CAJ | 학술논문

目的：探讨移情护理对脑卒中患者负性情绪以及睡眠质量的影响。方法选择2012年12月~2013年12月解放军第一六九医院神经内科收治的150例脑卒中患者，采用随机数表法分为移情组以及对照组，每组各75例。对照组采用常规护理，移情组在对照组的常规护理的基础上进行移情护理(建立良好的护患关系的同时采用倾听、换位思考、社会支持、睡眠卫生教育等护理干预)。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、一般自我效能量表(GSES)以匹兹堡睡眠质量指数表(PSQI)评价患者的负性情绪、睡眠质量等，比较两组干预前后的效果。结果移情组患者在干预前SAS、SDS及GSES评分分别为(58.47±4.56)、(66.51±5.16)、(2.28±0.34)分，干预后为(36.64±5.65)、(48.16±5.36)、(2.71±0.38)分；对照组干预前分别为(58.35±5.35)、(67.14±4.23)、(2.18±0.39)分，干预后为(49.76±5.78)、(57.82±6.98)、(2.38±0.33)分，两组患者干预后各评分均较干预前明显改善，且移情组优于对照组，差异均有统计学意义(P<0.05)。移情组患者干预前PSQI中睡眠时间、入睡时间、睡眠质量、睡眠效率、睡眠障碍、日间功能障碍、睡眠药物、PSQI总分分别为(1.13±0.48)、(1.78±0.57)、(1.54±0.73)、(0.98±0.34)、(1.18±0.54)、(1.97±0.84)、(1.02±0.42)、(9.60±3.92)分，干预后分别为(0.63±0.31)、(1.21±0.15)、(1.12±0.01)、(0.62±0.24)、(0.78±0.33)(1.72±0.82)、(0.71±0.35)、(6.79±2.39)分；对照组干预前分别为(1.21±0.60)、(1.81±0.86)、(1.56±0.70)、(0.97±0.44)(1.12±0.49)、(1.99±0.83)、(1.04±0.48)、(9.70±3.82)分，干预后分别为(0.91±0.42)、(1.67±0.35)、(1.43±0.62)、(0.73±0.31)、(0.97±0.48)、(1.98±0.83)、(0.91±0.50)、(8.42±4.10)分，两组患者干预后各评分均较干预前明显改善，且移情组优于对照组，差异均有统计学意义(P<0.05或P<0.01)。结论对脑卒中患者进行移情护理干预，可有效改善患者睡眠质量，降低患者负性情绪。目的：探討移情護理對腦卒中患者負性情緒以及睡眠質量的影響。方法選擇2012年12月~2013年12月解放軍第一六九醫院神經內科收治的150例腦卒中患者，採用隨機數錶法分為移情組以及對照組，每組各75例。對照組採用常規護理，移情組在對照組的常規護理的基礎上進行移情護理(建立良好的護患關繫的同時採用傾聽、換位思攷、社會支持、睡眠衛生教育等護理榦預)。採用焦慮自評量錶(SAS)、抑鬱自評量錶(SDS)、一般自我效能量錶(GSES)以匹玆堡睡眠質量指數錶(PSQI)評價患者的負性情緒、睡眠質量等，比較兩組榦預前後的效果。結果移情組患者在榦預前SAS、SDS及GSES評分分彆為(58.47±4.56)、(66.51±5.16)、(2.28±0.34)分，榦預後為(36.64±5.65)、(48.16±5.36)、(2.71±0.38)分；對照組榦預前分彆為(58.35±5.35)、(67.14±4.23)、(2.18±0.39)分，榦預後為(49.76±5.78)、(57.82±6.98)、(2.38±0.33)分，兩組患者榦預後各評分均較榦預前明顯改善，且移情組優于對照組，差異均有統計學意義(P<0.05)。移情組患者榦預前PSQI中睡眠時間、入睡時間、睡眠質量、睡眠效率、睡眠障礙、日間功能障礙、睡眠藥物、PSQI總分分彆為(1.13±0.48)、(1.78±0.57)、(1.54±0.73)、(0.98±0.34)、(1.18±0.54)、(1.97±0.84)、(1.02±0.42)、(9.60±3.92)分，榦預後分彆為(0.63±0.31)、(1.21±0.15)、(1.12±0.01)、(0.62±0.24)、(0.78±0.33)(1.72±0.82)、(0.71±0.35)、(6.79±2.39)分；對照組榦預前分彆為(1.21±0.60)、(1.81±0.86)、(1.56±0.70)、(0.97±0.44)(1.12±0.49)、(1.99±0.83)、(1.04±0.48)、(9.70±3.82)分，榦預後分彆為(0.91±0.42)、(1.67±0.35)、(1.43±0.62)、(0.73±0.31)、(0.97±0.48)、(1.98±0.83)、(0.91±0.50)、(8.42±4.10)分，兩組患者榦預後各評分均較榦預前明顯改善，且移情組優于對照組，差異均有統計學意義(P<0.05或P<0.01)。結論對腦卒中患者進行移情護理榦預，可有效改善患者睡眠質量，降低患者負性情緒。
목적：탐토이정호리대뇌졸중환자부성정서이급수면질량적영향。방법선택2012년12월~2013년12월해방군제일륙구의원신경내과수치적150례뇌졸중환자，채용수궤수표법분위이정조이급대조조，매조각75례。대조조채용상규호리，이정조재대조조적상규호리적기출상진행이정호리(건립량호적호환관계적동시채용경은、환위사고、사회지지、수면위생교육등호리간예)。채용초필자평량표(SAS)、억욱자평량표(SDS)、일반자아효능량표(GSES)이필자보수면질량지수표(PSQI)평개환자적부성정서、수면질량등，비교량조간예전후적효과。결과이정조환자재간예전SAS、SDS급GSES평분분별위(58.47±4.56)、(66.51±5.16)、(2.28±0.34)분，간예후위(36.64±5.65)、(48.16±5.36)、(2.71±0.38)분；대조조간예전분별위(58.35±5.35)、(67.14±4.23)、(2.18±0.39)분，간예후위(49.76±5.78)、(57.82±6.98)、(2.38±0.33)분，량조환자간예후각평분균교간예전명현개선，차이정조우우대조조，차이균유통계학의의(P<0.05)。이정조환자간예전PSQI중수면시간、입수시간、수면질량、수면효솔、수면장애、일간공능장애、수면약물、PSQI총분분별위(1.13±0.48)、(1.78±0.57)、(1.54±0.73)、(0.98±0.34)、(1.18±0.54)、(1.97±0.84)、(1.02±0.42)、(9.60±3.92)분，간예후분별위(0.63±0.31)、(1.21±0.15)、(1.12±0.01)、(0.62±0.24)、(0.78±0.33)(1.72±0.82)、(0.71±0.35)、(6.79±2.39)분；대조조간예전분별위(1.21±0.60)、(1.81±0.86)、(1.56±0.70)、(0.97±0.44)(1.12±0.49)、(1.99±0.83)、(1.04±0.48)、(9.70±3.82)분，간예후분별위(0.91±0.42)、(1.67±0.35)、(1.43±0.62)、(0.73±0.31)、(0.97±0.48)、(1.98±0.83)、(0.91±0.50)、(8.42±4.10)분，량조환자간예후각평분균교간예전명현개선，차이정조우우대조조，차이균유통계학의의(P<0.05혹P<0.01)。결론대뇌졸중환자진행이정호리간예，가유효개선환자수면질량，강저환자부성정서。
