循证护理对老年冠心病患者睡眠质量和焦虑抑郁的影响

Effect of Evidence-based Nursing on Sleep Quality, Anxiety and Depression in the Elderly with Coronary Heart Disease

中文关键词: 老年  冠心病  睡眠质量  焦虑  抑郁  循证护理

英文关键词: elderly  coronary heart disease (CHD)  sleep quality  anxiety  depression  evidence-based nursing

中文摘要:

      目的 观察循证护理对老年冠心病患者睡眠质量、焦虑和抑郁的影响,以寻求更加有效的护理方法.方法 将70例老年冠心病患者随机分为观察组(n=35)和对照组(n=35),对照组采用常规护理,观察组采用循证护理.在入院当天和治疗4周后分别采用采用匹兹保睡眠指数量表(PSQI)、焦虑自评量表(SAS)和抑郁自评量表(SDS)对2组的睡眠质量、抑郁和焦虑进行评分与比较.结果 入院时2组睡眠质量评分比较,差别均没有统计学意义(P＞0.05);入院后4周,2组睡眠质量各项评分值均低于入院时(P＜0.05),而观察组PSQI的7个分项目评分值均显著低于对照组(P＜0.05),PSQI总分也明显低于对照组(P＜0.01).入院时2组患者SAS和SDS得分值比较均没有统计学意义(P＞0.05);入院后4周,2组SAS和SDS得分值均低于入院时(P＜0.01),而观察组SAS和SDS得分值均显著低于对照组(P＜0.05).观察组睡眠质量高于对照组,焦虑和抑郁程度的改善优于对照组.结论 循证护理对老年冠心病患者的睡眠质量、焦虑和抑郁有较好的改善效果,有一定的应用价值.

英文摘要:

      Objective To observe the effect of evidence-based nursing on sleep quality,anxiety and depression in the elderly with coronary heart disease (CHD).Methods 70 elderly with CHD were randomly divided into 2 groups:observation group (n=35) and control group (n=35);routine nursing was performed in control group while evidence-based nursing in observation group;the Pittsburgh sleep scale index (PSQI),self-rating Anxiety Scale (SAS) and self-rating Depression Scale (SDS) were used in evaluating the sleeping quality,depression and anxiety of the cases in both groups at the day of admission and 4 weeks after treatment,and a comparative study was made to the scores between the 2 groups.Results The comparison of the scores of sleeping quality between the 2 groups at admission was of no statistical difference (P ＞ 0.05);4 weeks after admission,the scores of sleeping quality in the 2 groups were lower than those at admission (P＜0.05);the scores of 7 sub-items in PSQI and the total score of PSQI in observation group were much lower than those in control group (P ＜ 0.05,P ＜ 0.01);there existed no statistical difference in the scores of SAS and SDS between the 2 groups at admission (P＞0.05) while 4 weeks after admission,the scores of SAS and SDS in both groups were much lower than those at admission (P＞0.01),and the scores in observation group were obviously lower than those in control group (P＞0.05);the sleeping quality in observation group is higher than that in control group and the improvement of anxiety and depression in observation is superior than that in control group.Conclusions Evidence-based nursing is of better effect in improving sleeping quality,anxiety and depression of the elderly with CHD,and it has certain value of application.