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方舱医院中轻症 2019 年冠状病毒病(COVID-19)感染患者群体心理干预联合肺康复锻炼对焦虑和睡眠障碍的影响。

Effects of group psychological intervention combined with pulmonary rehabilitation exercises on anxiety and sleep disorders in patients with mild coronavirus disease 2019 (COVID-19) infections in a Fangcang hospital.

机构信息

Department of Aesthetic Plastic Surgery, Tongren Hospital of Wuhan University & Wuhan Third Hospital, Wuhan, China.

Department of Pain Rehabilitation, Tongren Hospital of Wuhan University & Wuhan Third Hospital, Wuhan, China.

出版信息

Psychol Health Med. 2022 Feb;27(2):333-342. doi: 10.1080/13548506.2021.1916956. Epub 2021 Apr 20.

Abstract

Fangcang hospitals, as tentative hospitals built to treat a huge turnover of patients with mild coronavirus disease 2019 (COVID-19) infections, have played a pivotal role to slow down the pandemic spread in China in 2020. However, anxiety and sleep disorders remain tough to address during the treatments. In this study, group psychological intervention in combination with pulmonary rehabilitation exercises were conducted in the trial group for the patients with mild COVID-19 infections in a Fangcang Hospital to mitigate the patients' anxiety and sleep disorders, while conventional nursing methods were done in the control group, with 70 randomly picked patients in each group. Effects were assessed through questionnaire method using state anxiety questionnaire (SAI) and Pittsburgh sleep quality index scale (PQSI) rating investigation. Results showed that both SAI and PSQI scores of the trial group were significantly lower than those of the control group (P < 0.05). The SAI scores of the trial group and the control group were 38.5 ± 13.2 and 45.8 ± 10.4 points (t = 3.600, P < 0.001), respectively, and the PSQI scores were 5.6 ± 3.0 and 7.1 ± 3.0 points (t = 2.982, P < 0.01), respectively. Our methods have significant advantages over conventional nursing methods to mitigate anxiety and sleep disorders for the patients with mild COVID-19 infections in the Fangcang Hospital.

摘要

方舱医院作为临时性医院,用于治疗大量轻症 2019 冠状病毒病(COVID-19)感染患者,在 2020 年中国减缓疫情传播方面发挥了关键作用。然而,在治疗过程中,焦虑和睡眠障碍仍然难以解决。在这项研究中,对轻症 COVID-19 感染患者在方舱医院中进行了团体心理干预结合肺康复运动,以减轻患者的焦虑和睡眠障碍,而对照组则采用常规护理方法,每组随机抽取 70 名患者。通过状态焦虑问卷(SAI)和匹兹堡睡眠质量指数量表(PQSI)评分调查评估效果。结果表明,试验组的 SAI 和 PSQI 评分均显著低于对照组(P<0.05)。试验组和对照组的 SAI 评分分别为 38.5±13.2 和 45.8±10.4 分(t=3.600,P<0.001),PSQI 评分分别为 5.6±3.0 和 7.1±3.0 分(t=2.982,P<0.01)。与常规护理方法相比,我们的方法对缓解轻症 COVID-19 感染患者在方舱医院中的焦虑和睡眠障碍具有显著优势。

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