加速康复理念下认知行为干预对缺血性脑卒中共病糖尿病失眠患者睡眠质量及自我感受负担的影响

Effect of cognitive behavioral intervention based on accelerated rehabilitation concept on sleep quality and perceived burden in patients with ischemic stroke combined with insomnia and diabetes

目的 探讨基于加速康复理念的认知行为干预对缺血性脑卒中共病糖尿病失眠患者睡眠质量和自我感受负担的影响。方法 将2022-11—12郑州大学附属郑州中心医院治疗的缺血性脑卒中共病糖尿病的失眠患者80例随机分为对照组和试验组各40例。试验组实施认知行为干预,对照组实施常规护理干预。干预1个月后观察2组患者睡眠质量和自我感受负担水平。结果 2组患者干预前的PSQI及SPBS评分比较差异无统计学意义(P>0.05);干预后2组患者的PSQI及SPBS评分比较差异均有统计学意义(P<0.05)。干预后对照组患者的PSQI及SPBS评分与干预前比较差异均无统计学意义(P>0.05),试验组患者的PSQI及SPBS评分与干预前比较差异均有统计学意义(P<0.05)。结论 基于加速康复理念的认知行为干预可改善缺血性脑卒中共病糖尿病失眠患者的睡眠质量,降低其自我感受负担,对临床治疗具有重要意义。

Objective To explore the effect of cognitive behavioral intervention based on accelerated reha-bilitation concept on sleep quality and perceived burden in patients with ischemic stroke comorbidities diabetes in-somnia.Methods A total of 80 patients with insomnia in ischemic comorbidities diabetes who received treatment in Zhengzhou Central Hospital Affiliated to Zhengzhou University from November 2022 to December 2022 were di-vided into control group and experimental group according to random number table method,with 40 cases in each group.The experimental group received cognitive behavior intervention,and the control group received routine nursing intervention.After 1 month of intervention,the sleep quality and perceived burden level of patients in the two groups were observed.Results There was no significant difference in PSQI and SPBS scores between the two groups before intervention(P>0.05).After intervention,there were significant differences in PSQI and SPBS scores between the two groups(P<0.05).There were no significant differences in PSQI and SPBS scores in control group after intervention than those before intervention(P>0.05).There were statistically significant differences in PSQI and SPBS scores of experimental groups after intervention than those before intervention(P<0.05).Conclusion Cognitive behavioral intervention based on accelerated rehabilitation concept can improve the sleep quality of patients with ischemic stroke comorbidities diabetes insomnia,and reduce their perceived burden,which is of great significance for clinical treatment.