摘要
目的:研究对颅脑损伤患者采取适合的早期心理疏导干预后对患者的睡眠及血压情况的影响。方法:选取2017年1月至2019年1月中国人民解放军联勤保障部队第904医院收治的颅脑损伤并伴有睡眠质量较差的患者65例作为研究对象,使用匹兹堡睡眠情况评分表(Pittsburg Sleep Qualityindex,PSQI)对患者的睡眠情况进行分析,比较实施心理疏导前、后的睡眠情况;监测患者入院第1、14 d的24 h动态血压,并将波动情况进行比较。结果:在这65例颅脑损伤患者中有49例(75.38%)患者的睡眠非常差,在给与适合的心理疏导后,PSQI指数总分与疏导前比较显著降低,差异有统计学意义( P < 0.05),每条项目的评分也均较疏导前显著降低,差异有统计学意义( P <0.05);入院第1.d有9例(13.84%)患者的24 h血压变化形状呈杓型,与第14 d 59例(90.76%)相比较明显偏低,差异有统计学意义( P <0.05)。结论:在颅脑损伤患者临床护理中采用早期心理疏导具有显著的临床效果。
Objective:To study the effects of early psychological intervention on sleep and blood pressure of patients with craniocerebral injury. Methods:A total of 65 cases from the Chinese people′s liberation army 904 hospital between January2017 and January2019 craniocerebral injury accompanied by poor Sleep quality of patients with 65 cases as the research object,using the Pittsburgh Sleep scale(Pittsburg Sleep Qualityindex,PSQI)to analyze the patient′s Sleep and compared before and after the implementation of psychological counseling in the Sleep;Dynamic blood pressure at24 h on the first and14th days of admission was monitored,and the fluctuation was compared. Results:Among the 65 patients with craniocerebral injury,49(75.38%)had very poor sleep.After appropriate psychological counseling,the total score of PSQI was significantly lower than before counseling,with statistically significant difference( P <0.05).The scores of each item were also significantly lower than before counseling,with statistically significant difference( P <0.05).On the first day of admission,9 patients(13.84%)presented arytenoid blood pressure changes at24 h,which was significantly lower than that of14 d 59 patients(90.76%),and the difference was statistically significant( P <0.05). Conclusion:Early psychological counseling has significant clinical effect in clinical nursing of patients with craniocerebral injury.
作者
孙敏
曹秋月
Sun Min;Cao Qiuyue(904 hospital of joint logistic support force of the people′sliberation army,Changzhou 213000,China)
出处
《世界睡眠医学杂志》
2019年第6期798-799,共2页
World Journal of Sleep Medicine
关键词
早期心理疏导
颅脑损伤
睡眠质量
血压
Early psychological counseling
Craniocerebral injury
Sleep quality
Blood pressure
