综合干预对老年精神分裂症患者负面情绪与睡眠质量的影响研究  

The Effect of Comprehensive Intervention on Negative Emotions and Sleep Quality in Elderly Patients with Schizophrenia

作　　者：潘惠玲 PAN Huiling(Department of Psychiatry,Third Hospital of Quanzhou,Quanzhou 362000,China)

机构地区：[1]福建泉州市第三医院精神科,泉州362000

出　　处：《世界睡眠医学杂志》2024年第11期2466-2469,共4页World Journal of Sleep Medicine

摘　　要：目的:综合分析对老年精神分裂症患者实施综合干预的效果及对患者负面情绪与睡眠质量的影响。方法:选取2022年7月至2023年7月泉州市第三医院接治的精神分裂症老年患者68例作为研究对象,按照随机数字表法随机分为对照组和观察组,每组34例。对照组给予常规护理,观察组给予综合干预,对2组干预前、干预1个月后的积极消极情感量表(PANAS)、阳性和阴性症状量表(PANSS)以及匹兹堡睡眠指数量表(PSQI)进行比较。结果:干预前,2组的PANAS、PANSS、PSQI比较,差异均无统计学意义(均P>0.05);干预后,积极情感得分方面,观察组较对照组高,而消极情感得分则明显比对照组低(P<0.05);干预后,观察组PANSS各指标与PSQI总分均比对照组低(P<0.05)。结论:将综合干预的方式用于老年精神分裂症患者的效果可观,能够改善其负面情绪等症状,并促进睡眠质量的优化,进一步完善预后,有较高的临床借鉴价值。Objective:To comprehensively analyze the effect of comprehensive intervention on elderly patients with schizophrenia and its impact on negative emotions and sleep quality.Methods:A total of 68 elderly patients with schizophrenia admitted to the Third Hospital of Quanzhou from July 2022 to July 2023.They were randomly divided into a control group(34 cases,routine care)and an observation group(34 cases,comprehensive care intervention)using a random number table method.The Positive and Negative Affect Schedule(PANAS),Positive and Negative Syndrome Scale(PANSS),and Pittsburgh Sleep Quality Index(PSQI)of the two groups were compared before and one month after intervention.Results:Before intervention,there was no statistically significant difference in PANAS,PANSS,and PSQI between the two groups(P>0.05).After intervention,the positive emotion score of the observation group was higher than that of the control group,while the negative emotion score of the observation group was lower(P<0.05).In terms of PANSS and PSQI scores after intervention,the observation group had lower PANSS indicators and total PSQI scores than the control group(P<0.05).Conclusion:The application of comprehensive intervention in elderly patients with schizophrenia has significant effects,improving their negative emotions and sleep quality,and optimizing their prognosis.This study has high clinical reference value.

关 键 词：精神分裂症 综合护理 老年患者 负面情绪 睡眠质量 积极情感 消极情感 精神疾病 

分 类 号：R749.3[医药卫生—神经病学与精神病学] R338.63[医药卫生—临床医学]