多感官刺激联合叙事干预对脑卒中后抑郁患者睡眠质量的影响

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EffectofMultisensory Stimulation Combined withNarrative Intervention onSleep Qualityin PatientswithPost-strokeDepression

ZHANG Zhengran

(Department of Neurology,The First Affiliated Hospital of Bengbu Medical Collge,Bengbu 233004,China)

AbstractObjective:Toexploretheeffects of multisensorystimulationcombined with narative interventionon sleepquality， psychologicalstatus,andqualityof ifeinpatientswithpost-strokedepresion(PSD).Methods:Atotalof9OPSDpatientsadittedtoTheFirstAfliatedHospitalofBengbuMedicalCollgefromJanuary2O21toJanuary2024wereselectedandrandomlydividedintoacontrolgroupandanobservationgroup,with45cases ineach group.Thecontrolgroupreceivedroutineintervention, whiletheobservationgroupreceivedmultisensorystimulationcombinedwithnarativeintervention.Sleepqualitywasassessedusingthe Pitsburgh Sleep QualityIndex(PSQI）,psychological status wasevaluated withthe Self-rating Anxiety Scale(SAS）and Self-rating DepresionScale(SDS),andqualityof life was measured withthe Stroke-Specific QualityofLife Scale(SS-QOL).Results:Aftertheintervention,theoservationgrouphadsignificantlylowerPSQIdimensionscores,SASscores,andSDSscores compared with the control group,while SS-QOL scores were significantly higher( P

KeywordsPost-strokedepression；Multisensorystimulation；Narrative intervention； Slepquality；Insomniadisorder；Psycho logical status; Quality of life; SS-QOL

中图分类号：R743.3;R338.63 文献标识码：A doi:10.3969/j.issn.2095-7130.2025.08.059

脑卒中后抑郁（PSD）是卒中后常见的情感障碍，主要表现为持续情绪低落和广泛兴趣减退PSD患者常伴明显睡眠问题，多表现为入睡困难、易醒或早醒，醒后仍感疲惫。（剩余6115字）