个性化心理护理对新冠肺炎疫情期间老年冠心病患者焦虑抑郁及睡眠质量的影响

Effect of individualized psychological nursing on anxiety,depression and sleep quality of elderly patients with coronary heart disease during the COVID-19 epidemic

目的:探讨个性化心理护理干预对新冠肺炎疫情期间老年冠心病患者的焦虑抑郁及睡眠质量的影响。方法:选择2020年1月至2021年2月新冠肺炎期间于我院诊治的老年冠心病患者128例,随机分为对照组(64例,采用常规护理)和干预组(64例,给予个性化心理护理干预),均干预1个月。比较两组患者干预前后的焦虑自评量表(SAS)、抑郁自评量表(SDS)和匹兹堡睡眠质量指数(PSQI)评分的变化。结果:与干预前比较,干预后两组的SAS、SDS、PSQI各维度分和总分均显著降低,P均<0.01;与对照组比较,干预后干预组SAS[(53.31±1.87)分比(32.13±1.24)分]、SDS[(44.14±1.38)分比(33.88±1.06)分]、PSQI总分[(8.98±2.17)分比(7.33±1.26)分]显著降低(P均=0.001)。结论:新型冠状病毒肺炎期间老年冠心病患者应用个性化心理护理干预能够显著缓解焦虑抑郁,改善睡眠质量,有益于改善预后。

Objective:To investigate the effect of individualized psychological nursing intervention on anxiety,depression and sleep quality of elderly patients with coronary heart disease(CHD)during the COVID-19 epidemic.Methods:A total of 128 elderly CHD patients who were treated in our hospital during the COVID-19 epidemic from Jan 2020 to Feb 2021 were selected,and randomly divided into control group(n=64,routine nursing)and intervention group(n=64,received individualized psychological nursing intervention),both groups were treated for one month.The scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS)and Pittsburgh sleep quality index(PSQI)were compared between two groups before and after intervention.Results:Compared with before intervention,after intervention,there were significant reductions in scores of SAS,SDS,all dimensional scores and total score of PSQI in two groups,P<0.01 all;compared with control group after intervention,there were significant reductions in scores of SAS[(53.31±1.87)points vs.(32.13±1.24)points],SDS[(44.14±1.38)points vs.(33.88±1.06)points]and total score of PSQI[(8.98±2.17)points vs.(7.33±1.26)points]in intervention group,P=0.001 all.Conclusion:The application of individualized psychological nursing intervention can significantly alleviate patient's anxiety and depression,improve quality of sleep in elderly CHD patients during the COVID-19 epidemic,which helps to improve prognosis.