综合护理干预对抑郁症睡眠障碍患者中的临床价值研究

The Clinical Value of Comprehensive Nursing Intervention in Patients with Depression and Sleep Disorder

目的:探讨综合护理干预对抑郁症睡眠障碍患者的临床价值。方法:选择2014年6月-2015年12月本院收治的抑郁合并睡眠障碍患者80例,按照随机数字表法分为两组,各40例。对照组行常规护理,主要以精神科护理常规为基础,实施药物治疗的监督、安全管理护理、生活相关护理等,观察组则在对照组基础上结合有效的综合护理干预,比较干预过程中出现的并发症或不良反应,统计两组干预过程中睡眠质量变化情况,分析存在的焦虑和抑郁情况。结果:观察组干预过程中并发症或不良反应,如头晕头痛、恶心呕吐、全身乏力及腹痛腹泻的发生率均显著低于对照组(P<0.05);干预后,两组睡眠质量得分均低于干预前且观察组睡眠质量得分低于对照组(P<0.05);观察组存在的焦虑和抑郁症状显著低于对照组(P<0.05)。结论:针对抑郁症合并睡眠障碍者实施有效的综合护理干预,能有效地改善患者临床症状,提高睡眠质量,减少焦虑抑郁发生。

Objective: To explore the clinical value of comprehensive nursing intervention in patients with depressive sleep disorder. Method: A total of 80 patients with depression and sleep disorder admitted to our hospital from June 2014 to December 2015 were selected and divided into two groups according to the random number table, 40 cases in each group. In the control group, the routine nursing was mainly based on the routine nursing in psychiatric department, including supervision of drug treatment, safety management nursing, life-related nursing, and so on. The observation group was combined with effective comprehensive nursing intervention on the basis of the control group. The complications or adverse reactions in the process of intervention of two groups were compared, the changes of sleep quality in the two groups were statistically analyzed, and the existing anxiety and depression were analyzed. Result: The incidence of complications or adverse reactions, such as dizziness and headache, nausea and vomiting, general fatigue and abdominal pain and diarrhea in the observation group were significantly lower than that in the control group(P<0.05). After intervention, the scores of sleep quality in the two groups were lower than those before intervention, and the scores of sleep quality in the observation group were lower than those in the control group(P<0.05). The symptoms of anxiety and depression in the observation group were significantly lower than those in the control group(P<0.05). Conclusion: Effective comprehensive nursing intervention for patients with depression and sleep disorder can effectively improve clinical symptoms, improve sleep quality and reduce the occurrence of anxiety and depression.