转化医学电子杂志
轉化醫學電子雜誌
전화의학전자잡지
2014年
5期
134-136
,共3页
循证护理干预%消化性溃疡%抑郁症%睡眠质量
循證護理榦預%消化性潰瘍%抑鬱癥%睡眠質量
순증호리간예%소화성궤양%억욱증%수면질량
evidence-based nursing%peptic ulcer%depression%sleep quality
目的：观察循证护理干预对消化性溃疡伴抑郁症患者睡眠质量的影响．方法：将90例消化性溃疡患者随机分为对照组和研究组，每组45例，对照组患者给予消化科常规护理方法，研究组患者在对照组患者的基础上实施循证护理干预措施．治疗2周后，评估两组患者临床疗效，采用抑郁自评量表（SDS）对患者治疗前后抑郁状况进行评分，采用匹兹堡睡眠质量指数（PSQI）评价患者睡眠质量，比较两组患者护理效果．结果：与对照组比较，研究组患者症状缓解率、溃疡愈合率和 HP 清除率明显升高，差异具有统计学意义（P ＜0．05）．与治疗前比较，两组患者治疗后SDS评分明显下降，差异具有统计学意义（P＜0．05）；与对照组治疗后比较，研究组治疗后 SDS 评分显著下降，差异具有统计学意义（P ＜0．05）．与对照组比较，研究组患者睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、安眠药物、日间功能和PSQI 总分评分明显降低，差异具有统计学意义（P＜0．05）．结论：循证护理干预不仅有助于提高消化性溃疡患者临床治疗效果，并且能改善患者的抑郁状态和睡眠质量，值得推广应用．
目的：觀察循證護理榦預對消化性潰瘍伴抑鬱癥患者睡眠質量的影響．方法：將90例消化性潰瘍患者隨機分為對照組和研究組，每組45例，對照組患者給予消化科常規護理方法，研究組患者在對照組患者的基礎上實施循證護理榦預措施．治療2週後，評估兩組患者臨床療效，採用抑鬱自評量錶（SDS）對患者治療前後抑鬱狀況進行評分，採用匹玆堡睡眠質量指數（PSQI）評價患者睡眠質量，比較兩組患者護理效果．結果：與對照組比較，研究組患者癥狀緩解率、潰瘍愈閤率和 HP 清除率明顯升高，差異具有統計學意義（P ＜0．05）．與治療前比較，兩組患者治療後SDS評分明顯下降，差異具有統計學意義（P＜0．05）；與對照組治療後比較，研究組治療後 SDS 評分顯著下降，差異具有統計學意義（P ＜0．05）．與對照組比較，研究組患者睡眠質量、入睡時間、睡眠時間、睡眠效率、睡眠障礙、安眠藥物、日間功能和PSQI 總分評分明顯降低，差異具有統計學意義（P＜0．05）．結論：循證護理榦預不僅有助于提高消化性潰瘍患者臨床治療效果，併且能改善患者的抑鬱狀態和睡眠質量，值得推廣應用．
목적：관찰순증호리간예대소화성궤양반억욱증환자수면질량적영향．방법：장90례소화성궤양환자수궤분위대조조화연구조，매조45례，대조조환자급여소화과상규호리방법，연구조환자재대조조환자적기출상실시순증호리간예조시．치료2주후，평고량조환자림상료효，채용억욱자평량표（SDS）대환자치료전후억욱상황진행평분，채용필자보수면질량지수（PSQI）평개환자수면질량，비교량조환자호리효과．결과：여대조조비교，연구조환자증상완해솔、궤양유합솔화 HP 청제솔명현승고，차이구유통계학의의（P ＜0．05）．여치료전비교，량조환자치료후SDS평분명현하강，차이구유통계학의의（P＜0．05）；여대조조치료후비교，연구조치료후 SDS 평분현저하강，차이구유통계학의의（P ＜0．05）．여대조조비교，연구조환자수면질량、입수시간、수면시간、수면효솔、수면장애、안면약물、일간공능화PSQI 총분평분명현강저，차이구유통계학의의（P＜0．05）．결론：순증호리간예불부유조우제고소화성궤양환자림상치료효과，병차능개선환자적억욱상태화수면질량，치득추엄응용．
AIM:To observe the effect of evidence-based nurs-ing to sleep quality of depression patients with peptic ulcer. METHODS:90 patients with peptic ulcer were randomly divided into control group and research group,each group had 45 cases, the control group was given conventional nursing methods of diges-tive department,the research group was given evidence-based nursing on the basis of the control group.After 2 weeks,clinical effect of two groups of patients were assessed,the self-reported depression scale (SDS)was used to assess patients with depres-sion status before and after treatment,the pittsburgh sleep quality index (PSQI)was used to assess patients with sleep quality,and comparing nursing effect of two groups of patients.RESULTS:Comparing with control group,symptoms remission rate,ulcer healing rate and HP clearance of research group significantly in-creased,the difference was statistically significant (P<0.05 ). Comparing with before treatment,SDS of two groups significantly decreased,the difference was statistically significant (P<0.05);and comparing with after treatment of control group,SDS of after treatment of research group significantly decreased,the difference was statistically significant (P<0.05 ).Comparing with control group,the sleep quality,sleep latency,sleep time,sleep effi-ciency,sleep disorder,sleep AIDS,daytime function and total scores of PSQI of the research group decreased obviously,the difference was statistically significant (P<0.05 ).CONCLU-SION:The evidence-based nursing will not only help to enhance the clinical effect of patients with peptic ulcer,but also can im-prove the patient's depression and sleep quality,it is worthy of ap-plication.
