多感官刺激联合叙事护理对脑卒中后抑郁患者心理状态与睡眠质量的影响
The effect of multisensory stimulation combined with narrative nursing on the psychological state and sleep quality of post-stroke depression patients
王琳琳 1杨妍妍 1王婷婷 1李晓晖1
作者信息
- 1. 河南大学第一附属医院神经内科,开封 475000
- 折叠
摘要
目的 分析多感官刺激联合叙事护理对脑卒中后抑郁患者心理状态与睡眠质量的影响.方法 选取 2022 年 6 月至 2023 年 6 月收治的 100 例脑卒中后抑郁患者,按随机数字表法分为 2 组,各 50 例.对照组采取常规护理,观察组采取多感官刺激联合叙事护理,两组均院内干预 14d联合院外持续干预,总干预 3 个月.于干预前、干预 3 个月时比较两组汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、匹茨堡睡眠质量指数量表(PSQI)评分;采用双变量 Pearson 分析睡眠质量与焦虑、抑郁的相关性.结果 干预 3 个月时,两组HAMA评分、HAMD评分、PSQI总分均低于干预前,干预后观察组分别为(10.37±1.25)分、(11.26±1.33)分、(9.93±3.6)分,低于对照组(15.34±2.18)分、(14.57±2.54)分、(13.37±4.00)分,两组差值比较差异均有统计学意义(P<0.05);采用双变量Pearson相关性分析结果显示,睡眠质量与焦虑、抑郁呈正相关(r=0.554、0.517,P<0.05).结论 多感官刺激联合叙事护理可改善患者焦虑、抑郁情绪,提高患者睡眠质量,并可通过改善睡眠质量的方式影响患者焦虑、抑郁情绪.
Abstract
Objective To analyze the impact of multisensory stimulation combined with narrative nursing on the psychological status and sleep quality of patients with post-stroke depression.Method Select 100 post-stroke depres-sion patients admitted from June 2022 to June 2023 and divide them into two groups using a random number table meth-od,with 50 cases in each group.The control group received routine nursing care,while the observation group received multi sensory stimulation combined with narrative nursing care.Both groups received 14 days of in-hospital intervention and continuous interventions out side the hospital,last for 3 months.Compare two sets of baseline data;Compare the Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD),and Pittsburgh Sleep Quality Index(PSQI)scores between the two groups before and at 3 months of intervention;Use bivariate Pearson analysis to examine the cor-relation between sleep quality and anxiety and depression.Results At the end of the 3-month intervention,the HAMA score,HAMD score,PSQI scores and total scores of both groups were lower than before the intervention,while the obser-vation group scored 10.37±1.25 points,11.26±1.33 points,and 9.93±3.6 points respectively,which were lower than the control group's scores of 15.34±2.18 points,14.57±2.54 points,and 13.37±4.00 points(P<0.05).The difference between the two groups was statistically significant(P<0.05);The results of bivariate Pearson correlation analysis showed that sleep quality was positively correlated with anxiety and depression(r=0.554、0.517,P<0.05).Conclusion Multi sensory stimulation combined with narrative nursing can improve patient anxiety and depression,improve sleep quality,and influence patient anxiety and depression through improving sleep quality.
关键词
脑卒中后抑郁/叙事护理/多感官刺激/抑郁/焦虑/睡眠质量Key words
Post stroke depression/Narrative care/Multi sensory stimulation/Depression/Anxiety/Sleep quality引用本文复制引用
出版年
2024
NETL
NSTL
万方数据