AIDET沟通模式下人性化干预对急性心力衰竭患者睡眠质量与心理的影响

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Humanized Intervention Based on AIDET Communication Model on Sleep Quality andPsychological Statusin Patientswith AcuteHeart Failure

BAI Yuan，HUANG Pengyue，HUANG Yudong，LIN Xueting，WANG Jing，LIN Chunxi （Cardiac Care Unit，Department of Cardiovascular Medicine，The First Affiliated Hospital of Sun Yat-sen University，Guangzhou 51oo8O，Guangdong，China）

AbstractObjective：ToevaluatetheefectofAIDET-based humanizednursingonsleepquality，negativeemotions，andquality oflife inpatientswithacuteheartfailure（AHF）.Methods：Atotalof2OOAHFpatientsadmitedtoTheFirstAfiliatedHospital of Sun Yat-sen University from December2022 to December2024 wereenrolledinthis studyandasigned toacontrol group（ n= 98 ）and an observation group（ n=102 ）according to different nursing protocols. The control group received routine nursing care， whilethe observation group received humanized nursing carebasedon the AIDETcommunication model.Thenursing outcomes werecomparedbetwnthetwogroups.Results：Aftertheintervention，bothgroupsshowedincreasedtotalsleeptime，slpeficiency，and slow-wave sleep，along with reduced nightime awakenings andsleplatency，with greaterimprovements inthebservation group（ P<0.05 ）. Scores of the Pittsburgh Sleep Quality Index（PSQI），Hamilton Anxiety Scale（HAMA），and Hamilton Depresion Scale（HAMD）decreased，while Kansas City Cardiomyopathy Questionnaire（KCCQ）scores increased more significantly in the observation group（ P<0.05 ）. The nursing satisfaction rate of the observation group（ 96.08% ）was higher than that of the control group（ 85.71% ） P<0.05） . Conclusion：For AHF patients，AIDET-based humanized nursing effectively alleviates anxiety and depression，optimizes sleep quality，thereby enhancing both qualityof life and care satisfaction.

KeywordsAcute heart failure；AIDETcommunication model;Humanized nursing；Sleepquality；Negative emotions；Quality of life； Satisfaction；Nursing intervention

中图分类号：R473.5;R338.63 文献标识码：A doi：10.3969/j. issn.2095-7130.2025.10.060

急性心力衰竭（AcuteHeartFailure，AHF）是心脏功能急性恶化所致的临床综合征，具有起病急、进展快、预后差的特点，患病率为 0.6% [1-2]。（剩余4545字）