中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2011年
22期
2630-2632
,共3页
宋艳玲%闫俊辉%丁殊节%李豪
宋豔玲%閆俊輝%丁殊節%李豪
송염령%염준휘%정수절%리호
睡眠障碍%护理干预%维持性血液透析
睡眠障礙%護理榦預%維持性血液透析
수면장애%호리간예%유지성혈액투석
Sleep disorders%Nursing intervention%Maintenance hemodialysis
目的 调查维持性血液透析患者睡眠质量、焦虑和抑郁情况，探讨认知行为护理干预措施的效果。方法 采用匹兹堡睡眠指数量表(PSQI)、抑郁自评量表、焦虑自评量表，对77例维持性血液透析患者进行问卷调查，对52例睡眠障碍患者给予认知行为干预和渐进性肌肉放松训练，比较干预前后睡眠质量、焦虑抑郁情况。结果 本组77例维持性血液透析患者中发生睡眠质量差（PSQI ＞5分），中至重度焦虑（SAS ＞60分），中至重度抑郁（SDS＞ 60分）者共52例，总发生率67.5％。干预前PSQI总分为(8.60±2.69)分，干预后为（5.08±1.95）分，干预前后比较差异有统计学意义(t=7.643,P＜0.01)，焦虑评分、抑郁评分在护理干预后均有改善，与干预前比较差异有统计学意义(t分别为9.732，8.977；P＜0.01)；匹兹堡睡眠指数量表7个因子中主观睡眠质量、睡眠潜伏期、睡眠持续性、习惯睡眠效率、使用睡眠药物、白天功能紊乱6个因子在护理干预前后差异有统计学意义（t分别为2.127，3.371,5.674,6.399,2.255，2.039；P＜0.05或P＜0.01）。结论 认知行为干预方法结合渐进性肌肉放松训练能降低维持性血液透析患者焦虑、抑郁水平，提高睡眠质量。
目的 調查維持性血液透析患者睡眠質量、焦慮和抑鬱情況，探討認知行為護理榦預措施的效果。方法 採用匹玆堡睡眠指數量錶(PSQI)、抑鬱自評量錶、焦慮自評量錶，對77例維持性血液透析患者進行問捲調查，對52例睡眠障礙患者給予認知行為榦預和漸進性肌肉放鬆訓練，比較榦預前後睡眠質量、焦慮抑鬱情況。結果 本組77例維持性血液透析患者中髮生睡眠質量差（PSQI ＞5分），中至重度焦慮（SAS ＞60分），中至重度抑鬱（SDS＞ 60分）者共52例，總髮生率67.5％。榦預前PSQI總分為(8.60±2.69)分，榦預後為（5.08±1.95）分，榦預前後比較差異有統計學意義(t=7.643,P＜0.01)，焦慮評分、抑鬱評分在護理榦預後均有改善，與榦預前比較差異有統計學意義(t分彆為9.732，8.977；P＜0.01)；匹玆堡睡眠指數量錶7箇因子中主觀睡眠質量、睡眠潛伏期、睡眠持續性、習慣睡眠效率、使用睡眠藥物、白天功能紊亂6箇因子在護理榦預前後差異有統計學意義（t分彆為2.127，3.371,5.674,6.399,2.255，2.039；P＜0.05或P＜0.01）。結論 認知行為榦預方法結閤漸進性肌肉放鬆訓練能降低維持性血液透析患者焦慮、抑鬱水平，提高睡眠質量。
목적 조사유지성혈액투석환자수면질량、초필화억욱정황，탐토인지행위호리간예조시적효과。방법 채용필자보수면지수량표(PSQI)、억욱자평량표、초필자평량표，대77례유지성혈액투석환자진행문권조사，대52례수면장애환자급여인지행위간예화점진성기육방송훈련，비교간예전후수면질량、초필억욱정황。결과 본조77례유지성혈액투석환자중발생수면질량차（PSQI ＞5분），중지중도초필（SAS ＞60분），중지중도억욱（SDS＞ 60분）자공52례，총발생솔67.5％。간예전PSQI총분위(8.60±2.69)분，간예후위（5.08±1.95）분，간예전후비교차이유통계학의의(t=7.643,P＜0.01)，초필평분、억욱평분재호리간예후균유개선，여간예전비교차이유통계학의의(t분별위9.732，8.977；P＜0.01)；필자보수면지수량표7개인자중주관수면질량、수면잠복기、수면지속성、습관수면효솔、사용수면약물、백천공능문란6개인자재호리간예전후차이유통계학의의（t분별위2.127，3.371,5.674,6.399,2.255，2.039；P＜0.05혹P＜0.01）。결론 인지행위간예방법결합점진성기육방송훈련능강저유지성혈액투석환자초필、억욱수평，제고수면질량。
Objective To explore the effects of cognitive behavior intervention on status of the sleep quality, anxiety and depression of the patients who received maintenance hemodialysis. Methods By questionnaire survey, 77 maintenance hemodialysis patients were investigated with Pittsburgh Sleep Quality Index (PSQI), Self-Rating Depression Scale (SDS) and Self-Rating Anxiety Scale (SAS). Among them, 52 with sleep disorders were given cognitive behavioral intervention and progressive muscle relaxation (PMR) training by one to one guidance. Results Of the 77 patients, 52 (67.5％) showed low sleep quality (PSQI ＞ 5), moderate to severe anxiety (SAS ＞ 60) and moderate to severe depression (SDS ＞ 60). PSQI score before and after the intervention was (8.60 ± 2.69), (5.08 ± 1.95), respectively. The difference was statistically significant (t =7. 643 ,P ＜ 0. 01). SDS and SAS also improved after the intervention, and the difference was statistically significant (t = 9. 732,8. 977 ; P ＜ 0. 01). The scores of the six dimensions of PSQI showed significant difference (t = 2. 127,3. 371,5. 674,6. 399,2. 255,2. 039 ; P ＜ 0. 05 or P ＜ 0. 01) after the intervention as compared to before the intervention, regarding subjective sleep quality, sleep latency, sleep continuity, habits of sleep efficiency, sleep disorders and day function. Conclusions The cognitive behavioral intervention and progressive muscle relaxation (PMR) could decrease level of anxiety and depression and improve sleep quality of patients who received maintenance hemodialysis.
