基于FOCUS-PDCA程序的护理干预对脑卒中伴抑郁症患者睡眠障碍及生活质量的影响

Influence of Nursing Intervention Based on FOCUS-PDCA Program on Sleep Disorders and Quality of Life of Stroke Patients with Depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(6)
作者
作者单位

黑龙江省哈尔滨医科大学附属第二医院 ;
黑龙江省哈尔滨医科大学附属第二医院 ;

摘要
【摘要】目的:探讨基于FOCUS-PDCA程序的护理干预对脑卒中伴抑郁症患者睡眠障碍及生活质量的影响。方法:选择我院2015年10月-2016年10月收治的脑卒中伴抑郁症患者98例为研究对象,按照简单随机抽样法将其分为对照组与观察组各49例,对照组采用常规护理,观察组在常规护理基础上采用基于FOCUS-PDCA程序的护理,比较两组患者的不良情绪、睡眠障碍情况及生活质量。结果:干预后观察组HADS评分明显低于对照组(P<0.05);观察组匹兹堡睡眠质量指数(PSQI)入睡时间、睡眠时间、睡眠质量、睡眠效率、睡眠障碍、日间功能、安眠药物评分均低于对照组(P<0.05); 观察组生活质量综合评定问卷(GQOLI-74)心理功能、躯体功能、物质生活状态、社会功能评分均明显高于对照组(P<0.05)。结论:基于FOCUS-PDCA程序的护理干预对减轻脑卒中伴抑郁症患者抑郁、焦虑等不良情绪效果显著,在改善患者睡眠障碍、提高生活质量方面均具有重要意义
Abstract
[Abstract] Objective: To explore the influence of nursing intervention based on FOCUS-PDCA program on sleep disorders and quality of life of stroke patients with depression. Methods: 98 cases of stroke patients with depression treated in our hospital from October 2015 to October 2016 were selected as the study objects, and were divided into control group and observation, according to the simple random sampling method, 49 cases in each group. The control group were given routine nursing, and the observation group were given nursing intervention based on FOCUS-PDCA program on the basis of routine nursing. Unhealthy mood, sleep disorder and quality of life were observed in the two groups. Results: After intervention, the scores in the observation group were significantly lower than those in the control group(P < 0.05). Bedtime, sleep time, sleep quality, sleep efficiency, sleep disorder, daytime function, sleep medication scores of Pittsburgh sleep quality index (PSQI) in the observation group were all lower than those in the control group(P < 0.05). Psychological function, physical function, material life and social function scores of Generic Quality of Life Inventory-7 (GQOLI-74) in the observation group were significantly higher than those in the control group(P < 0.05). Conclusion: Nursing intervention based on FOCUS-PDCA program can significantly reduce the effects of depression, anxiety and other negative emotions of stroke patients with depression. It is of great significance to improve sleep disorder and quality of life of the patients.
关键词
【关键词】脑卒中;抑郁症;FOCUS-PDCA程序;睡眠障碍;生活质量
KeyWord
[Keywords] Stroke patients; Depression; FOCUS-PDCA program; Sleep disorder; Quality of life
基金项目
页码 1099-1102
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张明慧*,姜璎硕,甄慧宇,宋博雯,辛欣. 基于FOCUS-PDCA程序的护理干预对脑卒中伴抑郁症患者睡眠障碍及生活质量的影响 [J]. 国际精神病学杂志. 2018; 45; (6). 1099 - 1102.

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