積極心理學(xué)治療聯(lián)合家屬同步健康教育對(duì)類風(fēng)濕關(guān)節(jié)炎患者睡眠質(zhì)量的影響

打開文本圖片集

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

中圖分類號(hào)：R593.22;R338.63 文獻(xiàn)標(biāo)識(shí)碼：A doi：10.3969/j. issn.2095 -7130.2025.04.054

類風(fēng)濕關(guān)節(jié)炎是一種在臨床上較為普遍的慢性炎癥性疾病，其患病率介于 0.2%～1% 之間，影響著近500萬人，主要發(fā)病人群為 40～60 歲的成年人。（剩余5516字）