脑梗死伴睡眠障碍患者应用综合睡眠护理的效果观察(1)

http://www.100md.com 2020年4月1日 《世界睡眠医学杂志》 20204

     摘要 目的：探究在对脑梗死伴睡眠障碍患者护理中实施综合睡眠护理的临床效果。方法：选取2017年7月至2019年3月福建医科大学附属泉州第一医院收治的脑梗死伴睡眠障碍患者68例作为研究对象，按照随机数字表法分为对照组和观察组，每组34例。对照组行常规护理，观察组在常规护理基础上行综合睡眠护理，比较2组患者睡眠质量改善情况、入睡时间、护理满意度。结果：护理后观察组的PSQI评分低于对照组，入睡时间短于对照组，护理满意度高于对照组，差异有统计学意义(P<0.05)。结论：在为脑梗死伴睡眠障碍患者护理中，实施综合睡眠护理干预，可以帮助患者缩短入睡时间，改善睡眠质量，提升护理满意度，值得推广。

    关键词 综合睡眠护理;脑梗死伴睡眠障碍;睡眠质量;满意度

    Effect of Comprehensive Sleep Nursing on Cerebral Infarction Patients with Sleep Disorders

    CHEN Bingbing，HUANG Chunlan

    (Quanzhou First Hospital Affiliated to Fujian Medical University，Quanzhou 362000，China)

    Abstract Objective：To explore the clinical effect of comprehensive sleep nursing in the nursing of cerebral infarction patients with sleep disorders.Methods：A total of 68 patients with cerebral infarction and sleep disorder in our hospital from July 2017 to March 2019 were enrolled and randomly divided into control group and observation group，with 34 cases in each group.The patients in the control group were given routine nursing，while the patients in the observation group were given the comprehensive sleep nursing on the basis of routine nursing.The sleep quality improvement，sleep time and nursing satisfaction of the two groups were compared.Results：After nursing，the PSQI score of the observation group was lower than that of the control group，the sleep time was shorter than that of the control group，and the nursing satisfaction was higher than that of the control group，the difference was statistically significant (P<0.05).Conclusion：In the nursing of cerebral infarction patients with sleep disorder，the implementation of comprehensive sleep nursing intervention can help patients to shorten the time to sleep，improve sleep quality，improve nursing satisfaction，which is worth promoting.

    Keywords Comprehensive sleep care; Cerebral infarction with sleep disorders; Sleep quality; Satisfaction

    中圖分类号：R743.3;R473.5;R338.63文献标识码：Adoi：10.3969/j.issn.2095-7130.2020.04.009

    脑梗死又被称之为中风，其主要临床表现为脑部出血和缺血性损伤。具有高致残率、高死亡率等特点。对于脑梗死患者经常会出现睡眠障碍，患者会表现出睡眠时间短、入睡困难、失眠、不能熟睡等[1]。鉴于此，本次以68例脑梗死伴睡眠障碍患者为本次研究对象，探究综合睡眠护理的应用价值，现将结果报道如下。

    1 资料与方法

    1.1 一般资料 选取2017年7月至2019年3月福建医科大学附属泉州第一医院收治的脑梗死伴睡眠障碍患者68例作为研究对象，按照随机数字表法分为对照组和观察组，每组34例。对照组中男14例，女20例;年龄55～76岁，平均年龄(65.5±3.5)岁。观察组中男15例，女19例;年龄56～76岁，平均年龄(66.0±3.3)岁。2组患者一般资料经比较，差异无统计学意义(P>0.05)，具有可比性。本研究经过本院伦理委员会批准并经患者及其家属知情同意。

    1.2 纳入标准 1)所有患者符合脑梗死诊断标准;2)初次发病;3)意识清醒、神志清晰，可通过正常语言沟通。

    1.3 排除标准 1)不同意本次调查;2)伴有恶性肿瘤;3)伴有精神力疾病。(陈冰冰 黄春兰)

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