情感支持干预对急诊患者疾病不确定感及睡眠质量的影响

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AbstractObjective：Toanalyzetheefect of emotional support interventiononimprovingdiseaseuncertaintyandsleepquality inemergencypatients.Methods：AtotalofOOemergencypatientsadmittedtotheFistAfiliatedHospitalofXiamenUniversity from January2O24to December2O24 were selectedastheresearch subjects.Theywererandomlydivided intoacontrolgroupand anobservation group，with 50casesineachgroup.Thecontrolgroupreceivedroutineintervention，while theobservationgroupreceived emotionalsupportintervention.The Pitsburgh SleepQuality Index（PSQI）wasused tocomparethediferences insleep qualitybetween the two groupsof patients.The Hamilton AnxietyScale（HAMA）wasused toevaluatetheseverityof anxietybeforeandafternursing，andthe HamiltonDepresion Scale（HAMD）wasusedtoevaluate thedepressonlevelbeforeandafter nursing.TheChineseversionoftheMishel Uncertaintyin Ilness Scale（MUIS）wasusedtocompare thediseaseuncertaintybetweenthetwogroupsResults：Before intervention，therewasnostatisticallysignificantdiferenceinHAMAandHAMDscoresbetween the observation group and the control group（ P>0.05 ）.After the intervention，the HAMA and HAMD scores of the observationgroupweresignificantlylowerthanthoseinthecontrolgroup，andthediferencebetweenthetwogroupswasstatitialy significant （ P<0.05， ）；Before intervention，there was no statistically significant diference in the Chinese version of the MUIS scores between the observation group and the control group（ P>0.05 ）.After intervention，the MUIS score in the observation groupwassignificantlyhigherthanthatofthecontrolgroup，ndthedferencebetweenthetwogroupswasstatisticallsignificant （ P<0.05 ）.Before intervention，there was no statistically significant diffrence in Pitsburgh Sleep Quality Index（PSQI）scores between the observation group and the control group（ P>0.05） ；After intervention，the PSQI score of the observation group was lower tan that of the control group，and the difference between the two groups was statistically significant（ P<0.05 ） . Conclusion：Emotional support intervention foremergencypatientscanefectivelyreducetheiruncertaintyaboutthediseaseandenhance their nighttime sleep quality.

KeywordsEmotioalsupport;；Emergency intervention;Ilnessuncertainty; Slpquality;Emergencypatint; Pitsburgh Sleep Quality Index； Sleep disorders ;Negative emotions

在现代医疗体系里，急诊患者作为一个特殊群体，承受着病情突发、疾病的不确定性以及紧急治疗等多重压力。（剩余5219字）