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目的探讨集束化护理干预对风湿性心脏病(RHD)患者睡眠障碍(SD)以及心理状态的影响。方法将70例住院RHD伴SD患者随机分为研究组与对照组各35例。对照组患者接受常规护理模式,研究组在对照组基础上执行集束化护理。比较两组干预前后汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)及匹茨堡睡眠质量指数量表(PSQI)评分。结果干预后研究组的HAMA、HAMD评分显著低于对照组(P<0.05);干预后两组PSQI评分均显著改善,且研究组的改善幅度显著优于对照组(P<0.05)。结论集束化护理干预能够显著改善RHD患者的睡眠质量及相关社会心理学因素。
Objective To investigate the effects of cluster nursing intervention on sleep disorders (SD) and psychological status in patients with rheumatic heart disease (RHD). Methods Seventy patients with hospitalized RHD with SD were randomly divided into study group and control group, 35 cases each. Patients in the control group received routine nursing mode, and the study group performed cluster nursing on the basis of the control group. The Hamilton Anxiety Scale (HAMA), Hamilton Depression Rating Scale (HAMD) and Pittsburgh Sleep Quality Index Scale (PSQI) were compared before and after the intervention. Results After intervention, the HAMA and HAMD scores of the study group were significantly lower than those of the control group (P <0.05). PSQI scores of both groups were significantly improved after intervention, and the improvement rate of the study group was significantly better than that of the control group (P <0.05). Conclusion Cluster nursing intervention can significantly improve the quality of sleep and related psychosocial factors in RHD patients.