观察情志护理对住院冠心病患者康复效果及睡眠质量的影响

To Observe the Effect of Emotional Nursing on Rehabilitation and Sleep Quality of Hospitalized Patients with Coronary Heart Disease

目的:观察情志护理对住院冠心病患者康复效果及睡眠质量的影响。方法:选取2018年9月至2019年10月福建省中医药大学附属人民医院收治的住院冠心病患者70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35例。对照组给予常规护理干预,观察组给予情志护理干预,采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的改善情况,采用抑郁自评量表(SDS)、焦虑自评量表(SAS)比较2组患者抑郁、焦虑的改善情况,采用调查问卷的形式评估2组患者的遵医行为,采用健康调查简表(SF-36)比较2组患者康复效果,同时比较2组患者血脂水平的变化。结果:护理干预后,观察组患者的SAS评分、SDS评分、PSQI评分显著低于对照组,观察组患者在饮食、用药和生活方式上的依从性评分均优于对照组,观察组SF-36评分高于对照组,2组比较差异均有统计学意义(均P<0.05)。结论:住院冠心病患者行情志护理的价值显著,可有效提高患者的康复效果,改善睡眠质量与血脂水平,同时有利于改善患者的负性情绪,提高其遵医行为和生命质量,值得临床推广使用。

Objective:To observe the effect of emotional nursing on rehabilitation and sleep quality of hospitalized patients with coronary heart disease.Methods:A total of 70 inpatients with coronary heart disease admitted to the people’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine from September 2018 to October 2019 were selected as the research objects.They were divided into observation group and control group according to the random number table method,with 35 patients in each group.The control group was given routine nursing intervention,and the observation group was given emotional nursing intervention.Pittsburgh Sleep Quality Index(PSQI)was used to compare the improvement of sleep quality of the patients in 2 groups before and after the intervention.Self-rating Depression Scale(SDS)and self-rating Anxiety Scale(SAS)were used to compare the improvement of depression and anxiety of patients in2 groups,the compliance behaviors of the patients in2 groups were assessed in the form of questionnaires.The MOS item short from health survey(SF-36)was used to compare the rehabilitation effects of the patients in 2 groups,and the changes of blood lipid levels in the two groups was compared as well.Results:After the nursing intervention,the SAS score,SDS score and PSQI score of the patients in the observation group were significantly lower than the control group.The compliance scores of the patients in the observation group on diet,medication and lifestyle were better than those in the control group.The SF-36 score of the observation group was higher than the control group.the difference between the 2 groups was statistically significant(P<0.05).Conclusion:The value of psychological nursing for hospitalized patients with coronary heart disease is significant.It can effectively improve the rehabilitation effect of patients,improve the sleep quality and blood lipid level,and improve the negative mood of patients,improve their medical compliance behavior and quality of life.It is worthy of clinical promotion.