正念减压干预对卒中后睡眠障碍患者的治疗效果及其对情绪的影响

Effect of mindfulness decompression intervention on quality of sleep and mood in stroke patients withsleep disorders

目的 探讨正念减压干预对卒中后睡眠障碍者睡眠-醒觉行为及焦虑、抑郁情绪的作用。方法 本研究对象为2020年2月~2022年2月我院96例卒中后睡眠障碍患者,数字表法随机分为两组,各48例。对照组采用常规护理,观察组采用正念减压干预,比较护理前后总睡眠时间、醒觉时间等睡眠-醒觉行为,评估护理前后焦虑自评量表(SAS)、抑郁自评量表(SDS)、美国国立卫生研究院卒中量表(NIHSS)。结果 护理后两组总睡眠时间增加,醒觉次数、醒觉时间、总微醒觉次数显著降低,且护理后观察组各项睡眠-醒觉行为均优于对照组(P<0.05);护理后两组SAS评分、SDS评分、NIHSS评分显著降低,且护理后观察组均显著低于对照组(P<0.05)。结论 正念减压干预能有效改善卒中后睡眠障碍者睡眠-醒觉行为,降低焦虑、抑郁情绪,并促进神经功能的恢复。

Objective To explore the effect of mindfulness decompression intervention on sleep,anxiety and depression in patients with sleep disorder after stroke.Methods The subjects of this study were 96 patients with post-stroke sleep disorder in our hospital from February 2020 to February 2022.They were randomly divided into two groups by numerical table method,48 patients in each group.The control group received routine nursing care,while the observation group received mindfulness decompression intervention.The total sleep time,waking time and other sleep wake behaviors were compared before and after nursing.SAS,SDS and NIHSS were evaluated before and after nursing.Results After nursing,the total sleep time of the two groups increased,and the times of awakening,time of awakening,and total times of micro awakening decreased significantly.The sleep wake behaviors of the observation group after nursing were better than those of the control group(P<0.05).SAS score,SDS score and NIHSS score in the two groups decreased significantly after nursing,and the observation group was significantly lower than the control group after nursing(P<0.05).Conclusion Mindfulness decompression intervention can effectively improve sleep wake behavior,reduce anxiety and depression,and promote the recovery of neural function in patients with sleep disorders after stroke.