摘要
目的探讨整合式心理干预联合中药香囊疗法对脑卒中后睡眠障碍患者的效果。方法选取2019年3月—2020年6月脑卒中后睡眠障碍患者92例为研究对象,按照组间基本特征具有可比性的原则分为对照组45例和观察组47例,对照组进行常规康复护理,观察组在对照组基础上进行整合式心理干预及中药香囊使用,比较干预前后两组患者心理情况、睡眠质量、日常生活能力及生活质量改善情况。结果干预前,两组抑郁自评量表(SDS)和焦虑自评量表(SAS)评分比较差异无统计学意义(P>0.05);干预后,观察组SDS和SAS评分低于对照组,组间比较差异有统计学意义(P均<0.05)。干预前,两组匹兹堡睡眠质量指数量表(PSQI)评分比较差异无统计学意义(P>0.05);干预后,观察组PSQI评分低于对照组,组间比较差异有统计学意义(P<0.05)。干预前,两组康复护理日常生活活动评定量表(RNADL)评分比较差异无统计学意义(P>0.05);干预后,观察组RNADL评分高于对照组,组间比较差异有统计学意义(P<0.05)。干预前,两组健康调查简表(SF-36)评分比较差异无统计学意义(P>0.05);干预后,观察组SF-36评分高于对照组,组间比较差异有统计学意义(P<0.05)。结论整合式心理干预联合中药香囊疗法可改善脑卒中睡眠障碍患者的负面情绪、睡眠质量、日常生活活动能力,并提高整体生活质量。
Objective To explore the eff ect of integrated psychological intervention combined with traditional Chinese medicine sachet therapy on patients with post-stroke sleep disorders.Methods To select 92 patients with post-stroke sleep disorders from March 2019 to June 2020 as the study objects,and they were divided into a control group of 45 cases and an observation group of 47 cases according to the principle of comparability of basic characteristics between groups.The control group was given routine rehabilitation nursing,and the observation group was given integrated psychological intervention and the use of traditional Chinese medicine sachets on the basis of the control group to compare the improvement of psychological condition,sleep quality,daily living ability and quality of life of the two groups of patients before and after the intervention.Results Before the intervention,there was no significant difference in the scores of self-rating depression scale(SDS)and self-rating anxiety scale(SAS)between the two groups(P>0.05).After the intervention,the SDS and SAS scores in the observation group were lower than those in the control group,and the differences between the groups were statistically signifi cant(P<0.05).Before the intervention,there was no signifi cant diff erence in the score of Pittsburgh sleep quality index(PSQI)between the two groups(P>0.05).After the intervention,the PSQI score in the observation group was lower than that in the control group,and the diff erence between the groups was statistically signifi cant(P<0.05).Before the intervention,there was no signifi cant diff erence in the score of rehabilitative nursing activities of daily living(RNADL)between the two groups(P>0.05).After the intervention,the RNADL score in the observation group was higher than that in the control group,and the diff erence between the groups was statistically significant(P<0.05).Before the intervention,there was no significant difference in the score of the short form health survey(SF-36)between the two groups(P>0.05).After the intervention,the score of SF-36 in the observation group was higher than that in the control group,and the diff erence between the groups was statistically signifi cant(P<0.05).Conclusion The application of integrated psychological intervention combined with traditional Chinese medicine sachet therapy can improve the negative emotions,sleep quality,activities of daily living,and overall quality of life in stroke patients with sleep disorder.
作者
陈霞霞
梁汉英
林碧娟
CHEN Xiaxia;LIANG Hanying;LIN Bijuan(Fujian Provincial Hospital,Fuzhou,350001,China)
出处
《护理实践与研究》
2022年第16期2463-2467,共5页
Nursing Practice and Research
关键词
整合式心理干预
脑卒中
睡眠障碍
生活质量
中药香囊
Integrated psychological intervention
Stroke
Sleep disorder
Quality of life
Traditional Chinese medicine sachet
