ABSTRACT
Objective:To explore role of patient-centered psychological nursing intervention (PCPNI)for improving sleep quality of patients with coronary heart disease (CHD).Methods:A total of 118 CHD patients were selected from our department.According to odd and even hospitalization number match principle,patients were divided into routine nursing group (n=58)and psychological nursing group (n=60,received PCPNI based on routine nursing). Scores of Pittsburgh sleep quality index (PSQI),Zung's self-rating anxiety scale (SAS),self-rating depression scale (SDS)and the medical outcomes study 36-item short-form heath survey (SF-36)before and after nursing were com-pared between two groups.Results:Compared with before nursing,after nursing,there were significant reductions in incidence rate of insomnia,scores of SAS and SDS and sleep latency,and significant rise in sleep efficiency and actual sleep time,P =0.001 all;compared with routine nursing group after nursing,there were significant reduc-tions in incidence rate of insomnia (48.28% vs.20.00%),scores of SAS [(42.31±7.06)scores vs.(35.62±6.14) scores]and SDS [(45.01 ±6.23)scores vs.(37.12 ± 5.14)scores]and sleep latency [(39.24 ±6.48)min vs. (28.51±6.23)min],and significant rise in sleep efficiency [(66.48±6.59)% vs.(73.26±8.15)%],actual sleep time [(5.14±0.84)h vs.(5.89±0.92)h]and each dimension score of SF-36,P =0.001 all.Conclusion:Patient-centered psychological nursing intervention possesses significant effect for improving sleep quality of CHD patients, it can reduce negative influence of negative emotions and finally improve quality of life.
ABSTRACT
Objective:To explore role of patient-centered psychological nursing intervention (PCPNI)for improving sleep quality of patients with coronary heart disease (CHD).Methods:A total of 118 CHD patients were selected from our department.According to odd and even hospitalization number match principle,patients were divided into routine nursing group (n=58)and psychological nursing group (n=60,received PCPNI based on routine nursing). Scores of Pittsburgh sleep quality index (PSQI),Zung's self-rating anxiety scale (SAS),self-rating depression scale (SDS)and the medical outcomes study 36-item short-form heath survey (SF-36)before and after nursing were com-pared between two groups.Results:Compared with before nursing,after nursing,there were significant reductions in incidence rate of insomnia,scores of SAS and SDS and sleep latency,and significant rise in sleep efficiency and actual sleep time,P =0.001 all;compared with routine nursing group after nursing,there were significant reduc-tions in incidence rate of insomnia (48.28% vs.20.00%),scores of SAS [(42.31±7.06)scores vs.(35.62±6.14) scores]and SDS [(45.01 ±6.23)scores vs.(37.12 ± 5.14)scores]and sleep latency [(39.24 ±6.48)min vs. (28.51±6.23)min],and significant rise in sleep efficiency [(66.48±6.59)% vs.(73.26±8.15)%],actual sleep time [(5.14±0.84)h vs.(5.89±0.92)h]and each dimension score of SF-36,P =0.001 all.Conclusion:Patient-centered psychological nursing intervention possesses significant effect for improving sleep quality of CHD patients, it can reduce negative influence of negative emotions and finally improve quality of life.
ABSTRACT
Objective:To explore influence of cardiac rehabilitation exercise guidance(CRG)on quality of life(QOL) in patients with acute coronary syndrome(ACS)undergoing percutaneous coronary intervention(PCI).Methods:A total of 285 ACS patients after successful PCI were selected.According to random number table,they were divided into group A(n=96,received individuatized exercise guidance under close follow-up and trimetazidine),group B(n=95,received exercise guidance under close follow-up)and group C(n=94,received routine follow-up without ex-ercise guidance).Outpatient review and/or telephone follow-up was performed on three groups on 1st,6th,and 12th month after PCI.Metabolic equivalent,the medical outcomes study 36-item short-form heath survey(SF-36)score and 6min walking distance(6MWD)were compared among three groups.Results:There were no significant differ-ence in all indexes among three groups at discharge,P>0.05 all;compared with group B and group C after six and 12 months,there were significant rise in metabolic equivalent[six months:(4.26 ± 0.55)METs vs.(3.87 ± 0.57) METs vs.(5.01 ± 0.88)METs,12 months:(5.14 ± 0.39)METs vs.(4.53 ± 0.58)METs vs.(6.20 ± 0.76) METs],SF-36 score[six months:(79.47 ± 4.49)scores vs.(70.98 ± 5.59)scores vs.(81.40 ± 5.05)scores,12 months:(83.19 ± 3.82)scores vs.(73.63 ± 5.25)scores vs.(88.03 ± 3.31)scores]and 6MWD[six months:(477.45 ± 31.68)m vs.(456.00 ± 30.03)m vs.(494.85 ± 24.28)m,12 months:(516.42 ± 31.53)m vs. (475.25 ± 29.78)m vs.(549.12 ± 28.07)m]in group A,P<0.01 all.Conclusion:Individualized exercise guidance under close follow-up can improve exercise tolerance and QOL in ACS patients after PCI.