叙事护理对广泛性焦虑障碍情绪体验及睡眠质量的影响

Influence of narrative nursing's on emotional experience and sleep quality in generalized anxiety disorder

目的:分析叙事护理对广泛性焦虑障碍(GAD)情绪体验及睡眠质量的影响。方法:选取2023年7-9月在我院3个心理病区住院,并服用枸橼酸坦度螺酮的70例GAD患者为研究对象。根据收入病区的顺序单双号分为两组,各35例。对照组患者进行常规护理,观察组在对照组的基础上实施叙事护理干预,比较两组患者睡眠质量、焦虑和抑郁情绪以及服药依从性情况。结果:干预后,两组患者HAMA、HAMD及PSQI得分均低于入院时,且观察组低于对照组(P<0.05);干预后,两组患者MMAS-8得分均高于入院时,且观察组高于对照组(P<0.05)。结论:叙事护理能明显改善GAD患者的焦虑、抑郁情绪以及睡眠状况,提升治疗依从性。

Objective:To analyze the influence of narrative nursing on the emotional experience and sleep quality of generalized anxiety disorder(GAD).Methods:70 GAD patients who were hospitalized in three psychological wards of our hospital from July to September 2023 and took tandospirone citrate were selected as the research objects.They were divided into two groups according to the odd and even numbers of the order of admission to the wards,with 35 cases in each group.The control group received routine nursing,and the observation group implemented narrative nursing intervention on the basis of the control group.The sleep quality,anxiety and depression emotions,and medication compliance of the two groups were compared.Results:After the intervention,the scores of HAMA,HAMD and PSQI in both groups were lower than those at admission,and the observation group showed lower scores of HAMA,HAMD and PSQI than the control group(P<0.05).After the intervention,the scores of MMAS-8 in both groups were higher than those at admission,and the observation group showed higher score of MMAS-8 than the control group(P<0.05).Conclusion:Narrative nursing can significantly improve the anxiety,depression emotions and sleep status of GAD patients and enhance treatment compliance.