系统化失眠方案对冠心病合并失眠患者负性情绪、睡眠质量及心血管事件的影响

Effects of systematic insomnia program on negative emotions,sleep quality,and cardiovascular events in patients with coronary heart disease complicated with insomnia

目的探讨系统化失眠方案对冠心病合并失眠患者负性情绪、睡眠质量及心血管事件的影响。方法选取2023年2月至6月宁波大学附属第一医院收治的100例冠心病合并失眠患者,根据随机数字表法将其分为系统组和常规组,各50例。系统组采用系统化失眠方案,常规组采用常规干预,均干预2周。比较两组干预前后负性情绪[汉密尔顿焦虑量表(HAMA)及汉密尔顿抑郁量表(HAMD)]、睡眠质量[匹兹堡睡眠质量指数量表(PSQI)]及心血管事件。结果干预后,两组HAMA评分、HAMD评分、PSQI总分均较干预前降低,系统组低于常规组,差异有统计学意义(P<0.05)。系统组心血管事件总发生率低于常规组,差异有统计学意义(P<0.05)。结论系统化失眠方案可有效改善冠心病合并失眠患者的负性情绪,提高睡眠质量,并降低心血管事件风险。

Objective To explore the effects of systematic insomnia program on negative emotions,sleep quality,and cardiovascular events in patients with coronary heart disease complicated with insomnia.Methods A total of 100 patients with coronary heart disease combined with insomnia treated in the First Affiliated Hospital of Ningbo University from February to June 2023 were selected and they were divided into system group and conventional group according to random number table method,with 50 cases in each group.The systematic insomnia program was used in system group,and the conventional group was used in routine intervention for two weeks.Negative emotions(Hamilton anxiety scale[HAMA]and Hamilton depression scale[HAMD]),sleep quality(pittsburgh sleep quality index[PSQI])and cardiovascular events were compared between the two groups before and after the intervention.Results After intervention,HAMA score,HAMD score and PSQI total score of two groups were lower than before intervention,while the system group was lower than the conventional group,the differences were statistically significant(P<0.05).The total incidence of cardiovascular events in system group was lower than that in conventional group,and the difference was statistically significant(P<0.05).Conclusion Systematic insomnia program can effectively improve the negative emotions of patients with coronary heart disease complicated with insomnia,improve sleep quality,and reduce the risk of cardiovascular events.