摘要
目的通过调查分析心内科患者睡眠障碍的影响因素,采取有效干预措施,以提高患者睡眠质量。方法选择2020年7月至2021年10月于青岛市市立医院西院区心内科睡眠障碍患者120例,通过问卷调查方式了解患者睡眠障碍症状及影响因素,采取针对性的护理干预措施,经过干预1周后,再次统计睡眠质量。结果经调查研究发现,65.83%的患者入睡时间>1 h,64.17%出现早醒,45%醒后再次入睡时间>1 h,50.83%夜醒次数>3次;患者发生睡眠障碍的主要因素为自身疾病、心理、环境及生活不良习惯、夜间频尿等,自身疾病因素占比最高(44.17%),心理因素为30.83%,环境因素为19.17%;经护理干预后,87例患者参照匹斯堡睡眠评价量表(PSQI)>7分,较干预前睡眠质量显著改善(P<0.05)。结论心内科患者发生睡眠障碍的因素多种多样,自身疾病影响,心理及环境因素均是导致疾病发生的主要诱因,采取针对性的护理干预能有效改善障碍,提高睡眠质量,利于患者康复。
Objective To analyze the influence factors of dyssomnia in patients admitted in department of cardiology through a survey,and take effective intervention measures to improve their sleep quality.Methods The patients with dyssomnia(n=120)were chosen from Department of Cardiology in West District of Qingdao Municipal Hospital from July 2020 to Oct.2021.The symptoms and influence factors of dyssomnia were surveyed through questionnaire.The targeted nursing intervention measures were taken,and after the intervention for 1 week,the sleep quality was given a statistical treatment.Results The survey and statistic results showed that the time of fall sleep was more than 1 h in 65.83%of patients,early awakening occurred in 64.17%of patients,the time of fall sleep again was more than 1 h in 45%of patients,and night wake times were more than 3 times in 50.83%of patients.The influence factors of dyssomnia mainly were their own diseases,psychology,environment,bad living habits and nycturia.The factors of their own diseases accounted for the highest proportion(44.17%),psychological factors accounted for 30.83%and environment factors accounted for 19.17%.After nursing intervention,the scores of Pittsburgh Sleep Quality Index(PSQI)were more than 7 in 87 patients,and sleep quality was improved significantly than before(P<0.05).Conclusion The factors of dyssomnia are diverse in patients admitted in department of cardiology,and their own diseases factors,psychological factors and environment factors are main causes.The targeted nursing intervention can effectively relieve dyssomnia in the patients and improve their sleep quality,which is conducive for their rehabilitation.
作者
谢翠英
卢彩鑫
李俊玲
Xie Cuiying;Lu Caixin;Li Junling(West District of Qingdao Municipal Hospital,Qingdao 266000,China;不详)
出处
《中国循证心血管医学杂志》
2022年第2期232-233,236,共3页
Chinese Journal of Evidence-Based Cardiovascular Medicine
关键词
睡眠障碍
干预研究
焦虑
Dyssomnia
Intervention study
Anxious
