摘要【目的】 探讨支持性心理干预联合认知行为干预对脊髓颈椎病手术患者心理状况及睡眠质量的影响。【方法】 选择2017年1月至2018年12月在本院行择期脊髓型颈椎病手术患者92例为研究对象,根据手术时间分为试验组(2018年1～12月)48例、对照组(2017年1～12月)44例。对照组患者给予常规护理干预,试验组联合支持性心理干预、认知行为干预,比较两组患者心理状况、睡眠质量、护理满意度。【结果】 试验组患者躯体化、强迫症状、抑郁、焦虑、精神病性评分明显低于对照组(16.24±3.20 vs 18.12±2.54, 14.32±2.32 vs 15.75±2.24, 20.24±3.45 vs 24.36±4.20, 14.12±2.32 vs 16.23±2.24, 11.45±1.32 vs 13.54±1.26)(t=3.102, 3.002, 5.159, 4.394, 7.753, 均P<0.05);主观睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能障碍、匹兹堡睡眠质量指数(PSQI)评分明显低于对照组(0.94±0.28 vs 1.62±0.34, 0.86±0.25 vs 1.40±0.42, 1.17±0.32 vs 1.72±0.35, 1.14±0.38 vs 1.85±0.42, 1.24±0.36 vs 1.76±0.40, 1.15±0.32 vs 1.78±0.35, 7.78±1.45 vs 11.48±2.32)(t=10.506, 7.567, 7.874, 8.512, 6.563, 9.019, 9.254, P<0.05或0.01);护理满意度明显高于对照组(95.83% vs 81.82%,χ2=4.654, P<0.05)。【结论】 支持性心理干预联合认知行为干预有助于缓解脊髓型颈椎病手术患者不良心理状态,改善睡眠质量,提高患者满意度。
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2021, Vol. 38 
