神经症失眠患者应用心理护理干预的效果研究

Study on the Effect of Psychological Nursing Intervention in Patients with Neurosis and Insomnia

目的分析心理护理干预在神经症失眠患者护理中的应用价值。方法本研究84例神经症失眠患者均为本院2019年6月至2020年10月接收,基于随机数字表法分为两组,各42例;对照组与观察组分别开展常规护理与心理护理干预,观察两组患者护理效果。结果在睡眠质量评分方面,护理后,观察组睡眠质量评分低于对照组,差异明显(t=4.263;P=0.000);在焦虑严重程度方面,护理后,观察组患者轻度焦虑比例较对照组更高,差异显著(χ^(2)=4.141,P=0.042);在生存质量方面,护理后,观察组患者的心理职能、生理职能、躯体职能及社会职能方面均高于对照组(t=5.785、5.456、5.102、5.003,P<0.05);在护理满意度方面,观察组与对照组分别是95.24%和78.57%,组间差异具有显著性(χ^(2)=5.126,P=0.024)。结论神经症失眠患者临床护理过程中,联合心理护理干预,除缓解焦虑情绪外,还有助于提高满意度和生命质量,改善睡眠质量,值得临床进一步采纳、推广。

Objective To analyze the application value of psychological nursing intervention in the nursing of patients with neurosis and insomnia.Methods The 84 patients with neurosis and insomnia in this study were accepted by our hospital from June 2019 to October 2020.They were divided into two groups based on the random number table method,each group 42 cases;the control group and the observation group carried out routine nursing and psychological nursing respectively intervention,observe the nursing effect of the two groups of patients.Results In terms of sleep quality score,after nursing,the sleep quality score of the observation group was lower than that of the control group,and the difference was significant(t=4.263;P=0.000);in terms of anxiety severity,after nursing,the proportion of mild anxiety in the observation group was higher than that of the control group,the difference is significant(χ^(2)=4.141,P=0.042);in terms of quality of life,after nursing,the psychological,physiological,physical and social functions of patients in the observation group are higher than those in the control group(t=5.785,5.456,5.102),5.003,P<0.05);in terms of nursing satisfaction,the observation group and the control group were 95.24%and 78.57%,respectively,and the difference between the groups was significant(χ^(2)=5.126,P=0.024).Conclusion In the clinical nursing process of patients with neurosis and insomnia,combined with psychological nursing intervention can not only relieve anxiety,but also improve satisfaction and quality of life,and improve sleep quality.It is worthy of further clinical adoption and promotion.