觀察心理干預(yù)對耐藥肺結(jié)核病患者的治療依從性和睡眠的影響
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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
中圖分類號：R521;338.63 文獻(xiàn)標(biāo)識碼：A doi：10.3969/j. issn.2095 -7130.2025.04.056
治療耐藥性肺結(jié)核的難度和療程顯著超過普通結(jié)核病，長時間的治療周期和治療結(jié)果的不確定性導(dǎo)致許多患者在治療期間出現(xiàn)消極情緒，長期下去，他們可能不愿意繼續(xù)配合治療[1]。（剩余4463字）