The impact of progressive nursing model combined with comprehensive nursing intervention on the psychological status and sleep quality of elderly patients with chronic bronchitis
递进式护理模式联合全面性护理干预对老年慢性支气管炎患者心理状况及睡眠质量的影响

摘要

目的 分析递进式护理模式联合全面护理干预对老年慢性支气管炎患者心理状况和睡眠质量的实际影响。方法 选择2024年5月-2025年5月我院呼吸内科收治的116例老年慢性支气管炎患者为研究对象，采用信封法随机分为对照组和研究组，各58例，予对照组常规干预，研究组实施递进式护理联合全面性护理干预，比较两组患者干预前后心理状况（SAS，焦虑自评量表、SDS，抑郁自评量表）和睡眠质量（PSQI）各维度评分变化情况。结果 两组干预前SAS、SDS评分均未见显著性差异（P>0.05），干预后均下降且研究组下降幅度大于对照组（P<0.05）；干预后研究组患者PSQI各维度评分均较对照组明显改善且优于同期对照组（P<0.05）。结论 递进式护理模式联合全面性护理干预有助于改善老年慢性支气管炎患者的焦虑、抑郁等负面情绪，进而提升其睡眠质量，对促进患者身心康复具有积极意义，值得推广应用。

Abstract

Objective To analyze the actual impact of progressive nursing model combined with comprehensive nursing intervention on the psychological status and sleep quality of elderly patients with chronic bronchitis.
Methods 116 elderly patients with chronic bronchitis admitted to the respiratory department of our hospital from May 2024 to May 2025 were selected as the research subjects. They were randomly divided into the control group and the study group by the envelope method, with 58 cases in each group. The control group received routine intervention, while the study group received progressive nursing combined with comprehensive nursing intervention. The changes in psychological status (SAS, anxiety self-rating scale, SDS, depression self-rating scale) and sleep quality (PSQI) dimensions scores before and after the intervention were compared between the two groups.
Results Before the intervention, there were no significant differences in SAS and SDS scores between the two groups (P>0.05). After the intervention, both groups showed a decrease, and the decrease in the study group was greater than that in the control group (P<0.05); After the intervention, the scores of each dimension of PSQI in the study group were significantly improved compared with those in the control group and were better than those of the control group at the same period (P<0.05).
Conclusion   The progressive nursing model combined with comprehensive nursing intervention can help improve the negative emotions such as anxiety and depression of elderly patients with chronic bronchitis, thereby improving their sleep quality, and has positive significance for promoting the physical and mental rehabilitation of patients, and is worthy of promotion and application.