诱导睡眠联合行为心理干预对脑动脉狭窄支架植入术患者术后焦虑、抑郁状况及睡眠质量的影响  

Effects of sleep induction combined with behavioral psychological intervention on anxiety,depression and sleep quality in patients with cerebral artery stenosis after stenting

作　　者：袁培英 YUAN Peiying(Department of Neurology,Nanyang First People's Hospital,Nanyang 473043,China)

机构地区：[1]河南省南阳市第一人民医院神经内科,473043

出　　处：《中国健康心理学杂志》2024年第8期1223-1228,共6页China Journal of Health Psychology

摘　　要：目的:探讨诱导睡眠联合行为心理干预对脑动脉狭窄支架植入术患者术后焦虑、抑郁状况及睡眠质量的影响。方法:将2022年2月-2023年2月于某院接受支架植入术的脑动脉狭窄患者80例随机分为对照组(n=40,常规干预)和观察组(n=40,诱导睡眠联合行为心理干预)。对比两组干预前后的焦虑、抑郁状况、健康行为、睡眠质量、服药依从性及生活质量。结果:与对照组相比,干预后观察组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分降低(t=-5.844,-7.508;P<0.05),健康促进生活量表(HPLP-Ⅱ)各维度评分升高(t=5.491,10.386,6.140,6.507,7.467,3.731;P<0.05);干预后观察组的睡眠质量较对照组明显改善(Z=7.993,P<0.05);与对照组比较,观察组的服药依从率升高(χ^(2)=6.646,P<0.05),生活质量测定量表(WHOQOL-BREF)各维度评分升高(t=6.107,5.734,5.419,6.079;P<0.05)。结论:诱导睡眠联合行为心理干预对脑动脉狭窄支架置入患者的干预效果显著,可有效改善患者的焦虑、抑郁状况,提升患者的健康行为及睡眠质量,提高患者的服药依从性及生活质量。Objective:To explore the effects of sleep induction combined with behavioral psychological intervention on anxiety,depression and sleep quality in patients with cerebral artery stenosis after stenting.Methods:A total of 80 patients with cerebral artery stenosis who received stent implantation from February 2022 to February 2023 were randomized into control group(n=40,routine intervention)and observation group(n=40,sleep induction combined with behavioral psychological intervention).The two groups were compared in terms of anxiety,depression status,health behavior,sleep quality,medication compliance and quality of life before and after intervention.Results:Compared with the control group after intervention,the SAS score and SDS score in the observation group were decreased(t=-5.844,-7.508;P<0.05)while the scores of dimensions of Health Promoting Lifestyle Profile(HPLP-II)were increased(t=5.491,10.386,6.140,6.507,7.467,3.731;P<0.05).In the observation group,the sleep quality after intervention was improved significantly compared with that in the control group(Z=7.993,P<0.05).The medication compliance rate in the observation group was risen(χ^(2)=6.646,P<0.05),and the scores of various dimension of WHOQOL-BREF were enhanced(t=6.107,5.734,5.419,6.079;P<0.05)compared to the control group.Conclusion:Combination of sleep induction and behavioral psychological intervention has a significant intervention effect on patients with cerebral artery stenosis stent implantation,which can effectively improve patients'anxiety and depression,improve patients'health behavior and sleep quality,and improve patients'medication compliance and quality of life.

关 键 词：脑动脉狭窄 支架植入 行为心理干预 诱导睡眠 焦虑、抑郁状况 健康行为 生活质量 

分 类 号：R395.5[哲学宗教—心理学] R749.1[医药卫生—医学心理学]