关注阐释疗法对围绝经期综合征患者睡眠障碍及生命质量的影响  

Effect of attention and interpretation therapy on sleep dysfunction and quality of life in perimenopausal syndrome patients

作　　者：吴彬[1] 樊雅静[1] 薛颖[1] 陈晓雁[1] 黄凌[1] 路潞[1] Wu Bin;Fan Yajing;Xue Ying;Chen Xiaoyan;Huang Ling;Lu Lu(Department of Obstetrics and Gynecology,Shanghai Sixth People's Hospital,Shanghai 200233,China)

机构地区：[1]上海市第六人民医院妇产科,200233

出　　处：《中国实用护理杂志》2021年第28期2202-2208,共7页Chinese Journal of Practical Nursing

基　　金：上海市第六人民医院院级科学研究基金 (2018-院内-2149)。

摘　　要：目的探讨关注阐释疗法对围绝经期综合征患者睡眠障碍和生命质量的改善作用。方法选择2018年8月至2020年1月上海市第六人民医院就诊的76例围绝经期综合征患者作为研究对象,按照随机数字表法分为试验组和对照组,每组38例。2组均给予常规治疗和护理,试验组在此基础上接受10周的关注阐释疗法。干预前和干预10周后,采用匹兹堡睡眠质量指数量表(PSQI)和绝经期生命质量量表(MENQOL)评价干预效果。结果2组干预前PSQI、MENQOL评分比较差异无统计学意义(P>0.05);干预后,试验组PSQI中睡眠质量、睡眠时间、睡眠效率维度得分和总分分别为(0.79±0.10)、(1.48±0.23)、(1.11±0.22)、(9.70±0.59)分,MENQOL中血管舒张症状、心理状态、生理状态维度得分和总分分别为(3.06±0.81)、(2.06±0.81)、(2.50±0.51)、(2.63±0.39)分,均明显低于对照组的(1.03±0.22)、(1.85±0.33)、(1.25±0.28)、(10.59±0.66)分和(3.69±0.95)、(2.83±0.77)、(2.92±0.94)、(3.18±0.53)分,差异有统计学意义(t值为2.306~6.021,P<0.05)。结论关注阐释疗法能有效改善围绝经期综合征患者睡眠障碍,提高生命质量。Objective To investigate the effect of attention and interpretation therapy on sleep dysfunction and quality of life in perimenopausal syndrome patients.Methods From August 2018 to January 2020,a total of 76 patients with perimenopausal syndrome were divided into experimental group(38 cases)and control group(38 cases)according to the random number table method.Two groups recieved routine therapy and nursing care,on the basis of this,the experimental group was given attention and interpretation therapy for 10 weeks.Before intervention and after 10 weeks of intervention,the effects were assessed by Pittsburgh Sleep Quality Index(PSQI)and Menopause-Specific Quality of Life(MENQOL),respectively.Results There was no significant difference in the score of PSQI,MENQOL before intervention between the two groups(P>0.05).After intervention,the sleep quality,sleep duration,sleep efficiency scores and total PSQI scores were 0.79±0.10,1.48±0.23,1.11±0.22,9.70±0.59;in addition,the vasomotor symptoms,psychological symptoms,somatic symptoms and total MENQOL scores were 3.06±0.81,2.06±0.81,2.50±0.51,2.63±0.39 in the experimental group,significanlty lower than those in the control group(1.03±0.22,1.85±0.33,1.25±0.28,10.59±0.66,3.69±0.95,2.83±0.77,2.92±0.94,3.18±0.53),the differences were statistically significant(t values were 2.306-6.021,P<0.05).Conclusions Attention and interpretation therapy can effectively alliviate sleep dysfunction and improve quality of life of perimenopausal syndrome patients.

关 键 词：关注阐释疗法 围绝经期综合征 睡眠障碍 生活质量 

分 类 号：R473.71[医药卫生—护理学]