Sepsis one-hour bundle management combined with psychological intervention on negative emotion and sleep quality in patients with sepsis

BACKGROUND Sepsis is a serious infectious disease caused by various systemic inflammatory responses and is ultimately life-threatening.Patients usually experience depression and anxiety,which affect their sleep quality and post-traumatic growth levels.AIM To investigate the effects of sepsis,a one-hour bundle(H1B)management was combined with psychological intervention in patients with sepsis.METHODS This retrospective analysis included 300 patients with sepsis who were admitted to Henan Provincial People’s Hospital between June 2022 and June 2023.According to different intervention methods,the participants were divided into a simple group(SG,n=150)and combined group(CG,n=150).H1B management was used in the SG and H1B management combined with psychological intervention was used in the CG.The changes of negative emotion,sleep quality and post-traumatic growth and prognosis were compared between the two groups before(T0)and after(T1)intervention.RESULTS After intervention(T1),the scores of the Hamilton Anxiety scale and Hamilton Depression scale in the CG were significantly lower than those in the SG(P<0.001).Sleep time,sleep quality,sleep efficiency,daytime dysfunction,sleep disturbance dimension score,and the total score in the CG were significantly lower than those in the SG(P<0.001).The appreciation of life,mental changes,relationship with others,personal strength dimension score,and total score of the CG were significantly higher than those of the SG(P<0.001).The scores for mental health,general health status,physiological function,emotional function,physical pain,social function,energy,and physiological function in the CG were significantly higher than those in the SG(P<0.001).The mechanical ventilation time,intensive care unit stay time,and 28-d mortality of the CG were significantly lower than those of the SG(P<0.05).CONCLUSION H1B management combined with psychological intervention can effectively alleviate the negative emotions of patients with sepsis and increase their quality of sleep and life.

Personalized and continuous care intervention affects rehabilitation,living quality,and negative emotions of patients with breast cancer

BACKGROUND Breast cancer is among the most common malignancies worldwide.With progress in treatment methods and levels,the overall survival period has been prolonged,and the demand for quality care has increased.AIM To investigate the effect of individualized and continuous care intervention in patients with breast cancer.METHODS Two hundred patients with breast cancer who received systemic therapy at The First Affiliated Hospital of Hebei North University(January 2021 to July 2023)were retrospectively selected as research participants.Among them,134 received routine care intervention(routing group)and 66 received personalized and continuous care(intervention group).Self-rating anxiety scale(SAS),self-rating depression scale(SDS),and Functional Assessment of Cancer Therapy-Breast(FACT-B)scores,including limb shoulder joint activity,complication rate,and care satisfaction,were compared between both groups after care.RESULTS SAS and SDS scores were lower in the intervention group than in the routing group at one and three months after care.The total FACT-B scores and five dimensions in the intervention group were higher than those in the routing group at three months of care.The range of motion of shoulder anteflexion,posterior extension,abduction,internal rotation,and external rotation in the intervention group was higher than that in the routing group one month after care.The incidence of postoperative complications was 18.18%lower in the intervention group than in the routing group(34.33%;P<0.05).Satisfaction with care was 90.91% higher in the intervention group than in the routing group(78.36%;P<0.05).CONCLUSION Personalized and continuous care can alleviate negative emotions in patients with breast cancer,quicken rehabilitation of limb function,decrease the incidence of complications,and improve living quality and care satisfaction.

Effects of different intervention methods on psychological flexibility,negative emotions and sleep quality in chronic hepatitis B

