循证护理干预对消化性溃疡伴抑郁症患者睡眠质量的影响

Effect of evidence-based nursing to sleep quality of depression patients with peptic ulcer

目的：观察循证护理干预对消化性溃疡伴抑郁症患者睡眠质量的影响．方法：将90例消化性溃疡患者随机分为对照组和研究组，每组45例，对照组患者给予消化科常规护理方法，研究组患者在对照组患者的基础上实施循证护理干预措施．治疗2周后，评估两组患者临床疗效，采用抑郁自评量表（SDS）对患者治疗前后抑郁状况进行评分，采用匹兹堡睡眠质量指数（PSQI）评价患者睡眠质量，比较两组患者护理效果．结果：与对照组比较，研究组患者症状缓解率、溃疡愈合率和 HP 清除率明显升高，差异具有统计学意义（P ＜0．05）．与治疗前比较，两组患者治疗后SDS评分明显下降，差异具有统计学意义（P＜0．05）；与对照组治疗后比较，研究组治疗后 SDS 评分显著下降，差异具有统计学意义（P ＜0．05）．与对照组比较，研究组患者睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、安眠药物、日间功能和PSQI 总分评分明显降低，差异具有统计学意义（P＜0．05）．结论：循证护理干预不仅有助于提高消化性溃疡患者临床治疗效果，并且能改善患者的抑郁状态和睡眠质量，值得推广应用．

AIM：To observe the effect of evidence-based nursing to sleep quality of depression patients with peptic ulcer. METHODS：90 patients with peptic ulcer were randomly divided into control group and research group,each group had 45 cases, the control group was given conventional nursing methods of digestive department,the research group was given evidence-based nursing on the basis of the control group.After 2 weeks,clinical effect of two groups of patients were assessed,the self-reported depression scale （SDS）was used to assess patients with depression status before and after treatment,the pittsburgh sleep quality index （PSQI）was used to assess patients with sleep quality,and comparing nursing effect of two groups of patients.RESULTS：Comparing with control group,symptoms remission rate,ulcer healing rate and HP clearance of research group significantly increased,the difference was statistically significant （P〈0.05 ）. Comparing with before treatment,SDS of two groups significantly decreased,the difference was statistically significant （P〈0.05）;and comparing with after treatment of control group,SDS of after treatment of research group significantly decreased,the difference was statistically significant （P〈0.05 ）.Comparing with control group,the sleep quality,sleep latency,sleep time,sleep efficiency,sleep disorder,sleep AIDS,daytime function and total scores of PSQI of the research group decreased obviously,the difference was statistically significant （P〈0.05 ）.CONCLUSION：The evidence-based nursing will not only help to enhance the clinical effect of patients with peptic ulcer,but also can improve the patient＆#39;s depression and sleep quality,it is worthy of application.