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作 者:黄秀环 HUANG Xiuhuan(Department of Hepatobiliary Surgery II,Zhongshan Hospital Affiliated to Xiamen University,Xiamen 361000,China)
机构地区:[1]厦门大学附属中山医院肝胆外科二病区,厦门361000
出 处:《世界睡眠医学杂志》2024年第12期2785-2787,共3页World Journal of Sleep Medicine
摘 要:目的:本研究旨在探讨心理危机多维度干预联合自我效能干预对肝癌患者介入后睡眠情况的影响。方法:选取2022年5月至2023年5月厦门大学附属中山医院收治的肝癌患者80例作为研究对象,按照随机数字表法分为对照组和观察组,每组40例。对照组采取常规护理,观察组采取心理危机多维度干预联合自我效能干预。针对2组患者的匹兹堡睡眠指数量表(PSQI)、快速眼动(REM)睡眠比例、睡眠呼吸暂停指数、周期性肢体运动指数、心理状态焦虑自评量表(SAS)、抑郁自评量表(SDS)、自我效能感量表评分进行比较。结果:观察组REM睡眠比例高于对照组,睡眠呼吸暂停指数、周期性肢体运动指数低于对照组,差异有统计学意义(P<0.05)。观察组SAS、SDS评分低于对照组,差异有统计学意义(P<0.05),自我效能感量表评分高于对照组,差异有统计学意义(P<0.05)。结论:心理危机多维度干预联合自我效能干预对肝癌患者介入后的睡眠具有显著的积极影响,可有效改善患者的睡眠质量,提高生命质量。Objective:To explore the effects of multidimensional psychological crisis intervention combined with self-efficacy intervention on the sleep quality of liver cancer patients after intervention.Methods:A total of 80 liver cancer patients treated at the Department of Hepatobiliary Surgery II,Zhongshan Hospital Affiliated to Xiamen University from May 2022 to May 2023 were selected as study subjects.They were randomly divided into the control group and the observation group,with 40 patients in each group.The control group received routine nursing care,while the observation group received multidimensional psychological crisis intervention combined with self-efficacy intervention.The Pittsburgh Sleep Quality Index(PSQI),rapid eye movement(REM)sleep ratio,sleep apnea index,periodic limb movement index,Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),and Self-Efficacy Scale were compared between the two groups.Results:The observation group showed a higher REM sleep ratio,a lower sleep apnea index,and a lower periodic limb movement index compared to the control group,with statistically significant differences(P<0.05).The observation group also had lower SAS and SDS scores,with statistically significant differences(P<0.05),and higher Self-Efficacy Scale scores,with statistically significant differences(P<0.05).Conclusion:Multidimensional psychological crisis intervention combined with self-efficacy intervention has a significant positive impact on the sleep quality of liver cancer patients after interventional treatment.This approach can effectively improve patients′sleep quality and enhance their quality of life.
关 键 词:肝癌 心理危机 多维度护理 自我效能护理 睡眠质量 焦虑 抑郁 生命质量
分 类 号:R338.63[医药卫生—人体生理学] R735.7[医药卫生—基础医学]
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