CAJ | 학술논문

目的观察意象对话技术对改善妇科患者术前睡眠的作用.方法将190例焦虑自评量表(SAS)测评得分>50分的妇科手术患者,用随机数字表法分为意象对话干预组、音乐意象放松干预组及对照组.意象对话干预组给予意象对话心理干预,音乐意象放松干预组给予播放自制的音乐意象放松录音干预,并比较3组干预前后的睡眠变化情况.结果入睡时间意象对话组[(58.55±83.80)min]最短,与音乐意象放松组[(102.83±132.92)min]及对照组[(127.76±136.64)min]均有差异(P<0.05);总睡眠时间意象对话组[(6.42±2.12)h]最长,与音乐意象放松组[(5.52±2.36)h]及对照组[(4.93±2.10)h]均有差异(P<0.05或<0.01);睡眠效率意向组最高,与对照组(54.89±23.73)差别显著(P<0.01);意象对话组干预后与干预前相比总睡眠时间延长(P<0.05)、睡眠效率提高(P<0.05).对照组术前1d与术前2d相比总睡眠时间缩短(P<0.01)、睡眠效率下降(t=4.118,P<0.01)、入睡时间延长(t=3.692,P<0.01)、觉醒次数增加(t=2.664,P<0.01).结论意象对话技术和音乐意象放松干预对减轻手术前的心理和生理应激有不同的作用,意象对话技术在改善睡眠方面更优于音乐意象放松.
목적 관찰의상대화기술대개선부과환자술전수면적작용.방법 장190례초필자평량표(SAS)측평득분>50분적부과수술환자,용수궤수자표법분위의상대화간예조、음악의상방송간예조급대조조.의상대화간예조급여의상대화심리간예,음악의상방송간예조급여파방자제적음악의상방송록음간예,병비교3조간예전후적수면변화정황.결과 입수시간의상대화조[(58.55±83.80)min]최단,여음악의상방송조[(102.83±132.92)min]급대조조[(127.76±136.64)min]균유차이(P<0.05);총수면시간의상대화조[(6.42±2.12)h]최장,여음악의상방송조[(5.52±2.36)h]급대조조[(4.93±2.10)h]균유차이(P<0.05혹<0.01);수면효솔의향조최고,여대조조(54.89±23.73)차별현저(P<0.01);의상대화조간예후여간예전상비총수면시간연장(P<0.05)、수면효솔제고(P<0.05).대조조술전1d여술전2d상비총수면시간축단(P<0.01)、수면효솔하강(t=4.118,P<0.01)、입수시간연장(t=3.692,P<0.01)、각성차수증가(t=2.664,P<0.01).결론 의상대화기술화음악의상방송간예대감경수술전적심리화생리응격유불동적작용,의상대화기술재개선수면방면경우우음악의상방송.
Objective To observe the effects of imagery-dialogue skill on sleep of gynecological pre-operation patients and explore the best way to relieve pre-operation anxiety. Methods 190 patients with the SAS scores above 50 were randomly divided into imagery-dialogue skill group, music-imagery-relaxation group and control group. The imagery-dialogue skill group was given imagery-dialogue skill mental intervention. The music-imagery-relaxation group was given to listen to the self-made relaxation music. To collect the sleep information 2 days and 1 day before the operation among the 3 groups. Results The imagery-dialogue skill group' s time of fall asleep (58.55 ±83. 80)min was the shortest and there were significant differences between music-imagery-relaxation group(102.83 ±132.92)min and control group( 127.76 ± 136.64)min (P<0.05, P<0.01). The imagery-dialogue skill group' s total sleep time(6.42 ±2. 12)h was the longest and there were significant differences between music- imagery-relaxation group(5.52 ±2. 36) h and control group(4.93 ±2. 10)h (P<0.05, P<0.01). The imagery-dialogue skill group's sleep efficiency(68. 61 ±22. 12) was the highest and it was significantly different from control group(54.89 ±23.73) (P<0. 01 ). The total sleep time and sleep efficiency post-intervention was higher than pre-intervention in imagery-dialogue skill group (t = 2.324, P<0.05, t = 2.020, P<0.01).The control group had shorter total sleep time (t = 4. 360, P < 0.01) , lower sleep efficiency (t = 4.118, P < 0.01 ) , longer fall asleep time (t = 3.692, P<0.01) and more awareness-times(t = 2.664, P<0.01) in 2 days and 1 day before the operation. Conclusion The imagery-dialogue skill has more dominance than music-imagery-relaxation style in relieving the stress of pre-operation.