BACKGROUND Patients with chronic hepatitis B(CHB)experience various problems,including low psychological flexibility,negative emotions,and poor sleep quality.Therefore,effective nursing interventions are required to reduce adverse events.Acceptance and commitment therapy(ACT)combined with enabling cognitivebehavioral education(ECBE)can improve patients'psychological and sleep.Therefore,we speculate that this may also be effective in patients with CHB.AIM To investigate the effects of different intervention methods on psychological flexibility,negative emotions,and sleep quality in patients with CHB.METHODS This retrospective study examined clinical and evaluation data of 129 patients with CHB.Intervention methods were divided into a conventional group(routine nursing,n=69)and a combination group(ACT combined with ECBE,n=60).We observed changes in psychological flexibility,negative emotions,sleep quality,and self-care ability in both groups.Observation items were evaluated using the Acceptance and Action Questionnaire-2nd Edition(AAQ-II),Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),Pittsburgh Sleep Quality Index(PSQI),and Exercise of Self-Care Agency Scale(ESCA).RESULTS Compared with the conventional group,the AAQ-II score of the combined group was lower(F_(between-group effect)=8.548;F_(time effects)=25.020;F_(interaction effects)=52.930;all P<0.001),the SAS score(t=5.445)and SDS score(t=7.076)were lower(all P<0.001),as were the PSQI dimensions(tsleep quality=4.581,tfall sleep time=2.826,tsleep time=2.436,tsleep efficiency=5.787,tsleep disorder=5.008,thypnotic drugs=3.786,tdaytime dysfunction=4.812);all P<0.05).The ESCA scores for all dimensions were higher(thealth knowledge level=6.994,t self-concept=5.902,tself-responsibility=19.820,tself-care skills=8.470;all P<0.001).CONCLUSION ACT combined with ECBE in patients with CHB can improve psychological flexibility and sleep quality,alleviate negative emotions,and improve self-care.

Impact of web-based positive psychological intervention on emotions,psychological capital,and quality of life in gastric cancer patients on chemotherapy

BACKGROUND Gastric cancer is a malignant digestive tract tumor that originates from the epithelium of the gastric mucosa and occurs in the gastric antrum,particularly in the lower curvature of the stomach.AIM To evaluate the impact of a positive web-based psychological intervention on emotions,psychological capital,and quality of survival in gastric cancer patients on chemotherapy.METHODS From January 2020 to October 2023,121 cases of gastric cancer patients on chemotherapy admitted to our hospital were collected and divided into a control group(n=60)and an observation group(n=61)according to the admission order.They were given either conventional nursing care alone and conventional nursing care combined with web-based positive psychological interventions,respectively.The two groups were compared in terms of negative emotions,psychological capital,degree of cancer-caused fatigue,and quality of survival.RESULTS After intervention,the number of patients in the observation group who had negative feelings toward chemotherapy treatment was significantly lower than that of the control group(P<0.05);the Positive Psychological Capital Questionnaire score was considerably higher than that of the control group(P<0.05);the degree of cancer-caused fatigue was significantly lower than that of the control group(P<0.05);and the Quality of Life Scale for Cancer Patients(QLQ-30)score was significantly higher than that of the control group(P<0.05).CONCLUSION Implementing a web-based positive psychological intervention for gastric cancer chemotherapy patients can effectively improve negative emotions,enhance psychological capital,and improve the quality of survival.

Sleep Quality and Emotional Adaptation among Freshmen in Elite Chinese Universities during Prolonged COVID-19 Lockdown:The Mediating Role of Anxiety Symptoms

Under the effects of COVID-19 and a number of ongoing lockdown tactics,anxiety symptoms and poor sleep quality have become common mental health issues among college freshmen and are intimately related to their emotional adaptation.To explore this connection,this study gathered data from a sample of 256 freshmen enrolled in an elite university in China in September 2022.The association between sleep quality,anxiety symptoms,and emotional adaptation was clarified using correlation analysis.Additionally,the mediating function of anxiety symptoms between sleep quality and emotional adaptation was investigated using a structural equation model.The results reveal that:(1)Chinese elite university freshmen who were subjected to prolonged lockdown had poor sleep quality and mild anxiety symptoms;(2)a significant positive correlation between poor sleep quality and anxiety symptoms was identified;(3)anxiety symptoms were found to have a significant negative impact on emotional adaptation;(4)poor sleep quality had a negative impact on emotional adaptation through anxiety symptoms.This research makes a valuable contribution by offering insights into the intricate relationship between sleep quality and emotional adaptation among freshmen in elite Chinese universities during prolonged lockdown conditions,and it is beneficial for schools and educators to further improve school schedules and psychological health initiatives.

Effects of positive thinking intervention on negative emotions and quality of life in stroke patients:a scoping review

Objective:To analyze domestic and international studies on the effects of positive thought intervention therapy on negative emotions and the quality of life of stroke patients to provide a reference for future related studies.Methods:Using the scoping review method as a guide,computer searches of PubMed,Web of Science,Embase,Cochrane Library,China National Knowledge Infrastructure,Wanfang Database,China Vipers Full Text Database and China Biomedical Literature Database were conducted to collect relevant studies on the application of positive thinking interventions in stroke patients from the establishment to January 2023,and the literature was screened according to the inclusion and exclusion criteria,and the data were extracted and analyzed by two investigators independently.Results:The search yielded 964 publications,and a total of 19 were included.The time of publication,study site,study population,study design,study length,and type of results of the included studies was summarized and analyzed.Conclusions:Positive thinking-based interventions have shown significant changes in negative emotions such as anxiety and depression in stroke patients and can reduce somatic pain,enhance their social integration,and improve their quality of life.However,interventions in the areas of self-compassion,artificial intelligence and the adoption of tailoring need to be further explored.

