实用心脑肺血管病杂志
實用心腦肺血管病雜誌
실용심뇌폐혈관병잡지
PRACTICAL JOURNAL OF CARDIAC CEREBRAL PNEUMAL AND VASCULAR DISEASE
2014年
9期
35-37
,共3页
入睡和睡眠障碍%老年人%心内科%护理
入睡和睡眠障礙%老年人%心內科%護理
입수화수면장애%노년인%심내과%호리
Sleep and sleep disorders%Aged%Department of Cardiology%Nursing care
目的：调查心内科老年患者失眠原因，并观察其护理效果。方法选择2011年3月-2013年11月在我院心内科住院治疗的失眠的老年患者143例，采用自行设计的睡眠情况调查表对患者及其家属进行失眠原因调查，并实施个体化的护理干预。统计护理干预前后患者匹兹堡睡眠质量指数（PSQI）评分，观察患者入睡潜伏期、睡眠时间及觉醒次数。结果调查结果显示，影响患者失眠的因素主要为疾病原因，占23.08%；其次为心理压力大、环境因素，分别占21.63%、19.71%。护理干预后患者的入睡潜伏期、觉醒次数少于护理干预前，睡眠时间长于护理干预前（P ﹤0.05）。护理干预前患者 PSQI 评分为（11.23±4.32）分，护理干预7 d 后为（8.23±2.99）分，护理干预14 d后为（5.83±1.32）分，干预14 d 后 PSQI 评分低于护理干预7 d 后，护理干预7 d 后低于护理干预前（P ﹤0.05）。结论对心内科老年患者的失眠原因进行分析，实施有针对性的护理干预能明显改善患者睡眠质量，有利于患者康复。
目的：調查心內科老年患者失眠原因，併觀察其護理效果。方法選擇2011年3月-2013年11月在我院心內科住院治療的失眠的老年患者143例，採用自行設計的睡眠情況調查錶對患者及其傢屬進行失眠原因調查，併實施箇體化的護理榦預。統計護理榦預前後患者匹玆堡睡眠質量指數（PSQI）評分，觀察患者入睡潛伏期、睡眠時間及覺醒次數。結果調查結果顯示，影響患者失眠的因素主要為疾病原因，佔23.08%；其次為心理壓力大、環境因素，分彆佔21.63%、19.71%。護理榦預後患者的入睡潛伏期、覺醒次數少于護理榦預前，睡眠時間長于護理榦預前（P ﹤0.05）。護理榦預前患者 PSQI 評分為（11.23±4.32）分，護理榦預7 d 後為（8.23±2.99）分，護理榦預14 d後為（5.83±1.32）分，榦預14 d 後 PSQI 評分低于護理榦預7 d 後，護理榦預7 d 後低于護理榦預前（P ﹤0.05）。結論對心內科老年患者的失眠原因進行分析，實施有針對性的護理榦預能明顯改善患者睡眠質量，有利于患者康複。
목적：조사심내과노년환자실면원인，병관찰기호리효과。방법선택2011년3월-2013년11월재아원심내과주원치료적실면적노년환자143례，채용자행설계적수면정황조사표대환자급기가속진행실면원인조사，병실시개체화적호리간예。통계호리간예전후환자필자보수면질량지수（PSQI）평분，관찰환자입수잠복기、수면시간급각성차수。결과조사결과현시，영향환자실면적인소주요위질병원인，점23.08%；기차위심리압력대、배경인소，분별점21.63%、19.71%。호리간예후환자적입수잠복기、각성차수소우호리간예전，수면시간장우호리간예전（P ﹤0.05）。호리간예전환자 PSQI 평분위（11.23±4.32）분，호리간예7 d 후위（8.23±2.99）분，호리간예14 d후위（5.83±1.32）분，간예14 d 후 PSQI 평분저우호리간예7 d 후，호리간예7 d 후저우호리간예전（P ﹤0.05）。결론대심내과노년환자적실면원인진행분석，실시유침대성적호리간예능명현개선환자수면질량，유리우환자강복。
Objective To investigate the reasons of insomnia in elderly patients in department of cardiology and nurs-ing care effect. Methods From March 2011 to November 2013,143 elderly patients with insomnia in Department of Cardiology in our hospital were chosen,the reasons of insomnia were surveyed in patients and their families by self - designed questionnaire, and then given individualized nursing intervention. PSQI score were counted,sleep latency,sleeping time and waking times be-fore and after nursing intervention were observed. Results The main reasons of insomnia was disease(23. 08% ),psychologi-cal stress(21. 63% ),environmental factors(19. 71% ). The sleep latency,waking times after nursing intervention were low-er than those before nursing intervention,sleeping time was longer( P ﹤ 0. 05). PSQI score before nursing intervention was (11. 23 ± 4. 32),that was(8. 23 ± 2. 99)after 7 days of nursing intervention,that was(5. 83 ± 1. 32)after 14 day of nursing intervention,PSQI score after 14 days of nursing intervention was lower than that after 7 days of nursing intervention( P ﹤0. 05),and PSQI score after 7 days of nursing intervention was lower than that before nursing intervention(P ﹤ 0. 05). Conclu-sion Analyzing the reasons of insomnia in elderly patients in department of cardiology and put out implementation of targeted nursing intervention can significantly improve the patients' sleep quality,is helpful to the rehabilitation.
