分级心理护理对功能性消化不良患者焦虑、抑郁及睡眠质量的影响  

Effect of Graded Psychological Nursing on Anxiety,Depression and Sleep Quality of Patients with Functional Dyspepsia

作　　者：吕颖[1] 陈丽萍[1] 黄雪欢 马希权[2] 耿莎莎[3] 钱娟[1] LV Ying;CHEN Liping;HUANG Xuehuan;MA Xiquan;GENG Shasha;QIAN Juan(Nursing Department,Shanghai East Hospital Affiliated to Tongji University, Shanghai 200120, China;PsychologyDepartment, Shanghai East Hospital Affiliated to Tongji University;Gastroenterology Department,Shanghai East Hospital Affiliated to Tongji University)

机构地区：[1]同济大学附属东方医院护理部,上海200120 [2]同济大学附属东方医院心理科,上海200120 [3]同济大学附属东方医院胃肠科,上海200120

出　　处：《解放军护理杂志》2019年第5期21-24,共4页Nursing Journal of Chinese People's Liberation Army

基　　金：上海市卫生计生系统重要薄弱学科建设计划项目(2015ZB0602)

摘　　要：目的探讨分级心理护理对门诊功能性消化不良(functional dyspepsia.FD)患者的焦虑、抑郁及睡眠质量的影响。方法便利抽样选择2017年5月至2018年4月在我院门诊就诊的FD患者130例.按随机数字表法分为干预组(66例)和对照组(64例),两组患者在相同的常规护理基础上.对照组给予常规心理护理.研究组给予分级心理护理。采用焦虑自评量表(self-rating anxiety scale.SAS)、抑郁自评量表(self-rating depression scale, SDS)及匹兹堡睡眠质量指数量表(Pittsburgh sleep quality index,PSQI)评价两组患者护理前后的心理状态和睡眠质量。结果干预3个月后,研究组患者SAS评分和SDS评分分别为(45. 05 ±7. 56)、(44. 47±7. 18)分,对照组分别为(51. 72±7. 28)、(50. 52 ± 6. 62)分,差异均有统计学意义(均P<0. 05)。PSQI总分及入睡时间、睡眠时间、睡眠效率、睡眠障碍及日间功能障碍各维度的评分研究组均低于对照组,差异均有统计学意义(均P<0.05)。结论分级心理护理能够改善门诊FD患者的焦虑、抑郁心理状态,同时提高患者的睡眠质量,促进患者康复。Objective To explore the effect of graded psychological nursing on anxiety, depression and sleep quality of outpatients with functional dyspepsia (FD). Methods By convenience sampling method, 130 FD outpatients from May 2017 to April 2018 were selected and divided into the intervention group and the control group according to the random number table method, with 55 cases in the intervention group and 64 cases in the control group. On the basis of routine nursing,the control group was given routine psychological nursing, and the intervention group was given graded psychological nursing. The Self-rating Anxiety Scale (SAS),Self-rating Depression Scale (SDS) and Pittsburgh Sleep Quality Index (PSQI) were used to evaluate the mental state and sleep quality of the two groups before and after nursing. Results After 3 months of intervention, the SAS score and SDS score of the intervention group were 45. 05±7. 56 and 44. 47± 7. 18, respectively;and those of the control group were 51. 72 ± 7. 28 and 50. 52 ± 6. 62 , respectively, the differences were statistically significant (all P <C0. 05). The total score of PSQI and sleep latency, sleep time,sleep efficiency, sleep disorders, and diurnal dysfunction in the study group were significantly lower than those in the control group, the differences were statistically significant(all P<0. 05), Conclusions Graded psychological nursing can improve the anxiety and depression of FD outpatients, improve their sleep quality and promote their rehabilitation.

关 键 词：功能性消化不良 分级心理护理 焦虑 抑郁 睡眠质量 

分 类 号：R473.57[医药卫生—护理学]