健康教育对门诊颈椎病伴失眠患者的影响

The Impact of Health Education on Outpatient Patients with Cervical Spondylosis and Insomnia

目的:分析健康教育对门诊颈椎病伴失眠患者的影响。方法:选取2022年1月至2023年1月厦门市第五医院收治的颈椎病伴失眠患者120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60例。对照组采用常规护理,观察组在常规护理的基础上增加健康教育。比较2组经护理后的主观睡眠质量、客观睡眠质量、心理状态、睡前颈椎不适症状发生率。结果:护理后,观察组的匹兹堡睡眠质量指数(PSQI)总分低于对照组;观察组的睡眠时间(TST)、深度睡眠时间(DST)较对照组更长,醒觉时间(AT)较对照组更短,睡眠效率(SE)更高于对照组;观察组的焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分低于对照组,差异有统计学意义(P<0.05)。观察组睡前颈椎不适症状发生率明显低于对照组,差异有统计学意义(P<0.05)。结论:对门诊颈椎病伴失眠的患者加强健康教育有显著效果,可改善患者睡眠质量,缓解不良情绪,同时改善睡前不适症状。

Objective:To analyze the impact of health education on outpatient patients with cervical spondylosis and insomnia.Methods:A total of 120 patients with cervical spondylosis and insomnia admitted to Xiamen Fifth Hospital from January 2022 to January 2023 were selected,the study group was randomly divided into a control group and an observation group,with 60 cases each,according to the random number table method.The control group received routine care,while the observation group received additional health education on the basis of routine care.Compare the subjective sleep quality,objective sleep quality,psychological state,and incidence of cervical discomfort symptoms before bedtime between the two groups after nursing care.Results:After nursing,the total PSQI score of the observation group was lower than that of the control group;The TST and SDT time of the observation group were longer than those of the control group,the AT time was shorter than that of the control group,and the SE was higher than that of the control group;The SAS and SDS scores of the study group were lower than those of the control group,with statistically significant differences(P<0.05).The incidence of cervical discomfort symptoms before bedtime in the observation group was significantly lower than that in the control group,with a statistically significant difference(P<0.05).Conclusion:Strengthening health education for patients with cervical spondylosis and insomnia in outpatient clinics has a significant effect,which can improve their sleep quality,alleviate negative emotions,and improve pre sleep discomfort symptoms.