睡眠认知行为干预对冠心病伴失眠患者睡眠信念和态度以及睡眠质量的影响  

Effects of sleep cognitive behavior intervention on sleep belief,attitude and sleep quality in patients with coronary heart disease and insomnia

作　　者：李洁峰[1] 何中华[2] 吴建平[3] 陈敏清[4] Li Jifeng;He Zhonghua;Wu Jianping;Chen Minqing(Department of Internal Medicine,Gaoming District People's Hospital of Foshan City,528500,China;Nursing Department,Gaoming District People's Hospital,Foshan City,528500,China;Department of Cardiology,Gaoming District People's Hospital,Foshan City,528500,China;Neurosurgery Department,Gaoming District People's Hospital,Foshan City,528500,China)

机构地区：[1]佛山市高明区人民医院内科,528500 [2]佛山市高明区人民医院护理部,528500 [3]佛山市高明区人民医院心内科,528500 [4]佛山市高明区人民医院神经外科,528500

出　　处：《国际护理学杂志》2022年第20期3749-3754,共6页international journal of nursing

摘　　要：目的探讨睡眠认知行为干预在冠心病伴失眠患者中的应用效果。方法选取2019年7月至2020年7月佛山市高明区人民医院收治的冠心病伴失眠患者124例为研究对象, 采用随机数字表法将研究对象分为试验组66例、对照组58例。对照组给予冠心病伴失眠患者常规护理干预, 试验组给予冠心病伴失眠患者睡眠认知行为干预。随访6个月, 采用简式睡眠信念和态度量表(DBAS-16)、匹兹堡睡眠质量指数(PSQI)、西雅图心绞痛问卷(SAQ)分别评估患者睡眠信念和态度、睡眠质量、生活质量。结果试验组冠心病伴失眠患者对失眠后果的估计、对睡眠的担忧、对药物的认知、DBAS-16总分高于对照组〔(15.24±2.12vs 13.24±1.75)、(18.75±3.24vs 16.54±3.16)、(10.45±1.35vs 9.34±1.21)、(48.98±6.15vs 43.48±6.23)〕(t=5.682、3.834、4.794、4.939, P<0.05);PSQI睡眠质量、入睡时间、睡眠效率、睡眠障碍、日间功能、总分低于对照组〔(1.24±0.35vs 1.56±0.40)、(1.42±0.32vs 1.78±0.41)、(0.75±0.12vs 0.94±0.15)、(1.43±0.32vs 1.68±0.41)、(1.34±0.34vs 1.68±0.36)、(7.87±1.12vs 9.41±1.23)〕(t=4.751、5.483、7.829、3.807、5.405、7.297, P<0.05, P<0.01);躯体受限程度、心绞痛稳定性、治疗满意度、疾病认知程度、SAQ总分高于对照组〔(73.45±9.32vs 65.32±8.65)、(80.32±8.33vs 5.45±9.24)、(91.32±6.30vs 85.45±7.24)、(76.36±8.45vs 70.35±9.20)、(80.98±7.20vs 75.64±8.36)〕(t=5.012、3.086、4.821、3.791、3.822, P<0.05)。结论睡眠认知行为干预有助于矫正冠心病伴失眠患者睡眠错误认知与态度, 改善睡眠质量和生活质量。Objective To explore the effect of sleep cognitive behavior intervention in patients with coronary heart disease and insomnia.MethodsA total of 124 patients with coronary heart disease and insomnia treated from July 2019 to July 2020 were selected as the research objects.They were randomly divided into 66 cases in the experimental group and 58 cases in the control group.The control group was given routine nursing intervention for patients with coronary heart disease and insomnia,and the experimental group was given sleep cognitive behavior intervention for patients with coronary heart disease and insomnia.The patients were followed up for 6 months.The patients'sleep belief and attitude,sleep quality and quality of life were evaluated by dysfunctional belief and attitude about sleep scale(DBAS-16),Pittsburgh sleep quality index(PSQI)and Seattle angina questionnaire(SAQ).Results The estimation of insomnia consequences,sleep concern,drug awareness and DBAS-16 scores in patients with coronary heart disease and insomnia in the experimental group were higher than those in the control group(15.24±2.12 us 13.24±1.75)、(18.75±3.24vs 16.54±3.16)、(10.45±1.35 us9.34±1.21)、(48.98±6.15 vs 43.48±6.23)(t=5.682、3.834、4.794、4.939,P<0.05).The PSQI sleep quality,falling asleep time,sleep efficiency,sleep disorders,daytime function and total score were lower than those of the control group(1.24±0.35 us 1.56±0.40)、(1.42±0.32 us 1.78±0.41)、(0.75±0.12 vs 0.94±0.15)、(1.43±0.32 us 1.68±0.41)、(1.34±0.34 us 1.68±0.36)、(7.87±1.12 us 9.41±1.23)(t=4.751、5.483、7.829、3.807、5.405、7.297,P<0.05,P<0.01).The degree of physical limitation,stability of angina pectoris,treatment satisfaction,disease cognition and SAQ total score were higher than those of the control group(73.45±9.32 us 65.32±8.65)、(80.32±8.33 vs 5.45±9.24)、(91.32±6.30 vs 85.45±7.24)、(76.36±8.45 vs 70.35±9.20)、(80.98±7.20 vs 75.64±8.36)(t=5.012、3.086、4.821、3.791、3.822,P<0.05).ConclusionsSleep cognitive behavior

关 键 词：冠心病 失眠 认知行为干预 睡眠信念和态度 睡眠质量 生活质量 

分 类 号：R473.5[医药卫生—护理学]