健康教育与心理护理对女性更年期综合征患者症状及睡眠状况的影响

摘要

目的：观察健康教育和心理护理干预对伴更年期综合征女性患者的临床影响，探讨改善伴有更年期综合征临床表现的护理措施。方法选择更年期综合征女性患者96例，随机均分为对照组和干预组，对照组给予药物治疗，干预组在药物治疗基础上定期进行健康教育和心理护理干预，治疗两个月后比较两组患者汉密尔顿抑郁量表（ HAMD）和焦虑量表（ HAMA）、匹茨堡睡眠质量指数（ PSQI）及更年期症状改善情况。结果治疗两个月后干预组的HAMD和HAMA评分均低于对照组，差异有统计学意义（t值分别为1．833，1．792；P＜0．05）。治疗后干预组睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍情况均有好转，差异有统计学意义（t 值分别为5．236，1．914，1．721，1．703，1．715；P＜0．05）。结论女性更年期综合征患者的常规治疗过程中应积极进行健康教育和心理护理干预。%Objective To observe the clinical influence of health education and psychological nursing intervention on the climacteric syndrome and discuss the methods to improve clinical syndromes . Methods Totals of 96 women with climacteric syndrome were enrolled .Totals of 48 patients were distributed to the conventional group treated by drugs , and 48 patients were distributed to the intervention group treated by drugs and health education and psychological nursing intervention .Then, the Hamilton Depression Scale ( HAMD) score, Hamilton Anxiety Scale ( HAMA ) score, Pittsburgh Sleep Quality Index ( PSQI ) and climacteric syndrome’s improvement conditions were compared between groups after two months ’ treatment. Results The HAMD score and HAMA score of the intervention group were lower than those of the conventional group.The differences were statistically significant ( t=1.833, 1.792, respectively; P<0.05).The sleep quality, the time to fall asleep, time of sleep, sleep effect, sleep disorders in the intervention group were significantly better than those in the conventional group ( t =5.236, 1.914, 1.721, 1.703, 1.715, respectively;P<0.05).The clinical effect of the intervention group was better than that of the conventional group (P<0.05).Conclusions Health education and psychological nursing intervention should be provided to the climacteric syndrome women in addition to the conventional methods .