积极心理学治疗联合家属同步健康教育对类风湿关节炎患者睡眠质量的影响

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AbstractObjective：Toinvestigate theefectsof positivepsychotherapycombinedwithsynchronous healtheducationforfamily membersonslepqualityinpatientswithrheumatoidarthritis.Methods：Atotalof91patientswithrheumatoidarthitisdmitted totheFirst Afiliated Hospitalof Xiamen Universityfrom March2O22 to March2023wereselectedasthestudysubjects.They were randomly divided into a control group（ n=46 ） and an observation group（ n=45 ）by random number table. The control group receivedroutine nursing intervention，whiletheobservationgroupreceivedpositive psychotherapycombined with synchronous health education interventionfromfamilymembers.Thechanges in sleepqualitybeforeandafterintervention werecomparedin patients between the two groups by Athens Insomnia Scale（AIS） and Insomnia Severity Index（ISI）. The improvement in excessivedaytime sleepiness was evaluated by the Epworth Sleepiness Scale（ESS）.The Richards CampbellSleep Quality Scale （RCSQ）was used to evaluate the daily sleepquality.The Health Education Impact Questionnaire（heiQ）was used to compare the improvement in psychological stateof patients betwenthetwo groups.The WHOQOL-BREFscale wasused to compare the changesinsleepqualitybeforeandaftertheinterventionandthefunctionalrecoveryofjointsofpatientsinthetwogroupswascompared.Results：ftertheintervention，theISsore，ISscore，andESSscoreof patientsinbothgroupsdecreased，andoseof theobservationgroupwassignificantlylowercompared tothecontrolgroupwithastatisticallysignificantdiferencebetweenthe two groups （ P<0.05 ）. The RCSQ score，HEIQ score，and WHOQOL-BREF score of the both groups after the intervention were improvedandthesescoresof theobservationgroupwassignificantlyhigherthanthoseof thecontrolgroup；thediffrencebetween the two groups was statistically significant（ P<0.05 ）. Conclusion：The application of positive psychology combined with synchronoushealtheducationforfamilymembersinpatientswithrheumatoidarthritishasagoodefect，andcanimprovethepatient's sleepcondition，ehanceslepquality，bostpsychologicalstate，promote jointfunctionrecovery，and improvequalityoflife.

KeywordsPositive psychology；Familysynchronization;Health education；Rheumatoidarthritis；Sleepquality；Psychological state ; Joint function

中图分类号：R593.22;R338.63 文献标识码：A doi：10.3969/j. issn.2095 -7130.2025.04.054

类风湿关节炎是一种在临床上较为普遍的慢性炎症性疾病，其患病率介于 0.2%～1% 之间，影响着近500万人，主要发病人群为 40～60 岁的成年人。（剩余5516字）