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目的了解慢性病住院病人的焦虑状况及对睡眠质量的影响。方法应用焦虑自评量表(SAS)和匹兹堡睡眠质量指数(PSQI)对80例慢性病住院病人进行问卷方式调查,以病人焦虑自评量表(SAS)评分作为反映住院病人心理焦虑状况指标,分析SAS评分与睡眠质量指数(PSQI)关系。结果从80例慢性病住院病人中回收有效问卷77份,SAS调查结果SAS评定分最高的77.25分,最低的30.12分,平均(51.02±10.07)分。PSQI调查PSQI得分最高的20分,最低的1分,平均(8.55±11.32)分。25例病人睡眠质量较好,PSQI≤4,18例病人睡眠质量较差,PSQI≥15,34例病人居中。轻、中、重度焦虑者PSQI总分均高于正常者(P<0.05)。相关分析SAS得分与PSQI总分呈正相关关系(r=0.652)。结论慢性病住院病人焦虑状况直接影响到病人的睡眠质量,护理人员应根据病人心理焦虑程度采用相应的心理护理措施,帮助病人提高睡眠质量以利于康复治疗。
Objective To understand the anxiety status of inpatients with chronic diseases and the impact on sleep quality. Methods 80 anxiety self-rating anxiety scale (SAS) and Pittsburgh sleep quality index (PSQI) were used to investigate the 80 inpatients with chronic diseases. The self-rating anxiety scale (SAS) was used as an index to reflect the psychological anxiety status of inpatients. SAS score and sleep quality index (PSQI) relationship. Results 77 valid questionnaires were collected from 80 inpatients with chronic diseases. The highest SAS score of SAS was 77.25 points, the lowest was 30.12 points and the average was (51.02 ± 10.07) points. PSQI survey PSQI highest score of 20 points, the lowest score of 1, with an average (8.55 ± 11.32) points. 25 patients with better quality of sleep, PSQI ≤ 4,18 patients with poor quality of sleep, PSQI ≥ 15, 34 patients were centered. The scores of PSQI in mild, moderate and severe anxiety patients were higher than those in normal controls (P <0.05). Correlation analysis The SAS score was positively correlated with the total score of PSQI (r = 0.652). Conclusions Anxiety status of inpatients with chronic diseases directly affects their sleep quality. Nurses should adopt appropriate psychological nursing measures according to their psychological anxiety to help patients improve their quality of sleep so as to facilitate rehabilitation.