摘要
目的:观察睡眠质量干预在急性心肌梗死患者中的应用效果。方法:选取2024年1—12月济宁市兖州区人民医院急诊科收治的急性心肌梗死患者90例作为研究对象,按照随机数字表法分成对照组和观察组,每组45例。对照组给予常规治疗方案干预,观察组在常规治疗的基础上给予系统性睡眠质量干预操作,涵盖环境优化策略、心理疏导措施、作息指导方式及放松训练手段。采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的差异,采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)比较2组患者干预前后焦虑、抑郁的改善效果,并比较2组患者心血管不良事件发生率及护理满意度。结果:干预后,2组患者PSQI评分、HAMA评分、HAMD评分均有所降低,且观察组显著低于对照组,差异均有统计学意义(均P<0.05);干预后,观察组不良反应发生率显著低于对照组,护理满意度显著高于对照组,差异均有统计学意义(均P<0.05)。结论:系统性睡眠质量干预对急性心肌梗死患者睡眠状况及心理健康改善成效显著,减少并发症的发生率,有着关键的临床推广意义。
Objective:To observe the clinical effects of sleep quality intervention in patients with acute myocardial infarction.Methods:A total of 90 patients with acute myocardial infarction admitted to the Emergency Department of Yanzhou People′s Hospital from January to December 2024 were selected and randomly divided into a control group and an observation group using a random number table method,with 45 patients in each group.The control group received conventional treatment,while the observation group received systematic sleep quality intervention in addition to conventional treatment,including environmental optimization,psychological counseling,sleep schedule guidance,and relaxation training.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the differences in sleep quality between the two groups,and the Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)were used to evaluate the improvement in anxiety and depression before and after intervention.The incidence of cardiovascular adverse events and nursing satisfaction were also compared between the two groups.Results:After intervention,PSQI,HAMA,and HAMD scores of both groups decreased,with the observation group showing significantly lower scores than the control group,showing statistically significant differences(P<0.05).The incidence of cardiovascular adverse events was significantly lower in the observation group than in the control group,while nursing satisfaction was significantly higher(both P<0.05).Conclusion:Systematic sleep quality intervention significantly improves sleep status and mental health in patients with acute myocardial infarction,reduces the incidence of complications,and holds important clinical promotion value.
作者
张颖周
ZHANG Yingzhou(Emergency Department,Yanzhou District People′s Hospital,Jining 272100,China)
出处
《世界睡眠医学杂志》
2025年第8期1683-1685,1689,共4页
World Journal of Sleep Medicine
基金
济宁市卫生健康委员会2024年度心肌梗死科研课题项目(2024JN095)。
关键词
睡眠质量
急性心肌梗死
临床效果
心血管康复
焦虑
抑郁
生命质量
治疗依从性
Sleep quality
Acute myocardial infarction
Clinical outcomes
Cardiovascular rehabilitation
Anxiety
Depression
Quality of life
Treatment adherence