SLEEP-MAD模式护理策略在结直肠癌病人术后护理中的应用

目的:探讨SLEEP-MAD模式护理策略在结直肠癌病人术后护理中的应用价值。方法:2022年5月—2023年5月选取医院收治的86例结直肠癌病人为研究对象,按照随机数字表法将病人分为观察组、对照组各43例,对照组行常规护理,观察组实施SLEEP-MAD模式护理策略,干预前后采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、视觉模拟疼痛评分表(VAS)、匹兹堡睡眠质量指数量表(PSQI)、癌因性疲乏评分及欧洲癌症研究与治疗组织生命质量量表(EORTC QLQ-C30)评价病人的不良情绪、疼痛感、癌因性疲乏、睡眠质量及生活质量。结果:干预后观察组病人HAMA、HAMD、VAS、PSQI及癌因性疲乏评分低于对照组(P<0.05);干预后观察组病人EORTC QLQ-C30评分高于对照组(P<0.05)。结论:SLEEP-MAD模式护理策略可有效减轻结直肠癌病人焦虑及抑郁情绪,减轻病人术后疼痛感及癌因性疲乏,改善病人睡眠质量及生活质量。

SLEEP-MAD模式护理策略在肝癌TACE介入治疗患者中的应用效果

目的:探讨SLEEP-MAD模式护理策略在肝癌肝动脉化疗栓塞术(TACE)介入治疗患者中的应用效果。方法:选择2019年9月1日~2020年9月30日就诊的TACE介入治疗的肝癌患者200例,按随机数字表法分为观察组和对照组各100例;对照组采用常规模式护理,观察组在对照组基础上采用SLEEP-MAD模式护理。比较两组癌因性疲乏程度,负性情绪[采用焦虑自评量表(SAS)、抑郁自评量表(SDS)],睡眠质量[采用匹兹堡睡眠质量指数量表(PSQI)],生活质量[采用癌症患者生活质量测定量表(QLQ-C30)]和护理满意度。结果:干预后,观察组癌因性疲乏程度评分低于对照组(P<0.01);干预后,两组SAS、SDS、PSQI评分均低于干预前(P<0.05),且观察组低于对照组(P<0.05);干预后,两组QLQ-C30各维度评分均高于干预前(P<0.05),且观察组高于对照组(P<0.05);观察组护理满意度评分高于对照组(P<0.01)。结论:对接受TACE介入治疗的肝癌患者应用SLEEP-MAD模式护理策略干预,可减轻患者癌因性疲乏程度,缓解焦虑、抑郁情绪,改善睡眠质量,提高生活质量和满意度。

SLEEP-MAD干预模式对ICU患者睡眠质量的影响

目的探讨SLEEP-MAD干预模式对ICU患者睡眠质量和负性情绪的影响。方法将2020年1月-12月ICU收治的58例重症患者设为对照组,将2021年1月-12月ICU收治的60例重症患者设为观察组。在实施重症专科护理基础上,对照组给予常规睡眠管理,观察组采用SLEEP-MAD干预模式实施睡眠管理,比较2组失眠严重程度、睡眠质量及负性情绪。结果干预后观察组失眠严重程度轻于对照组(Z=-3.585,P<0.001),睡眠质量优于对照组(t=7.431,P<0.001),焦虑及抑郁评分均低于对照组(t=16.765,P<0.001;t=16.245,P<0.001)。结论将SLEEP-MAD干预模式应用于ICU睡眠障碍患者中,可有效改善患者的睡眠质量,减轻其负性情绪,从而减轻患者的失眠严重程度。

