睡眠筛查及睡眠分级护理在脑梗死患者心理护理中的临床应用

Clinical Application of Sleep Screening and Sleep Grading Nursing in Psychological Nursing of Patients with Cerebral Infarction

目的:探讨睡眠筛查及睡眠分级护理在脑梗死患者心理护理中的临床应用效果。方法:选取2018年7月-2019年2月本院收治的脑梗死患者60例,按照护理方法不同将其分为两组,每组30例。对照组采用常规心理护理,研究组在对照组的基础上采用睡眠筛查及睡眠分级护理。比较两组患者入睡困难、比期望的时间晚睡、总睡眠时间、夜醒次数、睡眠抵触、睡眠潜伏期及睡眠质量指数量表(PSQI)评分、汉密尔顿抑郁量表(HAMD)评分、汉密尔顿焦虑量表(HAMA)评分及住院时间、护理满意率。结果:研究组入睡困难、比期望的时间晚睡均短于对照组(P<0.05);研究组总睡眠时间长于对照组(P<0.05);研究组夜醒次数、睡眠抵触、睡眠潜伏期均低于对照组(P<0.05);研究组住院时间短于对照组(P<0.05);研究组睡眠质量优于对照组(P<0.05);研究组HAMD评分、HAMA评分均低于对照组(P<0.05);研究组护理满意率高于对照组(P<0.05)。结论:在脑梗死患者心理护理中,睡眠筛查及睡眠分级护理的效果显著,应该在临床上广泛推广与应用。

Objective:To explore the clinical effect of sleep screening and sleep grading nursing in psychological nursing of cerebral infarction patients.Method:A total of 60 patients with cerebral infarction admitted to our hospital from July 2018 to February 2019 were selected,and they were divided into two groups according to different nursing methods,30 patients in each group.The control group received routine psychological nursing,and the study group received sleep screening and sleep grading nursing on the basis of the control group.Patients in the two groups were compared in terms of difficulty in falling asleep,staying up later than expected,total sleep time,number of wakefulness,sleep resistance,sleep latency and sleep quality index(PSQI)score,HAMD score,HAMA score,length of stay in hospital and satisfaction rate.Result:The time of difficulty in falling asleep and staying up later than expected in the study group were shorter than in the control group(P<0.05).The total sleep time in the study group was longer than that in the control group(P<0.05).The number of wakefulness,sleep resistance and sleep latency in the study group were all lower than those in the control group(P<0.05).The length of hospital stay in the study group was shorter than that in the control group(P<0.05).Sleep quality of the study group was better than that of the control group(P<0.05).HAMD score and HAMA score in the study group were lower than those in the control group(P<0.05).The satisfaction rate of the study group was higher than that of the control group(P<0.05).Conclusion:In the psychological nursing of cerebral infarction patients,the effect of sleep screening and sleep grading nursing is significant,which should be widely promoted and applied in clinical practice.