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目的探讨综合护理干预对三叉神经痛患者睡眠质量与心理状态的影响。方法选取2014年7月—2016年1月三门峡市中心医院收治的三叉神经痛患者82例,随机分为观察组与对照组,各41例。观察组实施优质综合护理干预,对照组实施常规护理干预。比较两组患者护理前后疼痛程度[采用疼痛视觉模拟(VAS)评分评价]、睡眠质量(包括睡眠时间、觉醒次数、觉醒时间、睡眠潜伏期)与心理状态。结果护理前,两组患者VAS评分、睡眠时间、觉醒次数、觉醒时间、睡眠潜伏期、抑郁、焦虑≥7分的比例比较,差异无统计学意义(P>0.05);护理后,观察组VAS评分低于对照组,睡眠时间长于对照组,觉醒次数、觉醒时间、睡眠潜伏期均少于对照组,抑郁、焦虑≥7分的比例高于对照组,差异有统计学意义(P<0.05)。结论对三叉神经痛患者实施综合护理干预,可有效改善患者睡眠质量、调整心理状态,效果明显。
Objective To explore the effect of comprehensive nursing intervention on sleep quality and mental status in patients with trigeminal neuralgia. Methods Totally 82 trigeminal neuralgia patients who were admitted to Sanmenxia Central Hospital from July 2014 to January 2016 were randomly divided into observation group and control group, with 41 cases in each group. Observation group to implement high-quality comprehensive nursing intervention, the control group to implement routine nursing intervention. The degree of pain before and after treatment (pain visual analogue (VAS) score evaluation), sleep quality (including sleep time, number of awakenings, awakening time, sleep latency) and psychological status were compared between the two groups. Results Before treatment, there was no significant difference in VAS score, sleep time, awakening times, awakening time, sleep latency, depression and anxiety ≥7 points between the two groups before nursing (P> 0.05). After nursing, VAS score The sleep time was longer in the control group than in the control group. The awakening times, awake time and sleep latency were all less than those in the control group. The proportions of depression and anxiety≥7 were higher than those in the control group (P <0.05). Conclusion The implementation of comprehensive nursing intervention for patients with trigeminal neuralgia can effectively improve the quality of sleep in patients with psychological status adjustment, the effect is obvious.