多学科团队模式干预对老年帕金森病患者情绪睡眠及生活质量的影响

目的探讨多学科团队模式干预对老年帕金森病患者负性情绪、睡眠障碍及生活质量的影响。方法以86例老年帕金森病患者为研究对象,按入院顺序分为对照组和观察组各43例。两组患者均接受常规诊疗,观察组患者在常规诊疗基础上接受多学科团队模式干预。比较两组患者干预前后汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)、帕金森睡眠量表(PDSS)和帕金森病患者生活质量问卷(PDQ-39)的评分。结果干预后两组患者HAMD评分、HAMA评分、PDQ-39评分均较干预前降低,且观察组低于对照组(P<0.05或0.01);干预后两组患者PDSS评分均较干预前升高,且观察组高于对照组(P<0.05或0.01)。结论对老年帕金森病患者应用多学科团队模式干预可以缓解负性情绪、改善睡眠、提高生活质量。

快速康复护理模式对老年慢性鼻窦炎行鼻内镜手术患者的效果

目的探讨老年慢性鼻窦炎行鼻内镜手术患者采用快速康复护理模式的干预效果。方法选取2020年6月—2022年6月厦门大学附属第一医院收治的老年慢性鼻窦炎行鼻内镜手术患者114例,随机数字表法分为研究组与对照组,各57例。对照组与研究组分别采用常规护理干预、快速康复护理模式,对比2组的护理效果。结果干预后,研究组汉密尔顿抑郁量表(Hamilton depression scale,HAMD)评分(6.22±1.56)分,汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)评分(6.77±1.53)分,均低于对照组的(9.64±2.91)分、(10.46±2.78)分(t=7.820、8.779,P<0.05)。研究组术后3 d的口干、耳鸣、流泪及眼胀痛、头痛、鼻塞、鼻部疼痛评分均低于对照组(P<0.05)。研究组生活质量(WHO quality of life-100,WHOQOL-100)评分高于对照组(P<0.05)。研究组匹茨堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评分低于对照组(P<0.05)。结论老年慢性鼻窦炎行鼻内镜手术患者采用快速康复护理模式不仅能有效缓解负面情绪,还可以显著减轻其临床症状,提高其生活质量和睡眠质量。此文的研究结果为老年慢性鼻窦炎行鼻内镜手术患者围手术期的护理标准制定提供了借鉴内容。

基于保护动机模式的护理对子宫肌瘤患者自护能力、并发症、情绪状态、睡眠及生活质量的影响

目的探讨基于保护动机模式的护理对子宫肌瘤患者自护能力、并发症、情绪状态、睡眠及生活质量的影响。方法按照入院顺序对2023年1月-12月福建省妇幼保健院的60例患者进行编码,按照单双数来确定对照组(30例,常规护理)和干预组(30例,基于保护动机模式的护理)。比较两组患者自护能力、并发症、情绪状态、睡眠质量、生活质量。结果干预组ESCA 4项评分均高于对照组(P<0.05)。干预组出现切口感染、恶心、呕吐、高热4项并发症患者低于对照组(P<0.05)。干预组及对照组SAS、SDS评分与护理前比均降低,且干预组低于对照组(P<0.05)。干预组睡眠质量7项PSQI指标均低于对照组(P<0.05)。两组SF-36评分均较护理前提高,干预组高于对照组(P<0.05)。结论干预组方法能够减少子宫肌瘤患者术后并发症的产生,情绪状态更佳,其睡眠质量、自我护理能力均得到了提高,患者生活质量更高。

良性前列腺增生伴夜尿症患者术后睡眠质量及与负性情绪的相关性分析

目的探讨良性前列腺增生(BPH)伴夜尿症患者术后睡眠质量及与负性情绪的相关性。方法选取103例BPH伴夜尿症患者为研究对象,所有患者均实施经尿道前列腺切除术(TURP)。收集患者相关临床资料;采用国际前列腺症状评分(IPSS)评估患者症状严重程度,采用匹兹堡睡眠质量指数(PSQI)评估患者睡眠质量,并根据术后PSQI评分将患者分为睡眠正常组69例(PSQI总分<5.5分)与睡眠障碍组34例(PSQI总分≥5.5分);采用汉密顿焦虑量表(HAMA)与汉密顿抑郁量表(HAMD)评估患者焦虑与抑郁负性情绪;应用Spearman相关性分析评估患者睡眠质量与负性情绪的相关性,采用Logistic回归分析探讨患者TURP术后睡眠障碍的影响因素,绘制受试者工作特征(ROC)曲线,以曲线下面积(AUC)评估负性情绪对患者TURP术后睡眠质量的预测效能。结果术后患者PSQI总分及各维度评分、HAMA评分、HAMD评分均低于术前(P<0.01)。术后睡眠障碍组患者IPSS评分、HAMA评分、HAMD评分均高于睡眠正常组(P<0.01)。术后患者PSQI评分与HAMA评分、HAMD评分、IPSS评分均呈正相关(P<0.01)。多因素Logistic回归分析结果显示,HAMA评分、HAMD评分是术后患者睡眠质量出现障碍的危险因素(P<0.01)。ROC曲线分析结果显示,HAMA评分、HAMD评分及两者联合对患者术后睡眠障碍预测的AUC分别为0.837、0.788、0.904。结论BPH伴夜尿症患者TURP术后睡眠质量提高,负性情绪得到改善。HAMA评分、HAMD评分两者联合对患者TURP术后睡眠质量的预测效能较高。

