CAJ | 학술논문

目的：调查呼吸内科住院患者睡眠质量状况及护理干预效果。方法将294例呼吸内科患者随机分为两组，对照组147例患者予一般护理；干预组147例患者在对照组的基础上进行护理干预。采用匹兹堡睡眠质量指数量表（ PSQI）和自制睡眠质量影响因素量表调查患者睡眠质量和影响因素，并比较两组患者效果。结果294例患者中67．3％存在睡眠障碍；患者PSQI总分、睡眠质量、入睡时间、睡眠时间得分分别为（9．17±2．54），（1．55±0．64），（1．43±0．68），（1．48±0．73）分，均高于国内常模，差异均有统计学意义（Z值分别为-15．563，-10．467，-7．856，-7．998；P＜0．01）；PSQI量表其他维度得分与国内常模比较差异有统计学意义（P＜0．01）；睡眠质量影响因素分析显示，躯体不适为主要影响因素，占38．4％；护理干预后，干预组患者PSQI总分低于对照组，差异有统计学意义（ P＜0．05）。结论呼吸内科住院患者存在睡眠障碍。通过消除陌生感、创造舒适的睡眠条件和环境、维持正常的睡眠周期、满足患者的睡眠习惯、健康教育、药物辅助促进睡眠等护理干预措施，能减轻患者的睡眠障碍，促进患者康复。
목적：조사호흡내과주원환자수면질량상황급호리간예효과。방법장294례호흡내과환자수궤분위량조，대조조147례환자여일반호리；간예조147례환자재대조조적기출상진행호리간예。채용필자보수면질량지수량표（ PSQI）화자제수면질량영향인소량표조사환자수면질량화영향인소，병비교량조환자효과。결과294례환자중67．3％존재수면장애；환자PSQI총분、수면질량、입수시간、수면시간득분분별위（9．17±2．54），（1．55±0．64），（1．43±0．68），（1．48±0．73）분，균고우국내상모，차이균유통계학의의（Z치분별위-15．563，-10．467，-7．856，-7．998；P＜0．01）；PSQI량표기타유도득분여국내상모비교차이유통계학의의（P＜0．01）；수면질량영향인소분석현시，구체불괄위주요영향인소，점38．4％；호리간예후，간예조환자PSQI총분저우대조조，차이유통계학의의（ P＜0．05）。결론호흡내과주원환자존재수면장애。통과소제맥생감、창조서괄적수면조건화배경、유지정상적수면주기、만족환자적수면습관、건강교육、약물보조촉진수면등호리간예조시，능감경환자적수면장애，촉진환자강복。
Objective To investigate the sleep quality of respiratory inpatients and the effects of nursing intervention .Methods A total of 294 respiratory inpatients were randomly divided into two groups:general nursingwere given to the control group;nursing interventions on the basis of the control group were given to the intervention group .Adopting PSQI and self-designed questionnaire to investigate the sleep quality and influence factors ,the effects between the two groups were compared .Results 67 .3%respiratory inpatients were with sleep disorders;Of 294 inpatients , the total sore of PSQI , quality of sleep , sleep latency and sleep time was (9.17 ±2.54), (1.55 ±0.64), (1.43 ±0.68), and (1.48 ±0.73), respectively, which was higher than the routine models around country with a significant difference ( Z=-15.563,-10.467,-7.856,-7.998, respectively;P<0 .01 );The scores of PSQI in other levels compared to the routine models around country showed statistically different (P<0.01);Sleep quality factors analysis showed that physical discomfort as the main factor, accounting for 38.4%; After nursing intervention, the overall score of PSQI in the intervention group was lower than the control group , and the difference was statistically significant ( P <0.05 ). Conclusions Respiratory inpatients have sleep disorders .Sleep disorders of patients can be alleviated and promoted the rehabilitation of the disease by eliminating the strangeness , creating a comfortable sleeping conditions and environment , maintaining normal sleep cycle , meeting the patient ’ s sleep habits, health education , drug auxiliary promoting sleep and other nursing interventions .