认知行为疗法对老年冠心病患者睡眠质量的影响  

The Effect of Cognitive-behavior Therapy on Sleep Quality of Patients with Aged Coronary Heart Disease

作　　者：曹佳[1] 卢立立[1] 徐蕾[1] 王晶[1] 王莎莎[1] 王翠[1] 杨春燕[1] 王佳佳[1] 谷沫丽[1] 

机构地区：[1]中国人民解放军总医院第一附属医院干一科,北京100048

出　　处：《河北医学》2014年第11期1916-1919,共4页Hebei Medicine

摘　　要：目的:探讨认知行为疗法对老年冠心病患者睡眠质量的影响,为临床和社区护理服务提供理论依据。方法:采用便利抽样的方法,选取在我科住院治疗的冠心病患者103例,随机分为干预组51例、对照组52例。干预组给予认知行为理论为基础的护理干预,对照组仅给予心内科常规护理,观察两组患者在干预前、干预后3个月的睡眠质量,并进行效果比较。结果:两组患者的PSQI总分和各因子得分均有幅度下降,但干预组患者的睡眠质量明显改善,差异均有统计学意义(P<0.01)。结论:认知行为干预措施能有效改善老年冠心病患者的睡眠质量,患者易接受,且安全有效。To explore effect of cognitive-behavior therapy on sleep quality of patients with aged coronary heart disease , to provide information for clinical practice .Method：103 hypertension patients were chosen by convenient sampling and were randomly divided into the experimental group （51 cases） and control group （ 52 cases ） .The experimental group adopted cognitive-behavior intervention , The control group was only given the general nursing guidance .The effects were evaluated before and after 3 months of intervention .Result：Though the score of patients in two groups were increased , patients ’ total score and all of the subscale of PSQI in experimental group were significantly increased （ P〈0.01） , and there had statisti-cally significant differences between two groups （ P〈0.01） .Conclusion：The cognitive-behavior intervention has an positive effect in improving sleep quality of patients with aged coronary heart disease , and the therapy is easy and acceptable as well as safe .

关 键 词：冠心病 睡眠质量 认知行为 

分 类 号：R473.5[医药卫生—护理学]