基于Omaha系統的延續(xù)干預模式對腦卒中患者睡眠質量及負性情緒的影響效果

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Effects of Continuous Intervention Mode Based on Omaha System onSleep Quality and Negative Emotionsin Stroke Patients

CHI Guihua，CHI Fengying

（Shandong Wulian People's Hospital，Rizhao 26230O，China）

AbstractObjective：Toanalyze the implementation efectsoftheOmahasystem-basedcontinuous interventiononimproving sleepqualityandnegativeemotionsinstrokepatients.Methods：Atotalof 8OstrokepatientsadmitedtoPeople'sHospitalof WulianCountyfromJanuary to December2O23wereselectedastheresearch subjects.Theywererandomlydivided intoacontrol groupandanobservation groupusingarandomnumbertablemethod，with40 patients ineachgroup.Thecontrol groupreceived standardizedi-hospitalnursing intervention，whiletheoservationgroupreceivedacontinuous interventionmodebasedontheOmahasystem.The Pitsburgh Sleep Index（PSQI）was used tocompare thechanges insleepqualitybetweentwo groups before and afterintervention.The InsomniaSeverityIndex（ISI）wasused tocompare theseverityof slep disordersbetwee thetwo groups.The Hamilton Depression Rating Scale（HAMD）and Hamilton Anxiety Rating Scale（HAMA）were used to compare the recovery emotions of thetwo groups.The Self Rating Anxiety Scale（SAS）and Self Rating Depresion Scale（SDS）were used to compare the improvement efectsof communication/depresion between the twogroups.Results：After intervention，thePSQI scores，ISIscores，HAMDsores，Hsores，ASsores，andSDscoresinthebservationgroupweresigniicantlylwrthan those in the control group，and the differences between the two groups were statistically significant（ P<0.05 ）. Conclusion ： The continuous intervention modebasedontheOmahasystemensurestheemotionalmanagement efectsandsleepqualityof stroke patients outside the hospital，providing a prerequisite for patients toachieve ideal prognosisandrehabilitation effects.

KeywordsStroke；Sleepdisorders；Continuousintervention；Negativeemotions；Omahasystem；Out-of-hospitalrehabilitation; Sleep quality ； Anxiety

中圖分類號：R743.34;R338.63 文獻標識碼：A doi：10.3969/j. issn.2095-7130.2025.02.050

腦卒中作為一種嚴重影響神經系統的腦血管意外，患者常存在腦中樞睡眠調節(jié)區(qū)域損傷、神經遞質失衡、情緒障礙、認知功能下降等。（剩余3473字）