研究心理支持结合延续性干预对脑卒中合并夜间睡眠障碍患者的作用

To Study the Effect of Psychological Support Combined with Continuous Intervention on Patients with Stroke Complicated with Nocturnal Sleep Disorder

目的:分析心理支持联合延续性干预在脑卒中合并夜间睡眠障碍患者中的作用。方法:选取2021年5月至2023年10月厦门大学附属第一医院神经内科收治的脑卒中合并夜间睡眠障碍患者78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39例。对照组在常规护理干预的基础上给予心理支持,观察组在对照组基础上,联合给予延续性护理干预。采用临床神经功能缺损评分标准(CSS)评估2组患者神经功能的改善情况,采用中文版失眠严重程度指数(ISI-C)比较2组患者失眠效果的改善情况。结果:干预4周后,观察组CSS评分、ISI-C评分均显著低于对照组,差异均有统计学意义(均P<0.05)。结论:脑卒中合并夜间睡眠障碍患者在心理支持与延续性干预联合干预下,不仅能降低患者的神经功能缺损程度,还能积极改善患者的睡眠质量,值得临床推广应用。

Objective:To analyze the effect of psychological support combined with continuous intervention in patients with stroke complicated with nocturnal sleep disorders.Methods:A total of 78 patients with stroke combined with night sleep disorder admitted to the Department of Neurology of the First Affiliated Hospital of Xiamen University from May 2021 to October 2023 were selected as the study objects,and were divided into control group and observation group according to random number table method,with 39 cases in each group.The control group was given psychological support on the basis of routine nursing intervention,and the observation group was given continuous nursing intervention on the basis of control group.China Stroke Scale(CSS)was used to evaluate the improvement of neurological function in the 2 groups.Insomnia Severity Index-Chinese Version(ISI-C)was used to compare the improvement of insomnia effect between the two groups.Results:After 4 weeks of intervention,the CSS score and ISI-C score of the observation group were significantly lower than those of the control group,and the differences between the two groups were statistically significant(P<0.05).Conclusion:The combined intervention of psychological support and continuous intervention can not only reduce the degree of neurological impairment,but also actively improve the sleep quality of patients,which is worthy of clinical application.