首页|基于主观认知下降评估的针对性护理干预在抑郁症伴失眠患者中的应用

基于主观认知下降评估的针对性护理干预在抑郁症伴失眠患者中的应用

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目的:观察基于主观认知下降(SCD)评估的针对性护理对抑郁症伴失眠患者的应用效果.方法:选取江西省精神病院精神康复科2022年1月—2023年11月接诊的抑郁症伴失眠患者82例,按随机数字表法分成对照组(n=41)与研究组(n=41),对照组采用常规护理干预,研究组采用基于SCD评估的针对性护理干预,观察两组SCD水平、抑郁焦虑程度、睡眠质量变化及护理满意度.结果:干预后两组主观认知下降问卷(SCD-Q9)评分均较干预前下降,且研究组低于对照组(P<0.05).干预后两组汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评分均较干预前下降,且研究组均低于对照组(P<0.05).干预后两组匹兹堡睡眠质量指数量表(PSQI)评分均低于干预前,且研究组低于对照组(P<0.05).研究组护理总满意度(92.68%)高于对照组(73.17%),差异有统计学意义(P<0.05).结论:基于SCD评估的针对性护理干预能有效改善抑郁症伴失眠患者SCD、抑郁焦虑程度,明显调节失眠状态,并提高护理满意度.
Application of Targeted Nursing Intervention Based on Subjective Cognitive Decline Assessment in Patients with Depression and Insomnia
Objective:To observe the application effect of targeted nursing based on subjective cognitive decline (SCD) assessment in patients with depression and insomnia.Method:Eighty-two patients with depression and insomnia who were treated in the Department of Mental Rehabilitation,Jiangxi Mental Hospital from January 2022 to November 2023 were selected,they were divided into control group (n=41) and study group (n=41) according to random number table method.The control group was treated with routine nursing intervention,while the study group was treated with targeted nursing intervention based on SCD assessment.SCD level,depression and anxiety degree,sleep quality changes and nursing satisfaction of the two groups were observed.Result:After intervention,the 9-item subjective cognitive decline questionnaire (SCD-Q9) scores in both groups were lower than those of before intervention,and the study group was lower than that of the control group (P<0.05).After intervention,the scores of Hamilton depression scale (HAMD) and Hamilton anxiety scale (HAMA) in both groups were lower than those before intervention,and those of the study group were lower than those of the control group (P<0.05).After intervention,the Pittsburgh sleep quality index (PSQI) scores of both groups were lower than those before intervention,and the study group was lower than that of the control group (P<0.05).The total satisfaction of nursing in the study group (92.68%) was higher than that in the control group (73.17%),the difference was statistically significant (P<0.05).Conclusion:Targeted nursing intervention based on SCD assessment can effectively improve SCD,depression and anxiety in patients with depression and insomnia,significantly regulate insomnia status,and improve nursing satisfaction.

Subjective cognitive declineDepressionInsomniaTargeted nursing

吴范宁

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江西省精神病院精神康复科 江西 南昌 330000

主观认知下降 抑郁症 失眠 针对性护理

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(32)