观察个性化护理干预对经颅磁刺激治疗抑郁症合并睡眠障碍患者心理状态及睡眠质量的影响

To Observe the Effect of Personalized Nursing Intervention on Mental State and Sleep Quality of Patients with Depression Complicated with Sleep Disorder Treated by Transcranial Magnetic Stimulation

目的:观察个性化护理干预对经颅磁刺激治疗抑郁症合并睡眠障碍患者心理状态及睡眠质量的影响。方法:选取2019年2月至2021年2月临沂市精神卫生中心精神科收治的抑郁症合并睡眠障碍患者78例作为研究对象,按照随机数字表法分为观察组和对照组,每组39例,对照组患者给予常规护理干预,观察组患者给予个性化护理干预。采用抑郁自评量表(Self-rating Depression Scale,SDS)、焦虑自评量表(Self-rating Anxiety Scale,SAS)比较2组患者干预前后抑郁以及焦虑状态的改善情况,采用匹兹堡睡眠指数量表(Pittsburgh Sleep Quality Index,PSQI)比较2组患者干预前后睡眠质量的变化,同时比较2组护理满意度。结果:干预后,观察组患者SAS评分、SDS评分、PSQI评分均显著低于对照组,观察组护理满意度显著高于对照组,2组比较差异均有统计学意义(P<0.05)。结论:对采用经颅磁刺激治疗的抑郁症合并睡眠障碍患者实施个性化护理干预,有助于改善患者焦虑、抑郁的心理状态,提高患者的睡眠质量,提高护理满意度,值得临床推广使用。

Objective:To observe the effect of personalized nursing intervention on mental state and sleep quality of patients with depression complicated with sleep disorder treated by transcranial magnetic stimulation.Methods:A total of 78 patients with depression complicated with sleep disorder admitted to the psychiatric department of Linyi Mental Health Center from February 2019 to February 2021 were selected as the research objects,and were divided into observation group and control group according to the random number table method,with 39 patients in each group.Control group were given routine nursing intervention,observation group were given personalized nursing intervention.Self-rating Depression Scale(SDS)and Self-rating Anxiety Scale(SAS)were used to compare the improvement of depression and anxiety between 2 groups before and after intervention.Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes of sleep quality before and after intervention,and the nursing satisfaction was compared at the same time.Results:After intervention,SAS score,SDS score and PSQI score of observation group were significantly lower than the control group,nursing satisfaction of observation group was significantly higher than the control group,the differences between the two groups were statistically significant(P<0.05).Conclusion:Personalized nursing intervention for patients with depression and sleep disorders treated by transcranial magnetic stimulation can help to improve the psychological state of anxiety and depression,improve the sleep quality of patients and improve nursing satisfaction,which is worthy of clinical application.