摘要
目的分析基于罗伊适应模式的睡眠质量干预在脑血管病介入治疗患者中的应用效果。方法选择2018年4月—2019年6月南京医科大学附属南京医院脑血管病介入治疗患者120例,采用随机数字表法分为试验组60例、对照组60例。对照组给予常规护理干预,试验组联合应用基于罗伊适应模式的睡眠质量干预,比较两组心理健康水平症状自评量表(SCL-90)、睡眠质量匹兹堡睡眠质量指数(PSQI)。结果剔除量表无效者,试验组、对照组实际完成各58例、54例。出院时,两组SCL-90各项评分低于同组干预前,试验组躯体化、抑郁、焦虑、睡眠与饮食、SCL-90均分低于对照组,差异有统计学意义(P<0.05);两组PSQI各项评分低于干预前,试验组主观睡眠质量、睡眠时间、睡眠效率、日间功能障碍、PSQI总分低于对照组,差异有统计学意义(P<0.05)。结论基于罗伊适应模式的护理干预有助于改善脑血管病介入治疗患者心理健康状况及睡眠质量。
Objective To analyze the application effect of sleep quality intervention based on Roy adaptation model in patients with interventional therapy for cerebrovascular disease.Methods A total of 120 patients with interventional treatment of cerebrovascular disease in Nanjing First Hospital,Nanjing Medical University from April 2018 to June 2019 were selected.Using random number table method,they were divided into 60 cases in the treatment group and 60 cases in the control group.The control group was given routine nursing intervention,and the treatment group was combined with sleep quality intervention based on Roy adaptation model,the mental health symptom self-rating scale(SCL-90)and sleep quality Pittsburgh sleep quality index(PSQI)between the two groups were compared.Results After eliminating the invalid ones,58 cases in the treatment group and 54 cases in the control group actually completed the test.At discharge,SCL-90 scores of the two groups were lower than those before intervention,somatization,depression,anxiety,sleep and diet,SCL-90 average scores of the treatment group were lower than those of the control group,and the differences were statistically significant(P<0.05);the PSQI scores of the two groups were lower than those before treatment,and the subjective sleep quality,sleep time,sleep efficiency,daytime dysfunction and PSQI total scores of the treatment group were lower than those of the control group,with statistical significance(P<0.05).Conclusion Nursing intervention based on Roy adaptation model can help improve the mental health and sleep quality of patients with cerebrovascular disease interventional therapy.
作者
王志华
古彦
王颜佶
张玲霞
WANG Zhihua;GU Yan;WANG Yanji;ZHANG Lingxia(Department of Neurosurgery,Nanjing First Hospital,Nanjing Medical UniversityNanjing First Hospital,Jiangsu Province,Nanjing210006,China)
出处
《中国医药导报》
CAS
2021年第16期181-184,共4页
China Medical Herald
基金
江苏省“六大人才高峰”资助项目(NO2015-WSW-060)。
关键词
脑血管
介入治疗
罗伊适应模式
健康心理
睡眠质量
Cerebrovascular
Interventional therapy
Roy adaptation model
Healthy psychology
Sleep quality
