Volume 21 Issue 12
Dec.  2023
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(12): 2160-2164
WANG Haiyan, ZHU Yazhen, PAN Yourang, YU Xiaoding, TAO Kewei. The effect of therapeutic communication combined with routine care on sleep quality and psychological status of patients with obstructive sleep apnea syndrome[J]. Chinese Journal of General Practice, 2023, 21(12): 2160-2164. doi: 10.16766/j.cnki.issn.1674-4152.003313
Citation: WANG Haiyan, ZHU Yazhen, PAN Yourang, YU Xiaoding, TAO Kewei. The effect of therapeutic communication combined with routine care on sleep quality and psychological status of patients with obstructive sleep apnea syndrome[J]. Chinese Journal of General Practice, 2023, 21(12): 2160-2164. doi: 10.16766/j.cnki.issn.1674-4152.003313
shu

The effect of therapeutic communication combined with routine care on sleep quality and psychological status of patients with obstructive sleep apnea syndrome

doi: 10.16766/j.cnki.issn.1674-4152.003313

  • Department 2 of Psychosomatic Disorders (Sleep Ward), the Seventh People's Hospital of Shaoxing City, Shaoxing, Zhejiang 312000, China

Funds:

 2023RC292

  • Received Date: 2023-06-28
    Available Online: 2024-01-29
    Abstract
  •   Objective  To observe the clinical application of routine care combined with therapeutic communication intervention in patients with obstructive sleep apnea syndrome (OSAS), and to analyze the impact of this plan on the quality of sleep and psychological status of the patients.  Methods  A total of 82 OSAS patients admitted to the Department of Psychosomatic Disorders of the Seventh People's Hospital of Shaoxing City from May 2021 to May 2023 were selected. The patients were randomly divided into two groups using a random number table. The control group received routine care, while the observation group received therapeutic communication in addition. The patient's psychological status, coping ability, healthy behavior, and sleep quality were assessed before and after intervention.  Results  After the intervention, the scores of the anxiety self-assessment scale and depression self-assessment scale in the observation group were significantly lower than those in the control group (all P < 0.05); The positive coping dimension score of the simple coping style questionnaire (SCSQ) was significantly higher than that in the control group (P < 0.05), while the negative coping dimension score was significantly lower than that in the control group (P < 0.05); The total score of health promoting lifestyle profile-Ⅱ R in the observation group was significantly higher than that in the control group (P < 0.05); the proportions of rapid-eye-movement sleep (REM) and nonrapid-eye-movement (NREM) 2-3 phases in the observation group were (15.13±2.87)%, (48.82±6.32)% and (13.52±3.42)%, respectively, which were significantly higher than (13.07±2.73)%, (45.24±7.67)% and (11.03±2.51)% in the control group (t=3.330, 2.307, 3.758, all P < 0.05). The frequency of micro awakening and the proportion of NREM 1 phase were (14.52 ±4.32) times, (16.53±3.24)%, which were significantly lower than those in the control group [(17.16 ± 4.53) times, (19.76±4.15)%, t=2.701, 3.928, all P < 0.05].  Conclusion  The use of therapeutic communication combined with routine nursing interventions in OSAS patients can effectively reduce their negative emotions, change their coping styles, help establish healthy behaviors, and improve their sleep quality.

     

    • FullText(HTML)
  • loading
    • References(19)
  • [1]
    SANTILLI M, MANCIOCCHI E, D'ADDAZIO G, et al. Prevalence of obstructive sleep apnea syndrome: a single-center retrospective study[J]. Int J Environ Res Public Health, 2021, 18(19): 10277. DOI: 10.3390/ijerph181910277.
    [2]
    LV R, LIU X, ZHANG Y, et al. Pathophysiological mechanisms and therapeutic approaches in obstructive sleep apnea syndrome[J]. Signal Transduct Target Ther, 2023, 8(1): 218-219. doi: 10.1038/s41392-023-01496-3
    [3]
    王建青, 许绍蓉, 赵丹, 等. 护理干预对阻塞性睡眠呼吸暂停低通气综合征患者无创机械通气治疗依从性的效果评价[J]. 国际生物医学工程杂志, 2021, 44(4): 307-312.

    WANG J Q, XU S R, ZHAO D, et al. Evaluation of the effect of nursing intervention on the compliance of non-invasive mechanical ventilation in patients with obstructive sleep apnea hypopnea syndrome[J]. International Journal of Biomedical Engineering, 2021, 44(4): 307-312.
    [4]
    杨陈丽, 陈晶, 李海燕, 等. OSAHS与脑白质病变及认知障碍的相关性[J]. 青岛大学学报(医学版), 2021, 57(4): 576-580.

    YANG C L, CHEN J, LI H Y, et al. Association of obstructive sleep apnea-hypopnea syndrome with white matter change and cognitive impairment[J]. Journal of Qingdao University(Medical Sciences), 2021, 57(4): 576-580.
    [5]
    陈亚林, 赵红燕. 系统化护理对阻塞性睡眠呼吸暂停低通气综合征患者护理满意度及生活质量的影响[J]. 现代中西医结合杂志, 2019, 28(2): 216-219.

    CHEN Y L, ZHAO H Y. The effect of systematic nursing on nursing satisfaction and quality of life in patients with obstructive sleep apnea hypopnea syndrome[J]. Modern Journal of Integrated Traditional Chinese and Western Medicine, 2019, 28(2): 216-219.
    [6]
    杨艳, 张清. 治疗性沟通对缺血性脑卒中患者残疾接受度的干预效果[J]. 广东医学, 2020, 41(9): 910-914.

