Conclu- sion： Cognitive nursing can relieve obviously anxious emotion improve their quality of sleeping for patients with artificial abortion.