心理干预联合人文关怀对慢性心力衰竭患者心理状态、治疗依从性及睡眠质量的影响  

Effects of Psychological Intervention Combined with Humanistic Care on Psychological Status,Treatment Compliance and Sleep Quality of Patients with Chronic Heart Failure

作　　者：杨茵茵[1] 黄丽珠 聂立华[1] 黄智慧 YANG Yinyin;Huang Lizhu;NIE Lihua;HUANG Zhihui(Department of Cardiology,Quanzhou First Hospital,Quanzhou 362000,China;Department of Cardiovascular Medicine,Fuzhou First General Hospital,Fuzhou 350000,China)

机构地区：[1]泉州市第一医院心内科,泉州362000 [2]福州市第一总医院心血管内科,福州350000

出　　处：《世界睡眠医学杂志》2024年第8期1783-1786,共4页World Journal of Sleep Medicine

摘　　要：目的:分析心理干预与人文关怀在慢性心力衰竭(CHF)患者中的应用效果。方法:选取2023年3月至2024年2月泉州市第一医院收治的CHF患者150例作为研究对象,按照随机数字表法分为观察组和对照组,每组75例。2组均接受常规治疗与护理,观察组在常规治疗、护理基础上接受心理干预与人文关怀。比较2组干预后焦虑与抑郁情绪、服药依从性、睡眠质量与生命质量。焦虑采用焦虑自评量表(SAS)评价,抑郁采用抑郁自评量表(SDS)评价,睡眠质量采用匹兹堡睡眠质量指数(PSQI)评价,生命质量采用明尼苏达心力衰竭生命质量量表(MLHFQ)评价。结果:观察组在干预后SAS、SDS评分低于对照组,服药依从率高,PSQI评分与睡眠障碍发生率较低,差异有统计学意义(P<0.05)。观察组在干预后MLHFQ评分显著低于对照组,差异有统计学意义(P<0.05)。结论:心理干预与人文关怀可改善CHF患者心理障碍与睡眠障碍,提升治疗依从性,改善生命质量。Objective:To know the effect of psychological intervention and humanistic care in patients with chronic heart failure(CHF).Methods:A total of 150 CHF patients admitted to Quanzhou First Hospital from March 2023 to February 2024 were selected as the study objects and divided into observation group and control group according to random number table method,with 75 cases in each group.Both groups had received routine treatment and care,the observation group had received psychological intervention and humanistic care on the basis of routine treatment and care.Anxiety and depression,medication adherence,sleep quality,and quality of life between two groups after intervention were compared.Anxiety was evaluated using SAS,depression was evaluated using SDS,sleep quality was evaluated using the PSQI,and quality of life was evaluated using MLHFQ.Results:After intervention,the SAS and SDS scores of observation group were lower than those of control group,the medication adherence rate was higher,and PSQI and incidence of sleep disorder were lower,the difference was statistically significant(P<0.05).MLHFQ score of observation group was significantly lower than that of control group after intervention,the difference was statistically significant(P<0.05).Conclusion:Psychological intervention and humanistic care can improve the psychological and sleep disorders of CHF patients,enhance treatment compliance,and improve quality of life.

关 键 词：慢性心力衰竭 焦虑 抑郁 心理干预 人文关怀 依从性 睡眠质量 生命质量 

分 类 号：R338.63[医药卫生—人体生理学] R541.6[医药卫生—基础医学]