睡眠干预联合心理疏导对脑外伤合并失眠症患者睡眠质量的干预效果分析

Intervention Effect Analysis of Sleep Intervention Combined with Psychological Counseling on Sleep Quality of Patients with Insomnia Due to Brain Trauma

目的:分析睡眠干预联合心理疏导对脑外伤合并失眠症患者睡眠质量的干预效果。方法:选取福建医科大学附属协和医院神经外科5区收治的脑外伤合并失眠症患者80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40例。对照组给予常规护理干预,观察组联合应用睡眠干预以及心理疏导,采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的差异,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)比较2组患者焦虑、抑郁症状改善情况,比较2组患者护理满意度。结果:护理干预后,观察组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(均P<0.05)。结论:脑外伤并发失眠症患者联合应用睡眠干预、心理疏导可以全面提升患者整体睡眠质量,有利于帮助患者宣泄负性情绪,护理效果较为突出,值得临床推广使用。

Objective:To analyze the effect of sleep intervention combined with psychological counseling on sleep quality of patients with insomnia due to brain trauma.Methods:A total of 80 patients with cerebral trauma complicated with insomnia admitted to the 5th Ward of Neurosurgery Department,Union Hospital Affiliated to Fujian Medical University were selected as the research objects,and were divided into observation group and control group according to the random number table method,with 40 cases in each group.The control group was given routine nursing intervention,and the observation group was combined with Sleep intervention and psychological counseling.Pittsburgh Sleep Quality Index(PSQI)was used to compare the difference of sleep quality between 2 groups.The Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were used to compare the improvement of anxiety and depression symptoms between 2 groups,and the nursing satisfaction of 2 groups was compared as well.Results:After nursing intervention,SAS score,SDS score and PSQI score of the observation group were significantly lower than the control group,and nursing satisfaction of the observation group was significantly higher than the control group,the differences between the 2 groups were statistically significant(P<0.05).Conclusion:The combined application of sleep intervention and psychological counseling for insomnia patients with brain trauma can comprehensively improve the overall sleep quality of patients,which is conducive to helping patients vent negative emotions.The nursing effect is more prominent,which is worthy of clinical promotion and use.