Abstract: Objective: To evaluate the effect of expressive writing on relieving anxiety and improving sleep quality in patients with atrial fibrillation after cryoablation. Methods: A total of 120 patients were randomly divided into control group (n=60) and observation group(n=60) by random number table. The observation group received expressive writing intervention, while the control group received routine perioperative nursing. The patients in two groups were evaluated by the State Anxiety Questionnaire (S-AI) and Pittsburgh Sleep Quality Index (PSQI) one day before discharge and 3 months after the operation. Results: A total of 6 cases in the control group were lost to follow-up, and 4 cases in the observation group were lost to follow-up. After the intervention, the S-AI score, the total PSQI score,the scores of the six dimensions of sleep quality, time to fall asleep, sleep time, sleep efficiency, sleep disturbance and hypnotics in the observation group were all significantly lower than those in the control group(P<0.05). Conclusion: Expressive writing can relieve anxiety and improve sleep quality in patients with atrial fibrillation after cryoablation.

Key words: Expressive writing, Atrial fibrillation, Cryoablation, Anxiety, Quality of sleep

摘要： 目的：评价表达性写作在改善心房颤动患者冷冻消融术后焦虑情绪及睡眠质量中的应用效果。方法：采用随机数字表法将120例心房颤动患者分为对照组60例和观察组60例。观察组接受表达性写作干预,对照组给予心房颤动冷冻消融术围手术期护理。两组患者在出院前1天和术后3个月分别应用状态焦虑问卷(S-AI)和匹兹堡睡眠质量指数量表(PSQI)进行评价。结果：对照组失访6例，观察组失访4例。干预后，观察组S-AI的得分、PSQI总分及睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍及催眠药物6个维度得分均低于对照组,差异具有统计学意义(P<0.05)。结论：表达性写作可以缓解心房颤动患者冷冻消融术后的焦虑情绪并改善其睡眠质量。

关键词: 表达性写作, 心房颤动, 冷冻消融术, 焦虑, 睡眠质量