    YANG Y, ZHANG Q. Intervention effects of therapeutic communication on disability acceptance in patients with ischemic stroke[J]. Guangdong Medical Journal, 2020, 41(9): 910-914.
    [7]
    郑彩霞, 李雪, 董水滢, 等. 治疗性沟通对宫颈癌手术患者焦虑情绪及希望水平的影响[J]. 中国医学伦理学, 2022, 35(4): 396-400.

    ZHENG C X, LI X, DONG S Y, et al. Effect of therapeutic communication on anxiety and hope level of cervical cancer surgery patients[J]. Chinese Medical Ethics, 2022, 35(4): 396-400.
    [8]
    中华医学会, 中华医学会杂志社, 中华医学会全科医学分会, 等. 成人阻塞性睡眠呼吸暂停基层诊疗指南(实践版·2018)[J]. 中华全科医师杂志, 2019, 18(1): 30-35.

    Chinese Medical Association, Chinese Medical Journals Publishing House, Chinese Society of General Practice, et al. Guideline for primary care of adult obstructive sleep apnea: practice version(2018)[J]. Chinese Journal of General Practitioners, 2019, 18(1): 30-35.
    [9]
    ZUNG W W. A rating instrument for anxiety disorders[J]. Psychosomatics, 1971, 12(6): 371-379. doi: 10.1016/S0033-3182(71)71479-0
    [10]
    ZUNG W W. A self-rating depression scale[J]. Arch Gen Psychiatry, 1965, 12(1): 63-70. doi: 10.1001/archpsyc.1965.01720310065008
    [11]
    解亚宁. 简易应对方式量表信度和效度的初步研究[J]. 中国临床心理学杂志, 1998, 6(2): 114-115.

    XIE Y N. A preliminary study on the reliability and validity of the simplified coping style scale[J]. Chinese Journal of Clinical Psychology, 1998, 6(2): 114-115.
    [12]
    曹文君, 郭颖, 平卫伟, 等. HPLP-Ⅱ健康促进生活方式量表中文版的研制及其性能测试[J]. 中华疾病控制杂志, 2016, 20(3): 286-289.

    CAO W J, GUO Y, PING W W, et al. Development and psychometric tests of a Chinese version of the HPLP-Ⅱ Scales[J]. Chinese Journal of Disease Control & Prevention, 2016, 20(3): 286-289.
    [13]
    毛新峰, 赵育英, 姚丽娣, 等. 三维动脉自旋标记在重度OSAS患者脑白质灌注异常及认知功能障碍的研究[J]. 中华全科医学, 2019, 17(6): 1004-1007. doi: 10.16766/j.cnki.issn.1674-4152.000848

    MAO X F, ZHAO Y Y, YAO L D, et al. Study of three dimensiona arterial spin labeling in white matter perfusion change and cognitive impairment of patients with severe OSAS[J]. Chinese Journal of General Practice, 2019, 17(6): 1004-1007. doi: 10.16766/j.cnki.issn.1674-4152.000848
    [14]
    MELIANTE P G, ZOCCALI F, CASCONE F, et al. Molecular pathology, oxidative stress, and biomarkers in obstructive sleep apnea[J]. Int J Mol Sci, 2023, 24(6): 5478-5479. doi: 10.3390/ijms24065478
    [15]
    李广, 汪峻峰, 王敏, 等. 日间过度嗜睡和主观睡眠质量下降对老年阻塞性睡眠呼吸暂停低通气综合征患者神经心理特征的影响[J]. 江苏医药, 2022, 48(3): 237-242.

    LI G, WANG J F, WANG M, et al. Effect of excessive daytime sleepiness and subjective sleep quality decline on neuropsychological characteristics in elderly patients with obstructive sleep apnea hypopnea syndrome[J]. Jiangsu Medical Journal, 2022, 48(3): 237-242.
    [16]
    李海洲, 李巍, 那学武, 等. 成人阻塞性睡眠呼吸暂停低通气综合征患者的人格特征分析[J]. 中国耳鼻咽喉头颈外科, 2021, 28(1): 49-52.

    LI H Z, LI W, NA X W, et al. Analysis of personality characteristics of adult patients with obstructive sleep apnea hypopnea syndrome[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2021, 28(1): 49-52.
    [17]
    赵春玲, 欧阳松云, 李安玲, 等. 矛盾意向训练在老年OSAS患者中的应用效果[J]. 中华现代护理杂志, 2021, 27(11): 1477-1481.

    ZHAO C L, OUYANG S Y, LI A L, et al. The application effect of conflicting intention training in elderly OSAS patients[J]. Chinese Journal of Modern Nursing, 2021, 27(11): 1477-1481.
    [18]
    申海霁, 张杰, 陈艳艳, 等. 支气管哮喘合并阻塞性睡眠呼吸暂停低通气综合征患者的临床特点分析[J]. 临床内科杂志, 2021, 38(1): 44-46.

    SHEN H J, ZHANG J, CHEN Y Y, et al. Clinical characteristics of patients with bronchial asthma complicated with obstructive sleep apnea hypopnea syndrome[J]. Journal of Clinical Internal Medicine, 2021, 38(1): 44-46.
    [19]
    杨帅, 孔晓艺, 厉雪艳, 等. 伴有惊恐障碍的阻塞性睡眠呼吸暂停低通气综合征睡眠结构特征[J]. 中国神经精神疾病杂志, 2021, 47(12): 716-721.

    YANG S, KONG X Y, LI X Y, et al. Structural features of sleep in patients with obstructive sleep apnea hypoventilation syndrome combined with panic disorder[J]. Chinese Journal of Nervous and Mental Diseases, 2021, 47(12): 716-721.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(5)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (158) PDF downloads(5) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return