中医护理干预对中风患者负性情绪及睡眠障碍的影响

Effects of TCM nursing on negative emotions and sleep disorders in patients with stroke

目的:探讨中医护理干预在改善中风患者负性情绪及睡眠质量中的作用。方法:将64例中风患者随机分为观察组和对照组,每组32例。两组均采取常规护理,观察组在此基础上实施一系列中医护理干预:健康教育、情志干预、膳食指导及睡前护理。于患者入院后第1天、护理2周后采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评价患者的焦虑与抑郁状态,匹兹堡睡眠质量指数表(PSQI)评估患者的睡眠障碍程度。结果:入院后第1天,两组患者SAS、SDS及PSQI分值的差异均无统计学意义(均P>0.05)。护理2周后观察组与对照组的SAS、SDS分值均较同组入院后第1天下降(均P<0.01),且以观察组更为显著(t=2.4888、5.5633,P<0.01或0.05);观察组PSQI各因子评分和总评分均较入院后第1天下降(均P<0.01);对照组PSQI入睡时间、睡眠时间、睡眠效率、睡眠药物应用、日间功能障碍和总评分较入院后第1天下降(均P<0.05或0.01);观察组睡眠质量、睡眠时间、睡眠效率、睡眠障碍、睡眠药物应用及总分较同期的对照组低(t=2.0530、4.3071、2.2194、2.4394、5.7166、5.3264,P<0.05或0.01)。结论:中医护理干预能有效改善中风患者负性情绪,提高患者的睡眠质量。

Objective:To explore the role of TCM nursing intervention in improving the negative mood and sleep quality of strokepatients.Methods:64stroke patients were randomly divided into the observation group and control group,32cases in each group.Twogroups were given routine care;the observation group took the implementation of a series of TCM care intervention:health education,emotional intervention,dietary guidance and bedtime care.Results:The SAS and SDS scores in the observation group and the controlgroup were significantly lower than those in the control group(P<0.01),and the observation group was more significant(t=2.4888and5.5633,P<0.01or0.05).The scores of PSQI in the observation group were lower than those on the first day after admission(P<0.01).The PSQI sleep time,sleep time,sleep efficiency,sleep drug application,daytime dysfunction in the antrol group were decreased(P<0.05or0.01).The sleep quality,sleep time,sleep efficiency,sleep disturbance,sleep drug application and total score in the observation groupwere lower than those in the control group.Conclusion:TCM nursing intervention can effectively improve the negative emotions of strokepatients.