医护一体化照护模式对甲状腺功能亢进症患者情绪 及睡眠质量的影响
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河北省医学科学研究课题计划 (20210232)


Effect of integrated nursing care on mood disorders and sleep quality of hyperthyroidism patients
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    摘要:

    目的 探讨医护一体化照护模式对甲状腺功能亢进症(简称甲亢)患者情绪及睡眠质量的 影响。方法 采用方便抽样法,选取2019年8月至2021年8月在邯郸市第一医院内分泌科住院的69例 甲亢患者为研究对象。采用随机数字表法将患者分为对照组(n=34)与研究组(n=35),在遵医嘱用药的 基础上,对照组采用常规医护工作模式,研究组采用医护一体化照护模式,两组均干预 3 个月。比较两 组患者干预前后情绪状态自评量表(DASS-21)、匹兹堡睡眠质量指数量表(PSQI)评分。结果 对照组 和研究组患者干预前的 DASS-21、PSQI 评分比较[(31.05±7.52)比(30.35±6.85)分,(14.91±1.94)比 (15.06±2.06)分],差异无统计学意义(t=0.404、-0.369;P> 0.05)。研究组患者干预后的 DASS-21、PSQI 评分分别为(18.62±4.25)、(7.26±0.90)分,对照组分别为(24.95±5.25)、(10.53±1.13)分。两组甲亢患者 DASS-21、PSQI 评分均低于干预前,且研究组低于对照组,差异均有统计学意义(均P< 0.01)。结论 在 药物治疗的同时实施医护一体化照护模式可以较好地缓解甲亢患者的消极情绪,提升其睡眠质量。

    Abstract:

    Objective To explore the effect of integrated medical care model on mood disorders and sleep quality in patients with hyperthyroidism. Methods A total of 69 patients with hyperthyroidism hospitalized in the Department of Endocrinology of Handan First Hospital from August 2019 to August 2021 were selected by convenience sampling method. All the patients were divided into control group (n=34) and study group (n=35) by random number table method. The control group adopted the routine medical care mode, and the study group adopted the integrated medical care mode on the basis of medical treatment for 3 months. The changes of Depression, Anxiety and Stress Scale (DASS-21), and Pittsburgh Sleep Quality Index (PSQI) were compared between the two groups before and after the intervention. Results Before the intervention, there was no significant difference in the scores of DASS-21 and PSQI between the control group and the study group [(31.05±7.52) vs (30.35±6.85), (14.91±1.94) vs (15.06±2.06)](t=0.404, -0.369; P> 0.05). After the intervention, the scores of DASS-21 and PSQI of the study group were (18.62±4.25) and (7.26±0.90), and those of the control group were (24.95±5.25) and (10.53±1.13). The scores of DASS-21 and PSQI after the intervention of both groups were lower than those before the intervention, and the scores of the study group were lower than those of the control group, with statistical significance (P < 0.01). Conclusions The implementation of integrated medical care model while medication treatment can effectively alleviate the negative emotions of hyperthyroidism patients and improve their sleep quality.

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刘云,王丽萍,李欣欣,史东丹.医护一体化照护模式对甲状腺功能亢进症患者情绪 及睡眠质量的影响[J].神经疾病与精神卫生,2023,23(9):
DOI :10.3969/j. issn.1009-6574.2023.09.005.

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  • 在线发布日期: 2023-10-24