强化心理疏导联合个体化睡眠干预应用于脑卒中后睡眠障碍患者中的实践研究

The Application of Intensive Psychological Counseling Combined with Individualized Sleep Intervention in the Practice of Patients with Sleep Disorder After Stroke

目的:分析脑卒中后睡眠障碍患者应用强化心理疏导联合个体化睡眠干预的临床价值。方法:选取2017年5月至2018年5月间中国科技大学附属第一医院神经内科收治的脑卒中后睡眠障碍患者76例,随机分成观察组和对照组,其中观察组39例,对照组37例,比较干预前后2组负性情绪与睡眠质量、血压情况,患者护理评价。结果:干预后2组贝克焦虑量表、贝克抑郁量表、匹兹堡睡眠质量指数量表评分,收缩压晨峰、舒张压晨峰均降低,差异有统计学意义(P <0. 05),观察组明显低于对照组,差异有统计学意义(P <0. 05);观察组护理满意度明显高于对照组,差异有统计学意义(P <0. 05)。结论:应用强化心理疏导联合个体化睡眠干预可提升睡眠质量,改善护理评价。

Objective:To analyze the clinical value of intensive psychological counseling combined with individualized sleep intervention in patients with sleep disorder after stroke.Methods:A total76cases in first affiliated hospital of university of science and technology of China from May2017to May2018were randomly divided into observation group and control group,39cases in the observation group and37cases in the control group,compared two groups before and after the intervention negative mood and sleep quality,blood pressure,evaluation of patient care.Results:after intervention,the scores of beck′s anxiety scale,beck′s depression scale and Pittsburgh sleep quality index scale in the two groups showed that the morning systolic blood pressure peak and the morning diastolic blood pressure peak decreased,and the difference was statistically significant(P<0.05).The difference in the study group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).Nursing satisfaction of the study group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Strengthening psychological counseling combined with individualized sleep intervention can improve sleep quality and nursing evaluation.