针对性睡眠护理和心理护理对肝硬化食管静脉曲张合并出血症患者的睡眠质量与心理状态的改善效果分析

Effect of Targeted Sleep and Psychological Nursing on Sleep and Psychology of Patients with Cirrhosis and Esophageal Varices Complicated with Hemorrhagic Disease

目的:观察针对性睡眠护理和心理护理改善肝硬化食管静脉曲张合并出血症的患者睡眠质量与心理状态的临床效果。方法:选取2021年1月至2022年6月福建医科大学孟超肝胆医院收治的肝硬化食管静脉曲张合并出血症患者68例作为研究对象,随机分为对照组和观察组,每组34例。对照组应用常规护理,观察组在对照组护理的基础上应用针对性睡眠护理和心理护理,比较2组的护理效果。结果:观察组患者入睡时间,睡眠时间均优于对照组,观察组PSQI评分及SF-36评分均显著优于对照组,观察组SAS评分分及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)。观察组满意度97.06%,对照组满意度76.47%。2组比较差异有统计学意义(P<0.05)。结论:对肝硬化食管静脉曲张合并出血患者采取针对性睡眠护理联合心理护理干预,更有利于改善患者心理状态,显著提高患者的睡眠质量。

Objective:To observe the clinical effect of targeted sleep care and psychological care on improving the sleep quality and psychological state in patients with liver cirrhosis.Methods:A total of 68 patients with esophageal varices from cirrhosis admitted in Meng Chao Hepatobiliary Hospital of Fujian Medical University from January 2021 to June 2022 were randomly divided into control group and observation group,with 34 patients in each group.The control group applied routine nursing,and the observation group applied targeted sleep nursing and psychological nursing based on the control group nursing to compare the nursing effect of the 2 groups.Results:The sleep time of the observation group,PSQI and SF-36 scores,and SAS and SDS scores of the control group(Ps<0.05).The satisfaction of the observed group was 97.06% and the control group was 76.47%.It was significant between the 2 groups(P<0.05).Conclusion:Targeted sleep care for patients with bleeding is more beneficial to improve the psychological state and significantly improve the sleep quality of patients.