时辰节律的用药指导联合耳穴埋籽对老年高血压患者遵医行为、睡眠质量和情志状态的影响

目的:探讨基于时辰节律的用药指导联合耳穴埋籽对老年高血压患者遵医行为、睡眠质量和情志状态的影响。方法:选取2021年3月-2023年12月在某院收治的213例老年高血压患者,根据入院顺序和组间基本资料具可比性的原则分为观察组(2022年12月—2023年12月,n=106)和对照组(2021年3月——2022年11月,n=107),两组患者均予以基于时辰节律的用药指导,观察组联合耳穴埋籽,观察两组患者血压控制、睡眠质量、情志状态、遵医行为和生活质量变化。结果:两组干预后收缩压、舒张压均较干预前有所下降,且观察组血压下降幅度高于对照组(t=7.232,19.046;P<0.05);两组干预后匹兹堡睡眠质量指数(PSQI)评分和抑郁(SDS)、焦虑自评量表(SAS)评分均较干预前下降,且观察组PSQI评分和SAS、SDS评分均低于对照组(t=8.602,7.635,10.045;P<0.05);观察组在用药管理、生活管理和定期复查的遵医行为均优于对照组(χ^(2)=5.357,17.453,8.819;P<0.05)。两组生活质量各维度评分均较干预前均上升,且观察组生活质量各维度评分高于对照组(t=5.648,3.441,3.457,3.971,8.766;P<0.05)。结论:基于时辰节律的用药指导联合耳穴埋籽可有效控制老年高血压患者的血压波动,提升睡眠质量,改善患者情志状态,进一步提高遵医行为,形成良性循环。

团体积极心理治疗对在校学生抑郁情绪和睡眠质量的影响研究

目的:探讨对初中在校学生实施团体积极心理治疗对其抑郁情绪与睡眠质量的影响效果。方法:选取2021年6月至2021年12月沈阳市精神卫生中心心理健康服务中心收治的初中生600例作为研究对象,按照所接受干预方式的不同分为对照组和观察组,每组300例。其中对照组不接受任何干预,观察组接受团体积极心理治疗。结果:前测结果显示,干预前2组抑郁情绪平均得分与睡眠评分结果组间差异均无统计学意义(均P>0.05);干预6个月后,组间比较后测结果,观察组抑郁情绪平均得分与睡眠评分均显著低于同一时间点对照组,差异均有统计学意义(均P<0.05)。结论:对初中在校学生实施团体积极心理治疗可以显著改善其抑郁程度,并提升学生的睡眠质量。

多元化教育支持联合纽曼系统干预对宫颈癌术后情绪及睡眠的影响

目的:分析宫颈癌手术患者开展多元化教育支持联合纽曼系统干预的价值。方法:选取2022年8月至2023年8月厦门大学附属第一医院妇产科收治的宫颈癌患92例作为研究对象,随机分为对照组和观察组,每组46例。对照组(n=46)行常规护理,观察组(n=46)行多元化教育支持联合纽曼系统干预。评估二组多导睡眠监测参数、睡眠质量、负性情绪、癌性疲乏。结果:与对照组比较,观察组干预后睡眠效率显著提高(P<0.05),睡眠潜伏期、匹兹堡睡眠质量指数(PSQI)、医院焦虑抑郁量表(HADS)、Piger癌性疲乏量表(PFS)显著降低(P<0.05)。结论:宫颈癌手术患者开展多元化教育支持联合纽曼系统干预能够改善睡眠质量,缓解负性情绪与癌性疲乏。