Objective To explore the effect of empathy care in improving the negative mood, sleep quality of stroke patients. Methods From December 2012 to December 2013, in Department of Neurology, the 169th Hospital of PLA, 150 stroke patients were selected and divided into empathy group and control group, according to random number table, with 75 cases in each group. The control group was given routine nursing, and empathy group was given empathy care (making a good nurse-patient relationship, while using listening, empathy, social support nursing interventions, sleep hygiene education and so on) on the basic of routine nursing. SAS, SDS, GSES and PSQI were used to evaluate negative mood and sleep quality, the results of two groups before and after the intervention were compared. Results Before the intervention, SAS, SDS and GSES of patients in empathy group were (58.47±4.56), (66.51±5.16), (2.28±0.34) scores, af-ter the intervention, these were (36.64±5.65), (48.16±5.36), (2.71±0.38) scores; these in control group before the inter-vention were (58.35±5.35), (67.14±4.23), (2.18±0.39) scores, after the intervention were (49.76±5.78), (57.82±6.98), (2.38±0.33) scores, these in two groups after the intervention were better than those before the intervention, and these in empathy group after the intervention were better than those in control group, the differences were statistically signifi-cant (P< 0.05). Before the intervention, the sleep time, the time to fall asleep, sleep quality, sleep efficiency, sleep disorder, dysfunction in the daytime, sleep medicine and PSQI total scores of patients in empathy group before the in-tervention were (1.13±0.48), (1.78±0.57), (1.54±0.73), (0.98±0.34), (1.18±0.54), (1.97±0.84), (1.02±0.42), (9.60±3.92) scores, those afer the intervention were (0.63±0.31), (1.21±0.15), (1.12±0.01), (0.62±0.24), (0.78±0.33) (1.72±0.82), (0.71±0.35), (6.79±2.39) scores;those in control group before the intervention were (1.21±0.60), (1.81±0.86), (1.56±0.70), (0.97±0.44) (1.12±0.49), (1.99±0.83), (1.04±0.48), (9.70±3.82) scores, these after the intervention were (0.91±0.42), (1.67±0.35), (1.43±0.62), (0.73±0.31), (0.97±0.48), (1.98±0.83), (0.91±0.50), (8.42±4.10) scores,these in two groups after the intervention were better than those before the intervention, and these in empathy group after the inter-vention were better than those in control group, the differences were statistically significant (P < 0.05 or P < 0.01). Conclusion Applying empathy nursing in brain stroke patients can effectively improve the sleep quality of patients and decrease the negative emotion of patients.