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投稿时间:2020-07-10 网络发布日期:2021-01-20
投稿时间:2020-07-10 网络发布日期:2021-01-20
中文摘要: 目的 探讨渐进性肌肉放松训练(PMRT)对改善新型冠状病毒肺炎患者的焦虑、抑郁、睡眠质量的效果。
方法 选取2020年2月至3月武汉市某三甲医院由四川大学华西医院援鄂医疗队接管的新冠肺炎隔离病区93例患者为研究对象,其中试验组47例,对照组46例;两组患者均采取标准治疗和护理,试验组在此基础上增加PMRT。在入院时、出院时、隔离结束后,采取匹兹堡睡眠指数量表(PSQI)、病人健康问卷抑郁量表(PHQ-9)、广泛性焦虑障碍量表(GAD-7)进行评定。
结果 两组患者PHQ-9、GAD-7评分的组间效应、时间效应差异有统计学意义(P<0.05,P<0.01),干预因素与时间因素存在交互效应(P<0.05,P<0.01)。两组患者PSQI总分、睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能障碍的组间效应差异有统计学意义(P<0.05,P<0.01);两组PQSI总分、睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍的时间效应差异有统计学意义(P均<0.01);两组PQSI总分、睡眠质量、入睡时间、睡眠时间、睡眠效率的干预因素与时间因素存在交互效应(P<0.05,P<0.01)。
结论 PMRT能够明显改善新冠肺炎患者焦虑、抑郁情绪,并提高其睡眠质量。
Abstract:Objective To explore the effects of progressive muscle relaxation training(PMRT) on improving the anxiety,depression and sleep quality of patients with coronavirus disease 2019 (COVID-19).
Methods A total of 93 patients in the COVID-19 isolation ward of grade-A tertiary hospital in Wuhan from February to March 2020 were selected as the research subjects,including 47 cases in the intervention group and 46 cases in the control group.Based on the routine treatment and nursing in two group,PMRT was performed in intervention group.PSQI,PHQ-9,and GAD-7 were used for patients′ evaluation at admission,discharge and after isolation.
Results The differences in the inter-group-effect and time-effect of the PHQ-9 and GAD-7 scores between the two groups of patients were statistically significant (P<0.05,P<0.01),and there were interaction-effect between intervention factor and time factor(P<0.05,P<0.01).The differences in the inter-group-effect of PSQI total score,sleep quality,time to fall asleep,sleep time,sleep efficiency,sleep disturbance,and day dysfunction between the two groups of patients were statistically significant (P<0.05,P<0.01).The differences in the time-effect of PSQI total score,sleep quality,time to fall asleep,sleep time,sleep efficiency,sleep disturbance,hypnotics and day dysfunction between the two groups of patients were statistically significant (all P<0.01).There were interaction-effect between intervention factor and time factor in PSQI total score,sleep quality,time to fall asleep,sleep time and sleep efficiency (P<0.05,P<0.01).
Conclusion PMRT can significantly improve the anxiety,depression and sleep quality in patients with COVID-19.
keywords: Progressive muscle relaxation training Coronavirus disease 2019 Anxiety Depression Sleep quality
文章编号: 中图分类号: 文献标志码:B
基金项目:四川省科技厅支撑项目(2019JDR0255)
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引用文本:
李精健,杨秀芳 ,游薇 ,等.渐进性肌肉放松训练对新型冠状病毒肺炎患者焦虑、抑郁及睡眠质量的影响[J].中国临床研究,2021,34(1):86-90,94.
李精健,杨秀芳 ,游薇 ,等.渐进性肌肉放松训练对新型冠状病毒肺炎患者焦虑、抑郁及睡眠质量的影响[J].中国临床研究,2021,34(1):86-90,94.