睡眠行为干预联合心理护理干预对老年失眠患者负性情绪及睡眠质量的影响

Effect of Sleep Behavior Intervention Combined with Psychological Nursing Intervention on Negative Emotion and Sleep Quality of Elderly Patients with Insomnia

目的:探讨睡眠行为干预联合心理护理干预对老年失眠患者负性情绪及睡眠质量的影响。方法:选取2020年12月至2021年12月福建医科大学附属龙岩第一医院收治的老年失眠患者98例作为研究对象,按照随机数字表法随机分为对照组和观察组,每组49例。对照组患者接受常规护理,观察组患者接受睡眠行为干预联合心理护理干预,比较2组患者抑郁自评量表(SDS)及焦虑自评量表(SAS)评分,匹兹堡睡眠质量指数(PSQI)评分等。结果:护理前,2组患者SAS评分及SDS评分比较,差异均无统计学意义(均P>0.05);护理后,2组患者SAS评分及SDS评分均下降,观察组患者SAS评分及SDS评分均低于对照组,2组比较差异均有统计学意义(均P<0.05);护理前,2组患者PSQI各项评分比较,差异均无统计学意义(均P>0.05);护理后,2组患者PSQI各项评分均下降,观察组患者PSQI各项评分均低于对照组,2组比较差异均有统计学意义(均P<0.05)。结论:老年失眠患者接受睡眠行为干预联合心理护理干预,可让其保持良好的心理状态,进而提升睡眠质量。

Objective:To explore the effect of sleep behavior intervention combined with psychological nursing intervention on negative emotion and sleep quality of elderly patients with insomnia.Methods:A total of 98 elderly patients with insomnia treated in Longyan First Hospital Affiliated to Fujian Medical University from December 2020 to December 2021 were randomly divided into control group and observation group according to random number table method,with 49 cases in each group.The control group received routine nursing,and the observation group received sleep behavior intervention combined with psychological nursing intervention.The negative emotions[Self-rating Depression Scale(SDS),Self-rating Anxiety Scale(SAS)]and sleep quality[Pittsburgh Sleep Quality Index(PSQI)]of the two groups were compared.Results:Before nursing,there was no significant difference in SAS scores and SDS scores between the two groups(Ps>0.05).After nursing,the SAS scores and SDS scores of the patients in the two groups decreased.The SAS scores and SDS scores of the observation group were lower than those of the control group,and the difference between the two groups was statistically significant(P<0.05).Before nursing,there was no significant difference in PSQI scores between the two groups(P>0.05).After nursing,the PSQI scores of the patients in the observation group were lower than those of the control group,and there were significant differences between the two groups(Ps<0.05).Conclusion:Elderly insomnia patients receiving sleep behavior intervention combined with psychological nursing intervention can maintain a good psychological state and improve the quality of sleep.