矛盾意向训练在老年OSAS患者中的应用效果

目的探讨矛盾意向训练对老年OSAS患者睡眠质量、负性情绪及生活质量的影响。方法采用便利抽样法纳入2018年3月—2020年2月郑州大学第一附属医院收治的老年OSAS患者130例,随机分为对照组和观察组,每组65例。对照组实施常规护理干预,观察组基于常规护理干预前提下实施矛盾意向训练。干预前后采用匹兹堡睡眠质量指数(PSQI)、医院用焦虑抑郁量表(HADS)、Calgary睡眠呼吸暂停生活质量指数(SAQLI)比较两组睡眠质量、心理状况及生活质量。结果干预1周后,观察组患者PSQI评分(7.08±2.70)分、焦虑亚量表(HADS-A)评分(6.25±1.20)分、抑郁亚量表(HADS-D)评分(6.34±1.24)分,均低于对照组,差异有统计学意义(t值分别为4.871、9.439、8.754;P<0.01)。干预后,观察组患者SAQLI总分(4.87±0.35)分,对照组(4.22±0.25)分,差异有统计学意义(t=12.184,P<0.01)。结论矛盾意向训练有助于提升老年OSAS患者睡眠质量,改善心理状况,提高生活质量。

Effects of paradoxical intention training in elderly patients with OSAS

Objective To explore the effect of paradoxical intention training on the sleep quality,negative emotion and quality of life of elderly patients with obstructive sleep apnea syndrome(OSAS).Methods From March 2018 to February 2020,convenience sampling was used to enroll 130 elderly OSAS patients admitted to the First Affiliated Hospital of Zhengzhou University.Patients were randomly divided into control group and observation group,with 65 cases in each group.Control group implemented routine nursing,while observation group conducted paradoxical intention training based on routine nursing.Pittsburgh Sleep Quality Index(PSQI),Hospital Anxiety and Depression Scale(HADS),Calgary Sleep Apnea Quality of Life Index(SAQLI)were used before and after the intervention to compare the sleep quality,psychological status and quality of life between two groups.Results After one week of intervention,the score of PSQI,anxiety subscale(HADS-A),depression subscale(HADS-D)of observation group were(7.08±2.70),(6.25±1.20)and(6.34±1.24)respectively,lower than those of control group,the differences were statistically significant(t=4.871,9.439,8.754;P<0.01).After the intervention,the total score of SAQLI in observation group was(4.87±0.35)and that in control group was(4.22±0.25),the difference was statistically significant(t=12.184,P<0.01).Conclusions Paradoxical intention training can help improve the sleep quality,psychological conditions and quality of life of elderly OSAS patients.