青绪管理对脑梗死患者焦虑、抑郁及睡眠障碍的影响研究

目的探讨情绪管理对脑梗死患者焦虑抑郁及睡眠障碍的影响。方法选择本院2013年3-9月收治的90例脑梗死患者，随机分为两组，常规组45例患者给予常规护理，包括健康教育、气道管理、康复指导等，研究组45例患者在常规组的基础上给予情绪管理，护理前后采用汉密尔顿焦虑、抑郁量表（HAMA、HAMD）及匹兹堡睡眠质量指数（PSQI）评价患者负性情绪及睡眠质量的改善情况。结果护理后两组HAMA、HAMD评分均较护理前降低（P〈0．05），但研究组HAMA、HAMD评分均明显低于对照组；护理后两组PSQI评分均降低（P〈0．05）。研究组PSQI评分明显低于对照组，差异有统计学意义（P〈O．05）。结论情绪管理可有效改善脑梗死患者负性情绪及睡眠障碍情况，利于患者病情恢复，值得应用。

Influce of emotional management on anxiety,depression and sleep disor- ders of patients with cerebral infarction

Objective To investigate the influce of emotional management on anxiety,depression and sleep disorders of patients with cerebral infarction. Methods 90 patients with cerebral infarction treated in our hospital from March to September 2013,they were randomly divided into two groups,45 patients of conventional group were given conventional care,including health education,airway management,rehabilitation guidance,45 cases of study group were given emo- tional management on the basis of conventional group,before and after treatment,Hamilton anxiety,depression scale （HAMA,HAMD） and the Pittsburgh sleep quality index （PSQI） were used to evaluat improvement of negative emotions and sleep quality. Results After treatment,HAMA,HAMD,PSQI score of two groups were lower than that before treat- ment （P〈0.05）,but HAMA,HAMD, PSQI scores of the study group were significantly lower than the control group,the difference was statistically significant （P〈0.05）. Conclusion The emotional management can effectively improve nega- tive emotions and sleep disorders in patients with cerebral infarction,which will help restore the patient＇s condition,it is worthy of application.