渐进式肌肉锻炼辅以正念减压对心胸外科患者睡眠质量和情感状态的影响  

Effects of progressive muscle exercise combined with mindfulness decompression on sleep quality and emotional state in patients with cardiothoracic surgery

作　　者：黄秋瑜 张劼 许红阳 Huang Qiuyu;Zhang Jie;Xu Hongyang(Department of Cardiothoracic Surgery,Wuxi Second Hospital Affiliated to Nanjing Medical University,Wuxi 214002,China;Intensive Care Unit,Wuxi People's Hospital Affiliated to Nanjing Medical University,Wuxi 214002,China)

机构地区：[1]南京医科大学附属无锡第二医院心胸外科,214002 [2]南京医科大学附属无锡人民医院重症监护室,214002

出　　处：《国际护理学杂志》2019年第18期2909-2912,共4页international journal of nursing

基　　金：天普研究基金项目(TPGL-UF201317).

摘　　要：目的探讨心胸外科引入渐进式肌肉锻炼辅以正念减压对患者睡眠质量和情感状态的影响。方法将该院2015年10月~2016年9月收治的心胸外科患者41例视为对照组,实施传统护理干预;将该院在2016年10月~2017年9月收治的心胸外科患者43例视为研究组,在对照组传统护理干预的基础上实施渐进式肌肉锻炼辅以正念减压干预。在干预前及干预后第1周末,两组患者均接受SAS量表(Self-Rating Anxiety Scale)、SDS量表(Self-Rating Depression Scale)测评、匹茨堡睡眠量表测评。结果干预后,研究组患者的负面情感评分、匹茨堡睡眠质量评分均低于对照组,差异有统计学意义(均P<0.05)。结论对于心胸外科患者而言,引入渐进式肌肉锻炼辅以正念减压方案能改善患者的睡眠质量及情感状态,值得临床推广。Objective To investigate the effect of progressive muscle exercise combined with mindfulness decompression on sleep quality and emotional state in patients with cardiothoracic surgery. Methods A total of 41 cases of cardiothoracic surgery patients admitted from October 2015 to September 2016 in this hospital were taken as control group and traditional nursing intervention was implemented.A total of 43 cases of cardiothoracic surgery patients admitted by the hospital from October 2016 to September 2017 were taken as the research group. On the basis of traditional nursing intervention in the control group, progressive muscle exercise supplemented by mindfulness decompression intervention was implemented.Before and at the end of the first week after the intervention, patients in both groups were assessed by Self-rating Anxiety Scale(SAS), Self-rating Depression Scale(SDS) and Pittsburgh Sleep Scale. Results After intervention, the negative emotion scores and Pittsburgh sleep quality scores of the research group were lower than those of the control group, and the differences were statistically significant(P<0.05). Conclusions For patients with cardiothoracic surgery, the introduction of progressive muscle exercise combined with mindfulness decompression can improve the sleep quality and emotional state of patients, which is worthy of clinical promotion.

关 键 词：心胸外科 渐进式 肌肉锻炼 正念减压 睡眠质量 

分 类 号：R473.6[医药卫生—护理学]