以共情护理、放松及音乐疗法为主的心理护理对上消化道出血患者睡眠及生命质量的影响分析

Effects of Psychological Nursing with Empathic Nursing,Relaxation and Music Therapy on Sleep and Quality of Life in Patients with Upper Gastrointestinal Bleeding

目的 探讨在上消化道出血患者的护理中采取以共情护理、放松及音乐疗法为主的心理护理的临床效果,观察对患者睡眠与生命质量的影响。方法 随机选取2022年5月—2023年5月青岛市城阳区人民医院收治的80例上消化道出血患者为研究对象,根据对患者实施护理方案进行分组,对照组(n=40,开展常规心理护理)与研究组(n=40,在常规心理护理中开展共情护理、放松及音乐疗法),对比两组负性情绪评分[汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)、汉密尔顿抑郁自评量表(Hamilton Depression Scale,HAMD)、恐惧量表评分(First Aviation Services,FAVS)]、心理弹性量表评分(Connor-Davidson Resilience Scale,CDRISC)、匹兹堡睡眠指数评分(Pittsburgh Sleep Quality Index,PSQI)、生活质量综合评定问卷(Generic Quality of Life Inventory-74,GQOLI-74)。结果相比于对照组,研究组HAMA(7.66±0.75)分、HAMD(6.82±0.87)分、FAVS(1.68±0.31)分均较低,差异有统计学意义(t=15.286、13.417、17.235,P<0.05);研究组心理弹性量表评分:力量性(29.53±2.14)分、坚韧性(49.51±2.14)分、乐观性(14.23±1.42)分均高于对照组,差异有统计学意义(t=7.011、11.899、8.182,P<0.05);研究组睡眠质量总分(6.82±0.65)分,低于对照组,差异有统计学意义(t=17.175,P<0.05);研究组躯体功能(86.65±4.48)分、心理功能(85.27±3.61)分、物质功能(86.63±3.81)分及社会功能(87.53±4.04)分均高于对照组,差异有统计学意义(t=4.845、6.075、5.243、6.248,P<0.05)。结论 在上消化道出血患者的护理中开展以共情护理、放松疗法及音乐疗法为主的心理护理可缓解其负面情绪,改善其心理状态,提高患者的心理健康水平,可促进病症的好转,显著提高患者睡眠质量以及生活质量。

Objective To explore the clinical effect of psychological nursing with empathy nursing,relaxation and music therapy in the nursing of patients with upper gastrointestinal bleeding,and observe the influence on sleep and quality of life of patients.Methods A total of 80 patients with upper gastrointestinal hemorrhage admitted to Qingdao Chengyang District People's Hospital from May 2022 to May 2023 were randomly selected as the study objects and grouped according to the nursing plan.The control group(n=40,receiving routine psychological nursing) and the study group(n=40,receiving empathy nursing,relaxation,and music therapy in routine psychological nursing).The negative emotion score [Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD),first aviation services(FAVS)],Connor-Davidson resilience scale(CD-RISC),Pittsburgh sleep quality interview(PSQI) and generic quality of life inventory-74(GQOLI-74) were compared.Results Compared with the control group,HAMA(7.66±0.75) points,HAMD(6.82±0.87) points and FAVS(1.68±0.31) points were lower in the study group,and the differences were statistically significant(t=15.286,13.417,17.235,P<0.05).The scores of strength(29.53±2.14) points,tenacity(49.51±2.14) points and optimism(14.23±1.42) points of the study group were higher than those of the control group,and the differences were statistically significant(t=7.011,11.899,8.182,P<0.05).The total scores of sleep quality in the study group(6.82±0.65) points were lower than those in the control group,and the differences were statistically significant(t=17.175,P<0.05).Physical function(86.65±4.48) points,psychological function(85.27±3.61) points,physical function(86.63±3.81) points and social function(87.53±4.04) points in the study group were higher than those in the control group,and the differences were statistically significant(t=4.845,6.075,5.243,6.248,P<0.05).Conclusion In the nursing of patients with upper gastrointestinal bleeding,psychological nursing mainly including empathy nursing,relaxation therapy and music therapy can alleviate their negative emotions,improve their psychological state,improve their mental health level,and promote the improvement of the disease,and significantly improve the quality of sleep and life of patients.