优化护理模式对改善充血性心力衰竭患者睡眠与情绪效果的研究

Research on effect of optimized nursing model in improving sleep quality and emotional state of patients with congestive heart failure

目的探讨优化护理模式对改善充血性心力衰竭患者睡眠质量和情绪的作用。方法将152例充血性心力衰竭患者随机分成2组各76例,对照组采用常规护理,观察组采用优化护理模式。治疗前后分别采用匹兹堡睡眠质量指数量表(PSQI)和临床精神卫生症状自评量表(SCL—90)对患者的睡眠质量和情绪状态进行评价。结果入组后第7天,观察组患者睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍评分及PSQI总分均显著低于对照组(P<0.05);入组后第7天观察组SCL—90量表指数显著低于对照组(P<0.05)。结论采用优化护理模式能有效改善充血性心力衰竭患者睡眠质量并缓解其不良情绪。

Objective To explore the effect of optimized nursing model on improving sleep quality and emotional state of patients with congestive heart failure. Methods Patients with con- gestive heart failure were randomly divided into control group and observation group with 76 patients in each group. Patients in the control group were received conventional nursing while the patients in the observation group were given optimized nursing model. Sleep quality and emotional state of two groups were evaluated by PSQI and SCL- 90 before and after treatment. Results At the seventh day, the scores of sleep quality, fall sleep time, sleep time, sleep efficiency, sleep disorders and total score of PSQI in the observation group were all lower than that of control group, the difference was statistically significant（P〈 0.05）. At the seventh day, scores of the indicators of SCL - 90 were lower than that in the control group （P 〈 0.05）. Conclusion Optimized nursing model could effectively improve the sleep quality and emotional state of patients with congestive heart failure.