Role of patient-centered psychological nursing for improving sleep quality of CHD patients
10.3969/j.issn.1008-0074.2017.05.26
- VernacularTitle:以患者为中心的心理护理改善冠心病患者睡眠质量的作用
- Author:
ni Jia LIU
1
Author Information
1. 上海中医药大学附属曙光医院心内科CCU
- Keywords:
Psychological nursing;
Coronary disease;
Sleep disorders
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2017;26(5):558-563
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore role of patient-centered psychological nursing intervention (PCPNI)for improving sleep quality of patients with coronary heart disease (CHD).Methods:A total of 118 CHD patients were selected from our department.According to odd and even hospitalization number match principle,patients were divided into routine nursing group (n=58)and psychological nursing group (n=60,received PCPNI based on routine nursing). Scores of Pittsburgh sleep quality index (PSQI),Zung's self-rating anxiety scale (SAS),self-rating depression scale (SDS)and the medical outcomes study 36-item short-form heath survey (SF-36)before and after nursing were com-pared between two groups.Results:Compared with before nursing,after nursing,there were significant reductions in incidence rate of insomnia,scores of SAS and SDS and sleep latency,and significant rise in sleep efficiency and actual sleep time,P =0.001 all;compared with routine nursing group after nursing,there were significant reduc-tions in incidence rate of insomnia (48.28% vs.20.00%),scores of SAS [(42.31±7.06)scores vs.(35.62±6.14) scores]and SDS [(45.01 ±6.23)scores vs.(37.12 ± 5.14)scores]and sleep latency [(39.24 ±6.48)min vs. (28.51±6.23)min],and significant rise in sleep efficiency [(66.48±6.59)% vs.(73.26±8.15)%],actual sleep time [(5.14±0.84)h vs.(5.89±0.92)h]and each dimension score of SF-36,P =0.001 all.Conclusion:Patient-centered psychological nursing intervention possesses significant effect for improving sleep quality of CHD patients, it can reduce negative influence of negative emotions and finally improve quality of life.
