| 综合护理干预对脑卒中后患者失眠伴焦虑的影响研究 |
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| 引用本文： | 余玲萍,谢灵敏,王卫珍,葛秋华.综合护理干预对脑卒中后患者失眠伴焦虑的影响研究[J].中华全科医学,2017,15(6):1075-1078. |
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| 作者姓名： | 余玲萍 谢灵敏 王卫珍 葛秋华 |
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| 作者单位： | 1. 台州恩泽医疗中心(集团)台州医院神经内科, 浙江 临海 317000; |
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| 基金项目： | 2014年浙江省医药卫生一般研究计划项目(2014-KYB-019) |
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| 摘 要： | 目的 探讨综合护理干预对脑卒中后患者失眠伴焦虑的影响。 方法 选取2013年12月-2016年7月台州医院神经内科收治的脑卒中后失眠伴焦虑患者168例,按随机数字表法分组,对照组84例予以常规护理,研究组84例在对照组基础上予以综合护理干预,包括心理护理、康复训练、饮食护理、睡前护理以及药物护理。干预后观察并记录2组间心理状态、睡眠质量、认知功能、神经功能及运动功能,同时对比临床疗效。 结果 与对照组比较,研究组干预后汉密尔顿焦虑量表(HAMA)、抑郁量表(HAMD)、Zung氏焦虑自评量表(SAS)和抑郁自评量表(SDS)评分较低,干预后醒觉次数、入睡潜伏期时间及匹兹堡睡眠质量指数(PSQI)评分较低,睡眠总时间、睡眠效率较高,干预后简明精神状态量表(MMSE)、简式Fugl-Meyer运动功能评分法(FMA)评分较高,脑卒中神经功能缺损评分表(CNS)评分较低,差异具有统计学意义(P<0.05);研究组治疗有效率为80.95%(68/84),高于对照组治疗有效率95.24%(80/84),差异具有统计学意义(Z=2.595,P=0.010)。 结论 综合护理干预能够有效缓解脑卒中后失眠伴焦虑患者的焦虑情绪,提高睡眠质量,改善认知功能、神经功能及运动功能,提高患者生活质量,护理效果确切。
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| 关 键 词： | 综合护理干预 脑卒中 失眠伴焦虑 睡眠质量 心理状态 |
| 收稿时间： | 2016-09-11 |
Study on the effect of comprehensive nursing intervention on insomnia and anxiety in patients after cerebral apoplexy |
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| Affiliation: | Department of Neurology, Enze Medical Center(Group) of Taizhou Hospital, Linhai, Zhejiang 317000, China |
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| Abstract: | Objective To investigate the effect of comprehensive nursing intervention on insomnia and anxiety in patients after cerebral apoplexy. Methods Altogether 168 patients with insomnia and anxiety after cerebral apoplexy from the department of neurology in our hospital were selected and divided into 2 groups,with 84 cases in the control group receiving conventional nursing and 84 cases in the experiment group receiving comprehensive nursing intervention on the basis of the control group,including psychological care,rehabilitation training,diet care,bedtime care and drug care.The psychological state,sleep quality,cognitive function,neural function and motor function,and the clinical efficacy were compared after intervention. Results Compared with those in the control group,the Hamilton Anxiety Scale (HAMA),depression scale (HAMD),Zung's self rating Anxiety Scale (SAS) and self rating Depression Scale (SDS) scores were lower after intervention,the number of wake up,sleep latency and Pittsburgh sleep quality index (PSQI) score were lower,the total sleep time and sleep efficiency were higher after intervention,the condensed mental state scale (MMSE),simple Fugl-Meyer motor function score (FMA) scores were higher,and the stroke neural function defect scale (CNS) score was lower after intervention (P<0.05) in the experiment group.The effective rate in the control group (82.14%) was lower than that in the experiment group (95.24%),with significant difference (P<0.05). Conclusion The comprehensive nursing intervention can effectively relieve the anxiety in patients with insomnia and anxiety after cerebral apoplexy,improve sleep quality,cognitive function,neural function and motor function,and improve the quality of life of patients,with exact nursing effect |
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