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

打开文本图片集

AbstractObjective：Toobservetheeffctof psychologicalinterventionontreatmentadherenceandslepinpatients withdrugresistant pulmonarytuberculosis（DR-PTB）.Methods：Atotalof132patientswithDR-PTBadmited toLongyan SecondHospital， Fujian Province，between July2022 andJuly2O24 wereselectedasstudyparticipants.Theywererandomlydividedintoacontrol groupandanobservationgroupusing therandom number table method，with 66 cases ineach group.Thecontrol groupreceived routine nursinginterventions，hiletheobservationgroupreceivedroutinenursing interventionscombined withpsychologicalintervention.Treatment adherence wasassssdand compared between thetwo groups using aself-designed Treatment Adherence Scale.Sleepquality was evaluated usingthe Pitsburgh Sleep Quality Index（PSQI）.Slep parameters，including Sleep Latency （SL）and the number of awakenings during thenight（AT），were assessedusing polysomnography（PSG）with standard sleep staging.Improvements in anxietyanddepressivesymptoms werecompared using the Self-Rating AnxietyScale（SAS）andthe SelfRating Depresion Scale（SDS），respectivelyResults：After treatment，theobservationgroupdemonstratedsignificantlyhigher treatmentadherencecomparedtothecontrol group.Theobservationgroupalsohadsignificantlylower PSQIscores，significantly shorter Slep Latency（SL），and significantly fewer awakenings during the night（AT）thanthecontrol group.Furthermore，SAS andSDS scores weresignificantlylowerintheobservationgroupcomparedtothecontrolgroup.Allthesediferenceswere statistically significant（ P<0.05 ）. Conclusion： Implementing psychological intervention effctively addresses the limitations of routine nursingcarebyenhancing focusonpatients’emotionalstates，improving treatmentadherence，andsignificantlyamelioratingslep qualityand sleeparchitecture.Theseimprovementscontributepositivelytopatientrecovery.Therefore，sychologicalintervention merits wider promotion and application in clinical practice.

KeywordsDrug-ResistantPulmonary Tuberculosis（DR-PTB）;Psychological nursing;Routine nursing;TreatmentAdherence; Sleep Quality ;Sleep Architecture ; Anxiety ; Depression

中图分类号：R521;338.63 文献标识码：A doi：10.3969/j. issn.2095 -7130.2025.04.056

治疗耐药性肺结核的难度和疗程显著超过普通结核病，长时间的治疗周期和治疗结果的不确定性导致许多患者在治疗期间出现消极情绪，长期下去，他们可能不愿意继续配合治疗[1]。（剩余4463字）