正念减压训练联合认知行为干预在创伤性颅脑损伤继发睡眠障碍患者中的疗效观察

Effect of Mindfulness-based Stress Reduction Training Combined with Cognitive Behavior Intervention on Patients with Sleep Disorders Secondary to Traumatic Brain Injury

目的:探究正念减压训练联合认知行为干预对创伤性颅脑损伤(TBI)继发睡眠障碍患者的护理效果。方法:选取2019年3月至2020年9月在菏泽市成武县人民医院接受治疗的TBI激发睡眠障碍患者74例,采用随机数字表法随机分为观察组和对照组,每组37例。对照组予以常规护理干预,观察组在对照组的基础上加用正念减压训练联合认知行为干预。比较2组患者干预前和干预3个月后睡眠状况、脑损伤状况、生命质量水平。结果:干预3个月后较干预前,2组患者PSQI评分、NIHSS评分均降低(P<0.05),且观察组的各评分均低于对照组(P<0.05);2组患者SPIEGEL评分、MMSE评分、SF-36评分均升高(P<0.05),且观察组的评分高于对照组(P<0.05)。结论:正念减压训练联合认知行为干预能够改善TBI继发睡眠障碍患者睡眠状况、提高生命质量,具有临床推广价值。

Objective:To explore the nursing effect of mindfulness-based stress reduction training combined with cognitive behavior intervention on patients with sleep disorders secondary to traumatic brain injury(TBI).Methods:A total of 74 patients with TBI-induced sleep disorders treated in Chengwu People′s Hospital was selected between March 2019 and September 2020.They were divided into observation group and control group by the random number table method,with 37 cases each.The control group was given routine nursing intervention,and the observation group was additionally given mindfulness-based stress reduction training combined with cognitive behavior intervention on the basis.The Pittsburgh Sleep Quality Index(PSQI),Spiegel Insomnia Scale(SPIEGEL),National Institutes of Health Stroke Scale(NIHSS),Mini-Mental State Examination(MMSE)and 36-item Short-form Quality of Life Scale(SF-36)were compared between the two groups before intervention and after 3 months of intervention.Results:After 3 months of intervention,the scores of PSQI and NIHSS of the two groups were reduced compared to before intervention(all P<0.05),and the scores of observation group were lower than those of control group(all P<0.05).The scores of SPIEGEL,MMSE and SF-36 were increased in the two groups(all P<0.05),and the scores were higher in observation group than those in control group(all P<0.05).Conclusion:Mindfulness-based stress reduction training combined with cognitive behavior intervention can improve the sleep status and enhance the quality of life of patients with sleep disorders secondary to TBI,and it has clinical promotion value.