认知行为疗法对孕产妇伴睡眠呼吸暂停患者睡眠质量改善的护理体会  

The nursing experience of cognitive behavioral therapy for improving the sleep quality of pregnant women with sleep apnea

作　　者：尹敏 王建华[1] 张凯[1] 杨加彬 Yin Min;Wang Jianhua;Zhang Kai;Yang Jiabin(Outpatient Department,Affiliated Hospital of Binzhou Medical College,Binzhou,Shandong,256600,China)

机构地区：[1]滨州医学院附属医院,山东滨州256600

出　　处：《中国医学文摘（耳鼻咽喉科学）》2022年第6期183-185,共3页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的探究孕产妇伴睡眠呼吸暂停患者开展认知行为疗法的应用价值及对睡眠质量的改善效果。方法遴选2019年6月~2021年6月40例门诊孕产妇伴睡眠呼吸暂停患者,参考“数字双盲法”,分为2组—对照组和观察组(均n=20例);对照组实施常规干预措施,观察组开展认知行为疗法。比较两组干预结果:心理健康度、睡眠质量、护理满意度。结果干预后两组患者焦虑自评量表(SAS)、抑郁自评量量表(SDS)评分较干预前均明显下降,且观察组上述指标降低幅度更大,同时观察组干预后匹兹堡睡眠质量指数量表(PSQI)评分明显低,护理满意度比较,观察组更高(90.00%vs60.00%),差异有统计学意义(P<0.05)。结论认知行为疗法实施于孕产妇伴睡眠呼吸暂停患者中,不仅能改善患者不良心理情绪,同时可提高其睡眠质量,实现满意的护理效果。Objective To explore the application value of cognitive behavioral therapy for pregnant women with sleep apnea and the effect of improving sleep quality.Methods From June 2019 to June 2021,40 outpatient pregnant and lying-in women with sleep apnea were selected.According to the“digital double-blind method”,they were divided into 2 groups—control group and observation group(both n=20 cases);control The group implemented routine intervention measures,and the observation group carried out cognitive behavioral therapy.The intervention results of the two groups were compared:mental health,sleep quality,and nursing satisfaction.Results After the intervention,the scores of the Self-rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)of the two groups of patients were significantly lower than those before the intervention,and the above indicators of the observation group were reduced even more.At the same time,the observation group was sleeping in Pittsburgh after the intervention The quality index(PSQI)score was significantly lower,compared with nursing satisfaction,the observation group was higher(90.00%vs 60.00%),and the difference was statistically significant(P<0.05).Conclusion The implementation of cognitive behavioral therapy in pregnant women with sleep apnea can not only improve the patients’bad mental mood,but also improve their sleep quality and achieve satisfactory nursing results.

关 键 词：孕产妇 认知行为疗法 睡眠呼吸暂停 睡眠质量 

分 类 号：R47[医药卫生—护理学]