Volume 21 Issue 12
Dec.  2023
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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

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
Funds:

 2023RC292

  • Received Date: 2023-06-28
    Available Online: 2024-01-29
  •   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.

     

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