多元化心理护理对广泛性焦虑障碍患者睡眠质量及护理效果影响

Effect of diversified psychological nursing care on sleep quality and nursing outcome in patients with generalized anxiety disorders

目的探讨多元化心理护理对于广泛性焦虑障碍患者睡眠质量及护理效果的影响。方法便利抽样法选取于2018年1月至2021年12月期间就诊阜阳市第三人民医院的精神科广泛性焦虑障碍患者80例,采用红蓝球法将患者分为对照组与观察组,各40例,对照组实施常规心理护理,观察组进行多元化心理护理,比较两组患者干预前、干预后20d的匹斯堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)量表、状态特质-焦虑问卷(State-Trait Anxiety Inventory,STAI)、纽芬兰纪念大学幸福度量表(Memorial University of Newfoundland Scale of Happiness,MUNSH)评分差异。结果两组患者干预后PSQI量表评分均较本组干预前有所下降,但观察组患者干预后PSQI量表评分更低,为(10.22±2.99)分(P<0.05);两组患者干预后STAI评分均较干预前有所下降,但观察组患者的STAI评分[(38.28±6.87)分]下降更为显著(P<0.05);两组患者干预后MUNSH评分均较干预前有所升高,但观察组患者的MUNSH评分[(39.08±3.53)分]上升更为显著(P<0.05)。结论多元化心理护理有利于改善广泛性焦虑障碍患者睡眠质量,同时能够为降低焦虑程度及提升幸福感水平、改善护理效果提供帮助。

Objective To explore the effect of diversified psychological nursing care on sleep quality and care outcome in patients with generalized anxiety disorders.Method A sample method was used to select 80 patients with generalized anxiety disorder who visited our psychiatric department between January 2018 and December 2021.The red and blue ball method was used to divide the patients into the control group and the intervention group,40 cases each.Conventional psychological care was given in the control group and diversified psychological care was given in the intervention group,comparing the differences in the scores of the Pittsburgh Sleep Quality Index Inventory(PSQI),State Trait-Anxiety Inventory(STAI),and Memorial University of Newfoundland Happiness(MUNSH)scale between the two groups before and 20 days after the nursing care.Result The PSQI scale scores decreased after the nursing care in both groups compared to the pre-nursing care period,but the PSQI scale scores were lower in the intervention group(10.22±2.99)(P<0.05).The STAI questionnaire scores decreased after the nursing care in both groups,but the STAI scores decreased more significantly in the intervention group(38.28±6.87)(P<0.05).The MUNSH scores increased in both groups after the 20 days of nursing care,but the increase in the MUNSH scores in the interventional group(39.08±3.53)was more significant(P<0.05).Conclusion Diversified psychological care is helpful to improve the sleep quality of patients with generalized anxiety disorder,and it can also improve anxiety and well-being,and the nursing outcome as well.