Influence of hierarchical psychological nursing on anxiety, depression and sleep quality of thoracic surgery patients

Objective To study the influence of hierarchical psychological nursing on anxiety, depression and sleep quality of thoracic surgery patients. Methods Totals of 82 thoracic surgery patients were randomly divided into two groups. The control group (41 cases) was given routine care including conventional psychological nursing. Based on this, the research group (41 cases) was given hierarchical psychological nursing. Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) were used to evaluate psychological status of two groups before and after surgery. Pittsburgh Sleep Quality Index (PSQI) was used to evaluate the quality of sleep before and after operation. Results Fifteen days after the operation, SAS and SDS scores of the research group were (37.68±3.41) and (38.12±3.17), respectively. Those scores of the control group were (41.23±3.07) and (41.82±2.64). The differences were significant (t=4.954, 8.847, respectively; P<0.05). Fifteen days after the operation, the total score of PSQI was (6.99±0.86) in the research group and (9.02±1.21) in the control group. There was a significant difference between two groups (t=8.756, P<0.05). The scores of sleep quality, time to fall asleep, sleep time, sleep efficiency, sleep disturbance, hypnotic drugs and daytime dysfunction in the research group were significantly lower than those in the control group(P<0.05). Conclusions Hierarchical psychological nursing can decrease anxiety, depression and improve sleep quality of thoracic surgery patients. It is worthy of clinical promotion and popularization. Key words: Anxiety; Depression; Sleep disorder; Cardiothoracic surgery; Hierarchical psychological nursing