世界睡眠医学杂志2025，Vol.12Issue(4)：926-928,932,4.DOI:10.3969/j.issn.2095-7130.2025.04.056
观察心理干预对耐药肺结核病患者的治疗依从性和睡眠的影响
The Effect of Psychological Intervention on Treatment Adherence and Sleep in Patients with Drug-resistant Pulmonary Tuberculosis
陈泳莲 1邱梅花 1李耿祥1
作者信息
- 1. 福建省龙岩市第二医院,龙岩,364000
- 折叠
摘要
Abstract
Objective:To observe the effect of psychological intervention on treatment adherence and sleep in patients with drug-resistant pulmonary tuberculosis(DR-PTB).Methods:A total of 132 patients with DR-PTB admitted to Longyan Second Hospital,Fujian Province,between July 2022 and July 2024 were selected as study participants.They were randomly divided into a control group and an observation group using the random number table method,with 66 cases in each group.The control group received routine nursing interventions,while the observation group received routine nursing interventions combined with psychological inter-vention.Treatment adherence was assessed and compared between the two groups using a self-designed Treatment Adherence Scale.Sleep quality was evaluated using the Pittsburgh Sleep Quality Index(PSQI).Sleep parameters,including Sleep Latency(SL)and the number of awakenings during the night(AT),were assessed using polysomnography(PSG)with standard sleep staging.Improvements in anxiety and depressive symptoms were compared using the Self-Rating Anxiety Scale(SAS)and the Self-Rating Depression Scale(SDS),respectively.Results:After treatment,the observation group demonstrated significantly higher treatment adherence compared to the control group.The observation group also had significantly lower PSQI scores,significantly shorter Sleep Latency(SL),and significantly fewer awakenings during the night(AT)than the control group.Furthermore,SAS and SDS scores were significantly lower in the observation group compared to the control group.All these differences were statisti-cally significant(P＜0.05).Conclusion:Implementing psychological intervention effectively addresses the limitations of routine nursing care by enhancing focus on patients' emotional states,improving treatment adherence,and significantly ameliorating sleep quality and sleep architecture.These improvements contribute positively to patient recovery.Therefore,psychological intervention merits wider promotion and application in clinical practice.关键词
耐药肺结核病/心理护理/常规护理/治疗依从性/睡眠质量/睡眠进程/焦虑/抑郁Key words
Drug-Resistant Pulmonary Tuberculosis(DR-PTB)/Psychological nursing/Routine nursing/Treatment Adherence/Sleep Quality/Sleep Architecture/Anxiety/Depression分类
医药卫生引用本文复制引用
陈泳莲,邱梅花,李耿祥..观察心理干预对耐药肺结核病患者的治疗依从性和睡眠的影响[J].世界睡眠医学杂志,2025,12(4):926-928,932,4.
