首页|认知行为干预结合情志护理对精神分裂症伴失眠患者生活质量及睡眠的影响

认知行为干预结合情志护理对精神分裂症伴失眠患者生活质量及睡眠的影响

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目的:分析精神分裂症伴失眠患者接受认知行为干预结合情志护理对生活质量及睡眠的影响.方法:纳入本院92例精神分裂症伴失眠患者行分组研究,选取时段2021年10月至2022年10月.所有患者随机数字表法划分成2组,对照组、观察组各纳入46例.其中对照组开展常规护理,观察组在此基础开展认知行为干预结合情志护理.评价对比两组患者认知功能、睡眠质量、生活质量干预前后的变化.结果:与组内干预前相比,两组干预后精神分裂症认知功能简明成套测评量表(BACS)均存在大幅升高(P<0.05);且两组相对比观察组上升更加明显(P<0.05).与组内干预前相比,两组干预后精神分裂症患者生活质量量表(SQLS)均存在大幅降低(P<0.05);且两组相对比观察组下降更加明显(P<0.05).与组内干预前相比,两组干预后匹兹堡睡眠指数量表(PSQI)均存在大幅降低(P<0.05);且两组相对比观察组下降更加明显(P<0.05).结论:精神分裂症伴失眠患者接受认知行为干预结合情志护理,有助于认知功能的改善,减轻失眠症状,提升生活质量.
Objective:To analyze the impact of cognitive behavioral intervention combined with emotional care on the quality of life and sleep in patients with schizophrenia and insomnia.Method:A group study was conducted on 92 patients with schizophrenia and insomnia in our hospital from October 2021 to October 2022.All patients were randomly divided into 2 groups using the number table method,with 46 cases included in the control group and 46 cases included in the observation group.The control group received routine care,while the observation group received cognitive behavioral intervention combined with emotional care.Evaluate and compare the changes in cognitive function,sleep quality,and quality of life between two groups of patients before and after intervention.The results showed that compared with before the intra group intervention,both groups had a significant increase in the Concise Assessment of Cognitive Function Scale(BACS)for schizophrenia after the intervention(P<0.05);And the two groups showed a more significant increase compared to the observation group(P<0.05).Compared with before the intra group intervention,there was a significant decrease in the Quality of Life Scale(SQLS)of schizophrenia patients in both groups after the intervention(P<0.05);And the two groups showed a more significant decrease compared to the observation group(P<0.05).Compared with before the intra group intervention,there was a significant decrease in the Pittsburgh Sleep Index(PSQI)in both groups after the intervention(P<0.05);And the two groups showed a more significant decrease compared to the observation group(P<0.05).Conclusion:Patients with schizophrenia and insomnia receiving cognitive behavioral intervention combined with emotional care can help improve cognitive function,alleviate insomnia symptoms,and improve quality of life.

schizophreniaInsomniaCognitive behavioral interventionemotional nursing

庄碧玲

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福建省南安市康复院·福建泉州 362300

精神分裂症 失眠 认知行为干预 情志护理

2023

黑龙江中医药
黑龙江省中医研究院

黑龙江中医药

影响因子:0.425
ISSN:1000-9906
年,卷(期):2023.52(6)
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