心理护理对围绝经期综合征患者不良情绪及睡眠的作用

The effect of psychological nursing on the bad mood and sleep of the patients with Peri-climacteric Syndrome

目的探讨心理护理对围绝经期综合征患者不良情绪及睡眠的作用。方法 2013年12月至2015年2月在我院妇科病房选取围绝经期综合征的住院患者76例,并按随机数字表法平均分为两组:对照组和观察组。护理方面,对照组患者给予常规护理干预1月;观察组在此基础上增加心理护理干预1月。护理干预前、后对患者评估SAS、SDS及生存质量量表,并用睡眠监测仪监测患者睡眠情况。结果两组患者在护理干预前SAS、SDS、WHOQOL-100及睡眠情况无明显差异(P>0.05)。实施护理干预1月后,与护理干预前相比两组患者SAS、SDS评分均降低,WHOQOL-100评分均升高,睡眠状况得到改善,且差异具有统计学意义(P<0.05)。护理干预后观察组SAS、SDS评分均低于对照组,24h内睡眠时间、睡眠维持率均高于对照组,觉醒时间、觉醒次数均低于于对照组,WHOQOL-100评分高于对照组,且上述差异均有统计学意义(P<0.05)。结论在常规护理的基础上,增加心理护理可以更有效地改善围绝经期综合征患者的抑郁、焦虑和睡眠情况,更好的提高患者的生存质量,因此值得临床护理工作中推广应用。

Objective To explore the effect of psychological nursing on the bad mood and sleep of the patients with Peri-climacteric Syndrome. Methods 76 cases of patients diagnosed as Peri-climacteric Syndrome were selected in the gynecology ward of our hospital from December 2013 to February 2015 for this research. According to random number table method,all the patients in the study were divided into the control group and the observation group averagely. The control group were received the routine nursing for 1 month,while the observation group were given psychological nursing besides the routine nursing for 1 month. Before and after nursing intervention,SAS,SDS,WHOQOL-100 and sleep situation of the two groups were evaluated and compared. Results There was no statistical difference of SAS,SDS,WHOQOL-100 and sleep situation between the two groups before nursing intervention（P〉0.05）. After nursing intervention for 1 month,compared with before it,the scores of SAS,SDS were lower,the score of WHOQOL-100 was higher and the sleep situation were better in the both two groups,all the differences had statistical significances（P〈0.05）.While compared with the control group,the scores of SAS,SDS of the observation group were lower,whole sleep time and sleep maintenance rate for 24 h were higher,awakening time and frequency were lower and the score of WHOQOL-100 was higher,all the differences had statistical significances（P〈0.05）. Conclusion The psychological nursing on the basis of the routine nursing can be more effective to improve the depression and anxiety mood as well as sleep situation of the patients with Peri-climacteric Syndrome. Also,it’s better to improve the patients’ quality of life.Thus,it is worthy of popularization and application in clinical nursing work.