Abstract: Objective: To analyze sleep quality in patients with anxiety before and after the cranioplasty and explore the influence factors, in order to guide clinical rehabilitation and nursing intervention. Methods: Pittsburgh sleep quality index scale (PSQI) and Beck anxiety inventory (BAI) were used to evaluate sleep quality and anxiety in patients before and after the cranioplasty. Results: The sleep quality and anxiety of patients significantly improved after cranioplasty. Preoperative anxiety incidence of female patients was higher than male patients. The anxiety incidence of preoperative patients with frontal large skull defects was higher than no defects patients Conclusion: Cranioplasty can improve sleep quality and relieved previous anxiety. We should give the psychological intervention to reduce anxiety and promote recovery for cranioplasty patients.

Key words: Cranioplasty, Sleep, Anxiety, Nursing

摘要： 目的：对比分析颅骨修补前后患者睡眠质量、焦虑情况，探讨颅骨修补前后影响患者睡眠及引起焦虑的各种因素，以期指导临床康复及护理干预。方法：采用匹兹堡睡眠质量指数量表（PSQI）、Beck焦虑量表（BAI）随访调查颅骨修补前后患者睡眠质量及焦虑情况。结果：Ⅱ期颅骨修补术后患者睡眠质量明显提高，患者焦虑较术前缓解；术前女性患者焦虑发生率明显高于男性患者；术前涉及额部大面积颅骨缺损患者焦虑发生率高于未涉及额部颅骨缺损患者。结论：颅骨修补术后，患者睡眠治疗较术前明显改善，焦虑情绪较前缓解；女性患者及伴有额部颅骨缺损患者术前焦虑情绪发生几率大，应积极行心理护理干预，以缓解焦虑，促进康复。

关键词: 颅骨修补, 睡眠, 焦虑, 护理