群组管理模式对新型冠状病毒肺炎恢复期患者心理睡眠及情绪的影响

Effects of group management mode on psychology,sleep and emotion in patients with coronavirus disease 2019 during recovery period

目的探讨群组管理模式对首批感染新型冠状病毒(新冠病毒)奥密克戎变异株恢复期患者的心理韧性、睡眠质量及负性情绪的影响。方法采用便利抽样选择2022年1月至3月在天津市新冠肺炎康复定点医院收治的感染新冠病毒奥密克戎变异株恢复期患者132例为研究对象,对其实施群组管理,比较干预前后患者的心理韧性、睡眠质量及焦虑、抑郁等负性情绪。结果实施群组管理干预后患者焦虑和抑郁的发生率明显低于干预前(11.37%比18.94%,17.42%比27.27%),但差异无统计学意义(均P>0.05);焦虑自评量表(SAS)评分变化不大,干预前后比较差异也无统计学意义(P>0.05);干预后抑郁自评量表(SDS)评分明显低于干预前,差异有统计学意义(分:41.35±10.62比45.13±12.18,P<0.05)。干预后患者的心理韧性、睡眠质量均明显优于干预前〔心理韧性评分(分):73.99±16.51比67.31±15.87,睡眠质量差的患者占比:59.8%比79.5%〕,差异均有统计学意义(均P<0.05);干预后匹兹堡睡眠质量指数(PSQI)各维度评分中除睡眠质量、催眠药物外,其他维度评分均明显改善,且PSQI总分较干预前明显降低(分:6.60±3.72比8.21±3.08,P<0.05)。结论感染新冠病毒奥密克戎变异株恢复期患者仍存在焦虑、抑郁及睡眠质量不佳的情况,群组管理模式可增强其心理韧性、改善睡眠质量,对于能否降低患者负性情绪的发生率需进一步探讨。

Objective To explore the effect of group management mode on the mental toughness,sleep quality and negative emotions of the first batch of patients infected with the novel coronavirus omicron variant during the recovery period.Methods Convenience sampling was used to select 132 patients infected with the novel coronavirus omicron variant in convalescent period,they were admitted to a designated rehabilitation hospital for these kind of patients in Tianjin from January to March 2022 and assigned as the research objects;the group management mode was conducted for them,and their psychological toughness,sleep quality,and negative emotions such as anxiety and depression before and after the intervention were compared.Results After group management interference,the patients'incidences of anxiety and depression were significantly lower than those before the intervention(11.37%vs.18.94%,17.42%vs.27.27%),but the differences showed no statistical significance(both P>0.05);the scores of self-rating anxiety scale(SAS)before and after the intervention had no obvious changes(P>0.05),self-rating depression scale(SDS)were lower after the intervention than before the intervention,and the difference was statistically significant(score:41.35±10.62 vs.45.13±12.18,P<0.05);after the intervention,the psychological resilience and sleep quality of the patients were better than those before intervention[psychological resilience score(score):73.99±16.51 vs.67.31±15.87,the percentage of the poor sleep quality of patients:59.8%vs.79.5%,both P<0.05];in all dimensions of Pittsburgh sleep quality index(PSQI)after the intervention,except the scores of sleep quality and hypnotic drugs,the scores of other dimensions were significantly improved,and the total score of PSQI was significantly lower than that before the intervention(6.60±3.72 vs.8.21±3.08,P<0.05).Conclusions Convalescent patients infected with the novel coronavirus omicron variant still have anxiety,depression and poor sleep quality.The group management model can enhance the psychological resilience and improve sleep quality,but in regard of whether the mode can or cannot lower the incidence of negative emotion of this kind of patients needs to be further explored.