延续性护理干预对中耳胆脂瘤患者心理状态、自我护理及睡眠质量的影响  

Effects of Continuous Nursing Intervention on Psychological State,Self-care and Sleep Quality in Patients with Middle Ear Cholesteatoma

作　　者：黄雯莹 任艳艳 郑玉玲 HUANG Wenying;RRN Yanyan;ZHENG Yuling(th Hospital of Joint Logistic Support Force,Zhangzhou 363000,China)

机构地区：[1]联勤保障部队第909医院,漳州363000

出　　处：《世界睡眠医学杂志》2023年第6期1365-1368,共4页World Journal of Sleep Medicine

摘　　要：目的:分析延续性护理干预对中耳胆脂瘤患者心理状态、自我护理及睡眠质量的影响。方法:选取2019年5月至2021年5月联勤保障部队第909医院收治的中耳胆脂瘤患者102例作为研究对象,按照随机数字表法分为观察组和对照组,对照组48例,观察组54例。对照组给予常规护理干预,观察组给予延续性护理干预。采用匹兹堡睡眠指数量表(PSQI)比较2组患者睡眠质量的差异,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)比较2组患者焦虑、抑郁症状改善情况,采用自我护理能力测定量表(SASE)对患者自我护理能力进行评估,比较2组患者对疾病知识掌握程度、护理质量、健康促进行为,并比较2组患者的复诊率、疾病复发率及护理满意度。结果:干预前,2组患者SAS评分、SDS评分比较,差异无统计学意义(P>0.05),出院后3个月、6个月时,2组患者SAS、SDS评分均有所降低,且观察组SAS、SDS评分显著低于对照组,差异均有统计学意义(均P<0.05)。出院后3个月、6个月时,观察组SASE评分、对疾病知识掌握程度及护理质量评分均显著高于对照组,PSQI评分显著低于对照组,观察组复诊率均显著高于对照组,观察组复发率显著低于对照组,观察组护理满意度显著高于对照组,差异均有统计学意义(均P<0.05)。结论:延续性护理干预效果显著,可有效改善中耳胆脂瘤患者心理状态、自我护理及睡眠质量,更有利于提高患者对疾病知识掌握程度、健康促进行为及护理质量,降低复发率,值得临床推广使用。Objective:To analyze the effects of continuous nursing intervention on psychological state,self-care and sleep quality in patients with middle ear cholesteatoma.Methods:A total of 102 patients with middle ear cholesteatoma treated in the 909th Hospital of the Joint Logistics Support Force from May 2019 to May 2021 were selected as the research objects,and were divided into observation group and control group according to the random number table method,with 48 cases in the control group and 54 cases in the observation group.The control group received routine nursing intervention,and the observation group received continuous nursing intervention.Pittsburgh Sleep Quality Index scale(PSQI)was used to compare the differences of sleep quality between the 2 groups,and Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)scale were used to compare the improvement of anxiety and depression symptoms between the 2 groups,Self-care Ability Scale for the Elderly(SASE)was used to evaluate the self-care ability of patients,and the mastery of disease knowledge,nursing quality and health promotion behavior of patients in the two groups were compared as well,the return rate,disease recurrence rate and nursing satisfaction of patients between 2 groups were compared as well.Results:Before intervention,there was no statistical significance in SAS scores and SDS scores between the 2 groups(P>0.05).At 3 months and 6 months after discharge,SAS scores and SDS scores of the two groups were decreased,and SAS scores and SDS scores of the observation group were significantly lower than those of the control group,the difference between the two groups was statistically significant(P<0.05).At 3 months and 6 months after discharge,SASE score,disease knowledge mastery and nursing quality score of observation group were significantly higher than control group,PSQI score was significantly lower than the control group,the return rate of the observation group was significantly higher than the control group,recurrence rate of the observa

关 键 词：延续性护理干预 中耳胆脂瘤 焦虑 抑郁 自我护理 睡眠质量 复诊率 复发率 

分 类 号：R764.2[医药卫生—耳鼻咽喉科] R338.63[医药卫生—临床医学]