综合护理干预对抑郁症睡眠障碍患者中的临床价值研究(1)
【摘要】 目的：探讨综合护理干预对抑郁症睡眠障碍患者的临床价值。方法：选择2014年6月-2015年12月本院收治的抑郁合并睡眠障碍患者80例，按照随机数字表法分为两组，各40例。对照组行常规护理，主要以精神科护理常规为基础，实施药物治疗的监督、安全管理护理、生活相关护理等，观察组则在对照组基础上结合有效的综合护理干预，比较干预过程中出现的并发症或不良反应，统计两组干预过程中睡眠质量变化情况，分析存在的焦虑和抑郁情况。结果：观察组干预过程中并发症或不良反应，如头晕头痛、恶心呕吐、全身乏力及腹痛腹泻的发生率均显著低于对照组(P<0.05);干预后，两组睡眠质量得分均低于干预前且观察组睡眠质量得分低于对照组(P<0.05);观察组存在的焦虑和抑郁症状显著低于对照组(P<0.05)。结论：针对抑郁症合并睡眠障碍者实施有效的综合护理干预，能有效地改善患者临床症状，提高睡眠质量，减少焦虑抑郁发生。
【关键词】 综合护理 抑郁症 睡眠障碍
[Abstract] Objective： To explore the clinical value of comprehensive nursing intervention in patients with depressive sleep disorder. Method： A total of 80 patients with depression and sleep disorder admitted to our hospital from June 2014 to December 2015 were selected and divided into two groups according to the random number table， 40 cases in each group. In the control group， the routine nursing was mainly based on the routine nursing in psychiatric department， including supervision of drug treatment， safety management nursing， life-related nursing， and so on. The observation group was combined with effective comprehensive nursing intervention on the basis of the control group. The complications or adverse reactions in the process of intervention of two groups were compared， the changes of sleep quality in the two groups were statistically analyzed， and the existing anxiety and depression were analyzed. Result： The incidence of complications or adverse reactions， such as dizziness and headache， nausea and vomiting， general fatigue and abdominal pain and diarrhea in the observation group were significantly lower than that in the control group (P<0.05). After intervention， the scores of sleep quality in the two groups were lower than those before intervention， and the scores of sleep quality in the observation group were lower than those in the control group (P<0.05). The symptoms of anxiety and depression in the observation group were significantly lower than those in the control group (P<0.05). Conclusion： Effective comprehensive nursing intervention for patients with depression and sleep disorder can effectively improve clinical symptoms， improve sleep quality and reduce the occurrence of anxiety and depression.
[Key words] Comprehensive nursing Depression Sleep disorders
First-author’s address： The Fourth People’s Hospital of Jingdezhen City， Jingdezhen 333000， China
doi：10.3969/j.issn.1674-4985.2019.34.028
抑郁癥属于精神科较为常见的疾病，本病主要以心境低落、思维迟缓、意志活动减退、认知功能障碍为临床表现[1]。研究证明，抑郁症患者多存在明显的情绪压力，表现为焦虑、狂躁等，随着病程的延长，疾病严重程度的加重，对患者的睡眠质量造成较大负面影响[2]。研究提示，失眠为抑郁症的最常见残留症状，针对抑郁症进行治疗同时，应密切关注患者的睡眠质量，实施联合治疗[3]。抑郁症患者的睡眠障碍主要以睡眠量不正常、睡眠异常行为主要表现，其发病诱因有多种，多数与身心疾病存在密切相关性[4]。有资料指出，超过30%的成年人存在睡眠障碍、睡眠相关疾病[5]。睡眠障碍被认为是抑郁的最为典型的合并症状，亦为抑郁症的重要致病因素。两者相辅相成，互为因果，发生睡眠障碍的抑郁症患者，其病情反复加重，对患者的康复造成较大负面影响[6]。为更好地提高抑郁合并睡眠障碍患者的临床治疗效果，本研究主要探讨综合护理干预在抑郁症伴睡眠障碍患者中的应用价值，现报道如下。, http://www.100md.com(程华枝 郑计华)
【关键词】 综合护理 抑郁症 睡眠障碍
[Abstract] Objective： To explore the clinical value of comprehensive nursing intervention in patients with depressive sleep disorder. Method： A total of 80 patients with depression and sleep disorder admitted to our hospital from June 2014 to December 2015 were selected and divided into two groups according to the random number table， 40 cases in each group. In the control group， the routine nursing was mainly based on the routine nursing in psychiatric department， including supervision of drug treatment， safety management nursing， life-related nursing， and so on. The observation group was combined with effective comprehensive nursing intervention on the basis of the control group. The complications or adverse reactions in the process of intervention of two groups were compared， the changes of sleep quality in the two groups were statistically analyzed， and the existing anxiety and depression were analyzed. Result： The incidence of complications or adverse reactions， such as dizziness and headache， nausea and vomiting， general fatigue and abdominal pain and diarrhea in the observation group were significantly lower than that in the control group (P<0.05). After intervention， the scores of sleep quality in the two groups were lower than those before intervention， and the scores of sleep quality in the observation group were lower than those in the control group (P<0.05). The symptoms of anxiety and depression in the observation group were significantly lower than those in the control group (P<0.05). Conclusion： Effective comprehensive nursing intervention for patients with depression and sleep disorder can effectively improve clinical symptoms， improve sleep quality and reduce the occurrence of anxiety and depression.
[Key words] Comprehensive nursing Depression Sleep disorders
First-author’s address： The Fourth People’s Hospital of Jingdezhen City， Jingdezhen 333000， China
doi：10.3969/j.issn.1674-4985.2019.34.028
抑郁癥属于精神科较为常见的疾病，本病主要以心境低落、思维迟缓、意志活动减退、认知功能障碍为临床表现[1]。研究证明，抑郁症患者多存在明显的情绪压力，表现为焦虑、狂躁等，随着病程的延长，疾病严重程度的加重，对患者的睡眠质量造成较大负面影响[2]。研究提示，失眠为抑郁症的最常见残留症状，针对抑郁症进行治疗同时，应密切关注患者的睡眠质量，实施联合治疗[3]。抑郁症患者的睡眠障碍主要以睡眠量不正常、睡眠异常行为主要表现，其发病诱因有多种，多数与身心疾病存在密切相关性[4]。有资料指出，超过30%的成年人存在睡眠障碍、睡眠相关疾病[5]。睡眠障碍被认为是抑郁的最为典型的合并症状，亦为抑郁症的重要致病因素。两者相辅相成，互为因果，发生睡眠障碍的抑郁症患者，其病情反复加重，对患者的康复造成较大负面影响[6]。为更好地提高抑郁合并睡眠障碍患者的临床治疗效果，本研究主要探讨综合护理干预在抑郁症伴睡眠障碍患者中的应用价值，现报道如下。, http://www.100md.com(程华枝 郑计华)