“双减”背景下家庭因素对小学高段学生睡眠质量的影响——基于对成渝地区408名小学生调查

为了解成渝地区小学高段学生睡眠质量,探索“双减”背景下家庭功能、感知父母冲突和情绪安全感对小学高段学生睡眠质量的影响,运用家庭功能问卷、父母冲突儿童知觉量表、情绪安全感问卷和匹兹堡睡眠质量指数量表等研究工具对成都市、重庆市两所学校共408名小学高段学生展开调查。调查发现,67.28%的成渝地区小学高段学生能在22时前入睡,82.20%的成渝地区小学高段学生能保障每日9小时以上睡眠,且睡眠障碍检出率显著低于“双减”前同年龄段多地结果;家庭功能、感知父母冲突、情绪安全感与小学高段学生睡眠质量显著相关,其中情绪安全感能显著负向预测学生睡眠质量,这说明“双减”后成渝地区小学高段学生睡眠质量有所提高,且家庭因素对小学高段学生睡眠质量影响显著。基于此,建议家庭成员间要有合理的角色分工与积极的情感支持,家长要帮助子女建立情绪安全感,并引导子女形成良好的睡眠习惯和健康的生活模式来保障子女拥有良好的睡眠质量。

黄芪桂枝五物汤联合加巴喷丁治疗尿毒症不宁腿综合征患者的效果

目的:探讨黄芪桂枝五物汤联合加巴喷丁治疗尿毒症不宁腿综合征(RLS)的效果。方法:选取2022年6月—2023年6月湖南中医药大学第一附属医院肾脏内科尿毒症RLS患者60例为研究对象,随机分为对照组和观察组,各30例。对照组使用加巴喷丁治疗,观察组在对照组基础上加用黄芪桂枝五物汤治疗。比较两组临床疗效、睡眠质量、症状指标及情绪状态。结果:观察组总有效率高于对照组,差异有统计学意义(P=0.006);治疗后,两组睡眠质量、睡眠效率、入睡时间、睡眠时间、睡眠障碍、催眠药物、日间功能障碍评分均降低,观察组低于对照组,差异有统计学意义(P<0.05);治疗后,两组国际下肢不宁腿综合征等级评估量表、汉密尔顿焦虑量表、汉密尔顿抑郁量表评分降低,观察组低于对照组,差异有统计学意义(P<0.05)。结论:黄芪桂枝五物汤联合加巴喷丁治疗尿毒症RLS的效果确切,能有效缓解症状,改善睡眠及心理状况。

积极心理干预对大学生睡眠质量、正性情感、抗逆力、心理和谐、总体幸福感的提升效果

目的:探究积极心理干预对大学生的影响。方法:选取某高校361名大学生为研究对象,随机分为实验组(n=178)和控制组(n=183),实验组在常规心理教育的同时增加积极心理干预,控制组给予常规心理教育。比较干预前后两组学生心理和谐、正性情感、抗逆力、睡眠质量、总体幸福感的差异。结果:干预前,实验组控制组得分无显著差异(P>0.05)。干预后,实验组大学生心理和谐(t=2.80,P<0.01)、正性情感(t=2.10,P<0.05)、抗逆力(t=5.30,P<0.01)、总体幸福感(t=2.68,P<0.01)、睡眠质量(t=3.08,P<0.01)等心理健康水平明显高于控制组。结论:给予大学生积极心理干预可明显增强其心理和谐、正性情感、抗逆力、睡眠质量、总体幸福感的水平。

心理护理对甲状腺全切除手术患者的自我效能及情绪、睡眠影响分析

目的探析心理护理在甲状腺全切除手术患者中的应用效果和价值。方法以2023年3月至2024年2月为研究时间区间,纳入此区间本院收治60例行甲状腺全切除手术患者,采用随机数字表法将入选样本归入两组,对照组30例予以常规护理,观察组30例加强心理护理,比较两组自我效能感、情绪状态、睡眠质量。结果护理后,两组自我效能感评分均升高且观察组更高(P<0.05)。护理后,两组STAI评分、CPSS评分均低于护理前且观察组更低(P<0.05)。护理后,两组匹兹堡睡眠质量指数7个维度评分均低于护理前且观察组更低(P<0.05)。结论心理护理对甲状腺全切除手术患者的自我效能感提升、情绪状态和睡眠质量改善等均可产生积极影响,可为甲状腺全切除手术患者提供更加全面和个性化的护理服务,有助于丰富和发展心理护理的理论体系。