早期心理护理对老年慢性心衰患者不良情绪及睡眠的影响  

Effect of early psychological nursing on bad mood and sleep in elderly patients with chronic heart failure

作　　者：高俊英 韩萌 曹海英 曾垂义 GAO Junying;HAN Meng;CAO Haiying(Henan Provincial Hospital of Traditional Chinese Medicine(The cond Affiliated Hospital of Henan University of Traditional Chinese Medicine),Zhengzhou 450002,China)

机构地区：[1]河南省中医院(河南中医药大学第二附属医院),郑州450002 [2]河南中医药大学第一附属医院

出　　处：《国际精神病学杂志》2022年第6期1131-1133,1136,共4页Journal Of International Psychiatry

基　　金：河南省特色骨干学科中医学学科建设项目(编号:STG-ZYXKY-2020013)。

摘　　要：目的观察早期心理护理对老年慢性心衰(Chronic heart failure,CHF)患者不良情绪及睡眠的影响。方法选择2019年5月~2021年5月接诊的300例老年CHF患者,依据随机数字表法分为:观察组(纳入150例,提供早期心理护理)、对照组(纳入150例,提供常规护理),评价组间匹兹堡睡眠质量指数量表(Pittsburgh Sleep-Quality Index,PSQI)、不良情绪评分、明尼苏达心力衰竭生活质量量表(Minnesota living with heart failure questionnaire,MLWHFQ)心功能相关指标。结果护理前,组间PSQI评分、不良情绪评分、MLWHFQ评分、心功能相关指标无明显差异(P>0.05);护理后,观察组PSQI评分、不良情绪评分、MLWHFQ评分、心功能相关指标优于对照组(P<0.05)。结论对老年CHF患者提供早期心理护理,可以减轻负性情绪,改善心功能,提高睡眠质量及生活质量。Objective To observe the effect of early psychological nursing on bad mood and sleep in elderly patients with chronic heart failure(CHF).Methods 300 elderly patients with CHF admitted from May 2019 to may 2021 were randomly divided into observation group(150 cases included,providing early psychological care)and control group(150 cases included,providing routine care),Pittsburgh sleep quality index(PSQI),scores of adverse emotions Minnesota Living with heart failure questionnaire(mlwhfq)and related indexes of cardiac function.Results Before nursing,there was no significant difference in PSQI score,bad mood score,mlwhfq score and related indexes of cardiac function between the groups(P>0.05).After nursing,PSQI score,bad mood score,mlwhfq score and related indexes of cardiac function in the observation group were better than those in the control group(P<0.05).Conclusion The early psychological nursing for elderly patients with CHF can reduce their negative emotions,improve their cardiac function,sleep quality and quality of life.

关 键 词：早期心理护理 老年 慢性心衰 不良情绪 睡眠 

分 类 号：R749.99[医药卫生—神经病学与精神病学]