摘要
目的:研究康复护理对脑卒中后失眠患者睡眠质量的影响。方法:选取2020年1月至2020年3月宁德市医院收治的脑卒中后失眠患者100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50例。对照组患者接受常规失眠干预,观察组联合应用康复护理,对比2组患者干预前后睡眠质量及褪黑素水平变化,对护理干预的满意度,以及患者焦虑情绪的改善、临床症状的改善以及自理能力改善情况。结果:干预后观察组患者的匹兹堡睡眠质量指数(PSQI)评分明显低于对照组,褪黑素水平明显高于对照组,差异有统计学意义(P<0.05);观察组护理干预的满意率(96.00%)明显优于对照组(82.00%),差异有统计学意义(P<0.05);护理后2组的焦虑评分、各项临床症状评分和生活自理能力评分均大于护理前,且观察组护理后的各项评分均大于对照组,差异有统计学意义(P<0.05)。结论:康复护理可以有效改善脑卒中后失眠患者的睡眠质量,改善睡眠障碍症状,同时可减轻患者的焦虑情绪,提高患者对护理干预的满意度,改善患者的自理能力,更有助于构筑和谐的医患关系。
Objective:To explore the effect of rehabilitation nursing on the sleep quality of patients with post-stroke insomnia.Methods:A total of 100 patients with post-stroke insomnia who were admitted to Ningde City Hospital from January 2020 to March 2020 were selected as the research objects,and divided into the control group and the observation group according to the random number table method,with 50 cases in each group.The patients in the control group received routine insomnia intervention,and the patients in the observation group were combined with rehabilitation nursing.The changes of sleep quality and melatonin level,satisfaction with nursing intervention,and improvement of patients′anxiety,clinical symptoms and self-care ability were compared between the two groups before and after the intervention.Results:After the intervention,the Pittsburgh Sleep Quality Index(PSQI)score of the observation group was significantly lower than that of the control group,and the level of melatonin(96.00%)was significantly higher than that of the control group(82.00%),and the difference was statistically significant(P<0.05).Compared with the control group,the difference was statistically significant(P<0.05);the anxiety scores,clinical symptom scores and self-care ability scores of the two groups after nursing were higher than those before nursing,and the observation group after nursing The scores of the patients were higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusion:Rehabilitation nursing can effectively improve the sleep quality of patients with insomnia after stroke,improve the symptoms of sleep disorders,and at the same time reduce patients′anxiety,improve patients′satisfaction with nursing intervention,improve patients′self-care ability,and help build a harmonious doctor-patient relationship.
作者
柯学英
谢成云
黄珍影
黄庆慧
杨丽珍
KE Xueying;XIE Chengyun;HUANG Zhenying;HUANG Qinghui;YANG Lizhen(Ningde City Hospital,Ningde 352100,China)
出处
《世界睡眠医学杂志》
2022年第2期298-300,303,共4页
World Journal of Sleep Medicine
关键词
康复护理
脑卒中
失眠
睡眠质量
影响效果
Rehabilitation nursing
Stroke
Insomnia
Sleep quality
Impact
