中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2013年
29期
34-36
,共3页
杨俊恩%乔爱新%韩静%张红心%刘小平
楊俊恩%喬愛新%韓靜%張紅心%劉小平
양준은%교애신%한정%장홍심%류소평
聚焦解决模式%急性冠状动脉综合征%临床路径%睡眠质量
聚焦解決模式%急性冠狀動脈綜閤徵%臨床路徑%睡眠質量
취초해결모식%급성관상동맥종합정%림상로경%수면질량
Solution focused theory%Acute corony syndrome%Clinical pathway%Sleep quality
目的 探讨聚焦解决模式对接受临床路径治疗的急性冠状动脉综合征(ACS)患者睡眠质量的影响.方法 选取2010年9月至201 1年1月唐山市工人医院心内科入住的符合临床路径标准的ACS患者100例为研究对象,并将其随机分为对照组(临床路径组)51例和干预组(临床路径组及聚焦解决模式干预组)49例.对2组患者在入院24 h内、干预后2,4周时应用阿森斯失眠量表(ASI)进行睡眠质量评测,评价干预效果.结果 干预2周后干预组患者的ASI评分中夜间睡眠中断、早醒、对总睡眠质量的评价、对白天情绪的影响4项维度的评分与对照组比较差异有统计学意义,其余维度评分比较差异无统计学意义.干预4周后干预组患者的ASI评分仅对白天功能的影响1项维度的评分与对照组比较差异无统计学意义,其余7项维度的评分与对照组比较均差异有统计学意义.结论 聚焦解决模式应用于ACS患者的护理程序中可以显著改善患者的睡眠质量,对于改善患者的疾病状态有积极的作用.
目的 探討聚焦解決模式對接受臨床路徑治療的急性冠狀動脈綜閤徵(ACS)患者睡眠質量的影響.方法 選取2010年9月至201 1年1月唐山市工人醫院心內科入住的符閤臨床路徑標準的ACS患者100例為研究對象,併將其隨機分為對照組(臨床路徑組)51例和榦預組(臨床路徑組及聚焦解決模式榦預組)49例.對2組患者在入院24 h內、榦預後2,4週時應用阿森斯失眠量錶(ASI)進行睡眠質量評測,評價榦預效果.結果 榦預2週後榦預組患者的ASI評分中夜間睡眠中斷、早醒、對總睡眠質量的評價、對白天情緒的影響4項維度的評分與對照組比較差異有統計學意義,其餘維度評分比較差異無統計學意義.榦預4週後榦預組患者的ASI評分僅對白天功能的影響1項維度的評分與對照組比較差異無統計學意義,其餘7項維度的評分與對照組比較均差異有統計學意義.結論 聚焦解決模式應用于ACS患者的護理程序中可以顯著改善患者的睡眠質量,對于改善患者的疾病狀態有積極的作用.
목적 탐토취초해결모식대접수림상로경치료적급성관상동맥종합정(ACS)환자수면질량적영향.방법 선취2010년9월지201 1년1월당산시공인의원심내과입주적부합림상로경표준적ACS환자100례위연구대상,병장기수궤분위대조조(림상로경조)51례화간예조(림상로경조급취초해결모식간예조)49례.대2조환자재입원24 h내、간예후2,4주시응용아삼사실면량표(ASI)진행수면질량평측,평개간예효과.결과 간예2주후간예조환자적ASI평분중야간수면중단、조성、대총수면질량적평개、대백천정서적영향4항유도적평분여대조조비교차이유통계학의의,기여유도평분비교차이무통계학의의.간예4주후간예조환자적ASI평분부대백천공능적영향1항유도적평분여대조조비교차이무통계학의의,기여7항유도적평분여대조조비교균차이유통계학의의.결론 취초해결모식응용우ACS환자적호리정서중가이현저개선환자적수면질량,대우개선환자적질병상태유적겁적작용.
Objective To study the effect of solution focused theory on improving the sleep quality of ACS patients with clinical pathway.Methods 100 ACS patients with clinical pathway in Tangshan Gongren hospital from September 2010 to January 2011 were selected as study objects,and they were randomly divided into the control group(51 cases)and the intervention group(49 cases).Then the sleep quality was assessed during the first 24 hours being admitted and on the second and forth week after the intervention with the Athens Insomnia Scale(ASI).Results At the second week after intervention,4 items of the ASI Score of the observation group were different from the control group significantly.The 4 items were nighttime sleep disruption,waking up early,evaluation of total sleep quality,effect on the day of emotion.On the forth week after intervention,only the item of effects on daytime function was not different from the control group significantly,the scores of other 7 items were significantly different from those of the observation group.Conclusions The effect of solution focused theory in improving the sleep quality of ACS patients with clinical pathway is significant,and it plays an active role in improving the state of disease.