中药热奄包结合情志护理对双相情感障碍抑郁发作患者睡眠质量及情绪状态的干预研究OA
A study on the intervention of traditional Chinese medicine hot compress pack combined with emotional nursing on sleep quality and emotional state of patients with depressive episodes of bipolar affective disorder
目的 探讨中药热奄包结合情志护理对双相情感障碍抑郁发作患者睡眠质量、心理情绪、社会功能及生活质量的影响.方法 选取浙江省立同德医院于 2020 年 1 月至 2024 年 8 月收治的 106 例双相情感障碍抑郁发作患者开展研究,按随机数字表法分为 2 组.对照组(53 例)采用常规药物治疗及护理,观察组(53 例)在对照组基础上联合中药热奄包外敷及情志护理干预.比较 2 组的康复效果,以及匹兹堡睡眠质量指数(PSQI)、汉密尔顿抑郁量表(HAMD)、社会功能评定量表(SFRS)及生活质量综合评定问卷(GQOLI-74)评分变化.结果 干预 4 个月后,观察组的康复总有效率高于对照组(P<0.05).干预 2 个月及 4 个月后,观察组的HAMD和PSQI评分均低于对照组,SFRS和GQOLI-74 评分均高于对照组(P均<0.05);2 组改善程度均较干预前更为显著,且干预 4 个月后均较干预2 个月后更优(P均<0.05).结论 中药热奄包结合情志护理可有效改善双相情感障碍抑郁发作患者的睡眠质量及心理情绪,同时提升其社会功能和生活质量,康复效果良好.
Objective To explore the impact of traditional Chinese medicine hot compress pack combined with emotional nursing on sleep quality,psychological emotions,social function,and quality of life in patients with depressive episodes of bipolar affective disorder.Methods A study was conducted on 106 patients with depressive episodes of bipolar affective disorder who were admitted to Tongde Hospital of Zhejiang Province from January 2020 to August 2024.Participants were randomly divided into two groups using a random number table.The control group(53 cases)received conventional pharmacotherapy and nursing,while the observation group(53 cases)received a combination of traditional Chinese medicine hot compress pack and emotional nursing intervention on the basis of nursing given to the control group.The comparison was made on the rehabilitation outcomes of the two groups,as well as the changes in scores of Pittsburgh Sleep Quality Index(PSQI),Hamilton Depression Rating Scale(HAMD),Social Function Rating Scale(SFRS),and Generic Quality of Life Inventory-74(GQOLI-74).Results After 4 months of intervention,the overall effective rate of rehabilitation in the observation group was higher than that in the control group(P<0.05).After 2 and 4 months of intervention,the HAMD and PSQI scores of the observation group were lower than those of the control group,while the SFRS and GQOLI-74 scores were higher than those of the control group(P<0.05).Both groups showed more significant improvements compared with pre-intervention levels,and outcomes after 4 months of intervention were better than those after 2 months(P<0.05).Conclusion The implementation of traditional Chinese medicine hot compress pack combined with emotional nursing can effectively improve sleep quality and psychological emotions of patients with depressive episodes of bipolar affective disorder,while enhancing their social function and quality of life as well,yielding favorable rehabilitation outcomes.
张旭鹤;钱华;上官晓彬
浙江中医药大学附属省立同德医院 浙江省立同德医院,浙江 杭州,311400浙江中医药大学附属省立同德医院 浙江省立同德医院,浙江 杭州,311400浙江中医药大学附属省立同德医院 浙江省立同德医院,浙江 杭州,311400
医药卫生
双相情感障碍抑郁发作中药热奄包情志护理睡眠质量
bipolar affective disorderdepressive episodetraditional Chinese medicine hot compress packemotional nursingsleep quality
《中西医结合护理（中英文）》 2026 (2)
45-48,4
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