积极心理暗示联合协同护理对围绝经期睡眠障碍患者睡眠质量及心理状态的影响

Effect of Combined Synergistic Care by Positive Psychological Hints on Sleep Quality and Psychological Status in Perimenopausal Sleep Disorder Patients

目的:探讨积极心理暗示联合协同护理对围绝经期睡眠障碍患者睡眠质量及心理状态的影响。方法:选取2017年3月至2019年3月厦门大学附属第一医院杏林分院收治的围绝经期睡眠障碍患者74例作为研究对象,按照随机数字表法分为对照组和观察组,每组37例。对照组患者给予常规护理干预,观察组患者予以积极心理暗示联合协同护理,2组均持续护理3个月。比较2组患者护理前、护理3个月后的睡眠质量、心理状态变化,并分析2组护理期间依从性。结果:观察组的总依从率为94.59%(35/37),高于对照组的70.27%(26/37),差异有统计学意义(P<0.05),护理前,比较2组匹兹堡睡眠质量指数(PSQI)量表中各维度评分及总分、抑郁自评量表(SDS)、焦虑自评量表(SAS),差异无统计学意义(P>0.05);护理后,观察组的睡眠时间评分(0.98±0.54)分、睡眠障碍评分(0.82±0.37)分、睡眠质量评分(0.95±0.31)分、入睡时间评分(0.67±0.36)分、催眠药物评分(0.89±0.18)分、睡眠效率评分(0.88±0.34)分、日间功能障碍评分(0.73±0.22)分、总评分(4.11±2.08)分,SDS评分(43.26±3.15)分、SAS评分(43.29±3.11)分均低于对照组的(1.66±0.57)分、(1.27±0.58)分、(1.48±0.49)分、(1.31±0.41)分、(1.55±0.32)分、(1.46±0.52)分、(1.42±0.47)分、(6.11±2.22)分、(48.13±4.27)分、(54.17±3.54)分,差异有统计学意义(P<0.05)。结论:积极心理暗示联合协同护理效果显著,能够有效缓解患者焦虑、抑郁症状,提高睡眠质量,临床应用价值较高。

Objective:To investigate the effects of combined synergistic care with positive psychological cues on sleep quality and psychological status in perimenopausal sleep disorder patients.Methods:A total of 74 patients with perimenopausal sleep disorder admitted to Amygdalin branch,the First Affiliated Hospital of Xiamen University from March 2017 to March 2019 were enrolled,and divided into control group and observation group,37 patients in each group,according to the random number table method.Patients in the control group were given usual care intervention,patients in the observation group were given combined synergistic care by positive psychological hints,and both groups were under continuous care for 3 months.The changes in sleep quality and psychological status before and 3 months after care were compared between the two groups,and adherence during care was analyzed in both groups.Results:The total adherence rate of 94.59%(35/37)in the observation group was higher than that of 70.27%(26/37)in the control group,which was statistically different(P<0.05)before nursing care,comparing the scores of each dimension and the total scores of the Pittsburgh sleep quality index(PSQI),self-rating scale of depression(SDS),and self-rating scale of anxiety(SAS)between the two groups,there was no statistical difference(P>0.05);After nursing care,the observation group showed significantly higher scores for the time to fallasleep(0.98±0.54),sleep disturbance(0.82±0.37),sleep quality(0.95±0.31),sleeping time(0.67±0.36),hypnotic medication(0.89±0.18),sleep efficiency(0.88±0.34),daytime dysfunction(0.73±0.22),total score(4.11±2.08),SDS(43.26±3.15)scores,and The SAS(43.29±3.11)points were all lower than the control(1.66±0.57),(1.27±0.58)points,(1.48±0.49)points,(1.31±0.41)points,(1.55±0.32)points,(1.46±0.52)points,(1.42±0.47)points,(6.11±2.22)points,(48.13±4.27),and(54.17±3.54)points with statistical differences(P<0.05).Conclusion:The positive psychological hints are that the combined synergistic nursing effect is significant,which can effectively alleviate the symptoms of anxiety and depression of patients,improve the quality of sleep,and have high clinical application value.