CAJ | 학술논문

目的：研究强化护理干预对阿尔茨海默病（AD）患者睡眠障碍的影响。方法选取2012年5月~2014年10月在我院住院的120例AD患者作为研究对象，将其随机分为实验组和对照组，每组60例。对照组采用常规护理方法，实验组在对照组基础上采用强化护理方法。将两组患者护理前后的匹兹堡睡眠质量指数量表（PSQI）评分、干预后Epworth嗜睡量表（ESS）评分进行对比。结果干预后，实验组入睡时间、睡眠质量、睡眠时间、催眠药物、睡眠效率、睡眠障碍和日间功能障碍等因子及PSQI总评分显著低于干预前及干预后的对照组，差异有统计学意义（P<0.05）。干预后，实验组ESS评分显著低于对照组，差异有统计学意义（P<0.05）。结论强化护理干预能显著改善AD患者的睡眠障碍问题，提高患者的睡眠质量，值得临床推广应用。
목적：연구강화호리간예대아이자해묵병（AD）환자수면장애적영향。방법선취2012년5월~2014년10월재아원주원적120례AD환자작위연구대상，장기수궤분위실험조화대조조，매조60례。대조조채용상규호리방법，실험조재대조조기출상채용강화호리방법。장량조환자호리전후적필자보수면질량지수량표（PSQI）평분、간예후Epworth기수량표（ESS）평분진행대비。결과간예후，실험조입수시간、수면질량、수면시간、최면약물、수면효솔、수면장애화일간공능장애등인자급PSQI총평분현저저우간예전급간예후적대조조，차이유통계학의의（P<0.05）。간예후，실험조ESS평분현저저우대조조，차이유통계학의의（P<0.05）。결론강화호리간예능현저개선AD환자적수면장애문제，제고환자적수면질량，치득림상추엄응용。
Objective To study the influence of intensive nursing intervention on sleep disorders in patients with Alzheimer disease (AD). Methods 120 cases of AD in our hospital from January 2012 to December 2014 were selected and divided into experimental group and control group in random,each group had 60 cases.The control group was treat-ed with conventional routine care.The experimental group was added intensive nursing intervention.The score of Pitts-burgh sleep quality index(PSQI) before and after intervention,Epworth sleepiness scale(ESS) score after intervention in two groups was compared. Results After intervention,sleep time,sleep quality,sleeping time,sleep efficiency,sleep disor-ders,daytime dysfunction and PSQI total score in experimental group were significantly lower than those of before inter-vention and after intervention of the control group (P<0.05).After intervention,the scores of ESS in experimental group was significantly lower than that of control group (P<0.05). Conclusion Intensive nursing intervention can significantly ameliorate sleep disorders in patients with AD,improve sleep quality,which is suitable for clinical application.