摘要
目的:分析阶梯式康复护理对老年胃溃疡伴出血患者心理状态、康复效果及睡眠质量的影响。方法:选取2022年1月至12月厦门大学附属东南医院消化科收治的老年胃溃疡伴出血患者108例作为研究对象,按照随机数字表法分为观察组(n=55)和对照组(n=53),对照组给予消化内科常规护理干预,观察组在对照组基础上给予阶梯式康复护理干预。采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)比较2组患者干预前后焦虑、抑郁状态的改善效果。采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的变化,采用生命质量表(GQOLI-74)比较2组患者干预前后的生命质量变化,并比较2组患者的康复效果。结果:护理干预后,观察组HAMA和HAMD评分、PSQI评分均有所降低,且观察组显著低于对照组,差异均有统计学意义(均P<0.05);护理干预后,观察组康复总好转率显著高于对照组,观察组GQOLI-74评分显著高于对照组,差异均有统计学意义(均P<0.05)。结论:在老年胃溃疡伴出血患者中应用阶梯式康复护理干预后,可显著改善患者心理状态和提高康复效果,改善患者睡眠质量和生命质量,值得临床推广使用。
Objective:To analyze the effects of step rehabilitation nursing on mental state,rehabilitation effect and sleep quality of elderly patients with gastric ulcer accompanied by bleeding.Methods:A total of 108 elderly patients with gastric ulcer accompanied by bleeding admitted to the Department of Gastroenterology,Southeast Hospital Affiliated to Xiamen University from January to December 2022 were selected as the research objects,and were divided into observation group(n=55)and control group(n=53)according to the random number table method.The control group was given routine nursing intervention in gastroenterology,and the observation group was given stepped rehabilitation nursing intervention on the basis of the control group.Hamilton Anxiely Scale(HAMA)and Hamilton Depression Rating Scale(HAMD)compare the improvement effect of anxiety and depression before and after intervention between 2 groups.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes of sleep quality before and after the intervention.Compare the changes in quality of life before and after intervention between two groups of patients using the Quality of Life Scale(GQOLI-74),and compare the rehabilitation effects of the two groups of patients.Junction.Results:After nursing intervention,HAMA scores、HAMD scores and PSQI scores in 2 groups were booth decreased,and the observation group was significantly lower than the control group,the difference between the 2 groups was statistically significant(P s<0.05).After nursing intervention,the total recovery rate of the observation group was significantly higher than the control group,and the GQOLI-74 score in the observation group was significantly higher than that in the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion:After the application of step rehabilitation nursing intervention in elderly patients with gastric ulcer accompanied by bleeding,it can significantly improve the psychological state and rehabilitation effect of patients,improve the quality of sleep and life of patients,and is worthy of clinical promotion and use.
作者
朱雅君
陈亮亮
马桂芳
ZHU Yajun;CHEN Liangliang;MA Guifang(th Hospital of Joint Logistic Support Force/Southeast Hospital Affiliated to Xiamen University,Zhangzhou 363000,China)
出处
《世界睡眠医学杂志》
2023年第7期1530-1533,共4页
World Journal of Sleep Medicine
关键词
阶梯式康复护理
胃溃疡
心理状态
康复效果
睡眠质量
Stepped rehabilitation nursing
Gastric ulcer
Mental state
Rehabilitation effect
Sleep quality
