分析预警干预模式对心脏瓣膜置换术患者围术期情绪及睡眠质量的影响  

To Analyze the Effects of Early Warning Intervention Mode on Perioperative Moodand Sleep Quality in Patients with Heart Valve Replacement

作　　者：许培霞 XU Peixia(Quanzhou First Hospital Affiliated to Fujian Medical University,Quanzhou 362000,China)

机构地区：[1]福建医科大学附属泉州市第一医院,泉州362000

出　　处：《世界睡眠医学杂志》2023年第8期1921-1923,1927,共4页World Journal of Sleep Medicine

摘　　要：目的:分析预警干预模式对心脏瓣膜置换术患者围术期情绪及睡眠质量的影响。方法:选取2020年1月至2022年4月福建医科大学附属泉州市第一医院心外科收治的心脏瓣膜病患者128例作为研究对象,按照随机数字表法分为观察组(n=64)和对照组(n=64),对照组给予常规护理干预,观察组在对照组基础上给予联合预警干预模式,采用匹兹堡睡眠质量指数(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,并比较2组患者并发症发生率。结果:干预后,观察组SAS、SDS、睡眠质量PSQI评分均显著低于对照组,观察组并发症总发生率显著低于对照组,差异均有统计学意义(均P<0.05)。结论:预警干预模式可调节行心脏瓣膜置换术患者的不良情绪状态,提高睡眠质量,降低并发症发生风险,促进患者病情恢复。Objective:To analyze the effects of early warning intervention mode on perioperative mood and sleep quality in patients with heart valve replacement.Methods:A total of 128 patients with valvular heart disease admitted to the Department of Cardiac Surgery of Quanzhou First Hospital Affiliated to Fujian Medical University from January 2020 to April 2022 were selected as the study objects,and were divided into observation group(n=64)and control group(n=64)according to random number table method.The control group was given routine nursing intervention,and the observation group was given early warning intervention mode on the basis of the control group.Pittsburgh Sleep Quality Index(PSQI)was used to compare the difference in sleep quality between the two groups.Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were used to compare the improvement of anxiety and depression symptoms between the two groups,and the incidence rate was compared between the two groups.Results:After intervention,the scores of SAS,SDS and PSQI of sleep quality in the observation group were significantly lower than those in the control group,and the total incidence of complications in the observation group was significantly lower than that in the control group,with statistical significance(P s<0.05).Conclusion:Early warning intervention mode can regulate the adverse emotional state of patients undergoing heart valve replacement,improve sleep quality,reduce the risk of complications,and promote the recovery of patients.

关 键 词：预警干预模式 心脏瓣膜置换术 并发症 睡眠质量 焦虑 抑郁 

分 类 号：R541[医药卫生—心血管疾病] R338.63[医药卫生—内科学]