摘要
目的:探讨提高护理干预对中青年脑梗死患者心理应激和失眠的影响。方法:选取2020年10月-2022年5月收治的中青年脑梗死患者81例为研究对象,按随机数字表法分为对照组41例和观察组40例。对照组采取常规护理方法;观察组在此基础上采用接纳与承诺理念护理,1 h/次、1次/周、连续6周。两组患者分别于干预前、干预6周末采用Zung焦虑自评量表(SAS)、Zung抑郁自评量表(SDS)及匹兹堡睡眠质量指数量表(PQSI)进行效果评价。结果:干预6周末,观察组SAS、SDS及PQ⁃SI评分(47.78±2.45)、(54.16±3.61)、(7.03±2.69)分与对照组(52.53±3.28)、(56.10±3.95)、(8.81±2.38)相比均明显降低,差异具有统计学意义(P<0.05)。结论:通过提高护理干预水平,即运用接纳与承诺理念护理能够有效降低中青年脑梗死患者的焦虑抑郁状态、改善其失眠状态,值得临床推广应用。
Objective:To explore the effect of improving nursing intervention on psychological stress and insomnia in young and middle-aged patients with cerebral infarction.Methods:81 young and middle-aged patients with cerebral infarction from October 2020 to May 2022 were selected as the research objects,and were randomly divided into 41 cases in the control group and 40 cases in the observation group.The control group received routine psychological intervention.On this basis,the observation group adopted the concept of acceptance and commitment nursing,1 h/time,once a week,for 6 consecutive weeks.The two groups of patients were evaluated with Zung self-rating Anxiety Scale(SAS),Zung self-rating Depression Scale(SDS)and Pittsburgh sleep quality index(PQSI)be⁃fore the intervention and at the end of the intervention 6 weeks.Results:At the end of the intervention 6 weeks,the SAS,SDS and PQ⁃SI scores of the observation group(47.78±2.45),(54.16±3.61),(7.03±2.69)were significantly lower than those of the control group(52.53±3.28),(56.10±3.95),(8.81±2.38);The difference was statistically significant(P<0.05).Conclusion:By improving nursing intervention,that is,using the concept of acceptance and commitment,nursing can effectively reduce the anxiety and depression of young and middle-aged patients with cerebral infarction and improve their insomnia,which is worthy of clinical application.
作者
施杨
黄帅
胡娅莉
王林
刘必琴
邓竹溪
陈应柱
顾志娥
SHI Yang;HUANG Shuai;HU Yali;WANG Lin;LIU Biqin;DENG Zhuxi;CHEN Yingzhu;GU Zhie(School of Nursing&School of Public Health,Yangzhou University,Yangzhou,Jiangsu,225000;Yangzhou Wutaishan Hospital,Jiangsu,Yangzhou,Jiangsu,225000;North-ern Jiangsu People’s Hospital,Yangzhou,Jiangsu,225000)
出处
《江苏卫生事业管理》
2022年第9期1212-1215,1230,共5页
Jiangsu Health System Management
基金
2022年度扬州市科协软科学课题项目(2022170)
关键词
接纳与承诺理念
护理
中青年
脑梗死
心理应激
失眠
Acceptance and Commitment Concept
Nursing
Young and Middle-aged People
Cerebral Infarction
Psychological Stress
Insomnia
