摘要
目的:分析临床护理路径对脑梗死患者睡眠、认知和情绪的影响。方法:选取2022年5月至2023年4月陆军第七十三集团军医院收治的脑梗死患者88例作为研究对象,按照随机数字表法分为对照组和观察组,每组44例。对照组给予神经内科常规护理干预,观察组给予临床护理路径干预。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,采用蒙特利尔认知评估量表(MOCA)比较2组患者干预前后认知功能的变化,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)比较2组患者干预前后焦虑、抑郁状况的改善效果。结果:干预后,观察组PSQI评分、SAS评分、SDS评分均显著低于对照组,观察组MOCA评分显著高于对照组,差异均有统计学意义(均P<0.05)。结论:将临床护理路径运用脑梗死患者的临床护理上既有利于改善其认知状态,又可以缓解其负性情绪,提高患者的睡眠质量,这对于促进患者病情的康复有积极意义,值得推广应用。
Objective:To analyze the effects of clinical nursing pathways on sleep,cognition,and emotions in patients with cerebral infarction.Methods:A total of 88 patients with cerebral infarction admitted to the 73rd Group Army Hospital from May 2022 to April 2023 were selected as the study subjects.They were randomly divided into an observation group(n=44)and a control group(n=44)using a random number table method.The control group received routine nursing intervention in neurology,while the observation group received clinical nursing pathway intervention.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes in sleep quality between two groups of patients before and after intervention,the Montreal Cognitive Assessment(MOCA)was used to compare the changes in cognitive function between the two groups of patients before and after intervention,and the Self-rating Anxiety Scale(SAS)and the Self-rating Depression Scale(SDS)was used to compare the improvement effect of anxiety and depression status between two groups of patients before and after intervention.Results:After intervention,the PSQI score,SAS score,and SDS score of the observation group were significantly lower than those of the control group,while the MOCA score of the observation group was significantly higher than that of the control group.The differences between the two groups were statistically significant(P s<0.05).Conclusion:Applying clinical nursing pathways to the clinical nursing of patients with cerebral infarction is not only beneficial for improving their cognitive status,but also for alleviating their negative emotions and improving their sleep quality.This has a positive significance for promoting the recovery of the patient′s condition and is worth promoting and applying.
作者
陈佳惠
刘思琴
陈香娥
林秀佣
CHEN Jiahui;LIU Siqin;CHEN Xiang′e;LIN Xiuyong(The 73rd Group Army Hospital,Xiamen 361003,China)
出处
《世界睡眠医学杂志》
2023年第12期2932-2934,共3页
World Journal of Sleep Medicine
关键词
脑梗死
临床护理路径
睡眠质量
认知状态
焦虑
抑郁
Cerebral infarction
Clinical nursing pathway
Sleep quality
Cognitive state
Anxiety
Depressed
