综合护理干预在慢阻肺住院患者睡眠障碍预防中的效果研究

王实

摘要目的：探讨分析綜合护理干预在慢阻肺住院患者睡眠障碍中的预防作用。方法：选取2018年1—12月厦门大学附属第一医院收治的慢阻肺住院患者72例作为研究对象，按护理模式不同等分为对照组和观察组，每组36例。对照组进行常规护理，观察组进行综合护理干预。比较2组的睡眠质量[匹兹堡睡眠质量指数（PSQI）]、失眠发生率及肺功能指标[肺活量（FVC）、最大呼气峰流速（PEF）、第1秒用力呼气末容积与用力肺活量比值（FEV1/FVC）]。结果：观察组的PSQI评分及失眠发生率显著低于对照组，FVC、PEF及FEV1/FVC均显著高于对照组，差异有统计学意义（P<005）。结论：综合护理干预可有效改善慢阻肺住院患者者的肺功能指标及睡眠质量，降低睡眠障碍的发生率，具有极高的临床应用价值。

关键词综合护理干预;慢阻肺;住院患者;睡眠障碍

Study on the Effect of Comprehensive Nursing Intervention in the Prevention of Sleep Disorders of Inpatients with Chronic Obstructive Pulmonary Disease

WANG Shi

（First Affiliated Hospital of Xiamen University，Xiamen，361000，China）

AbstractObjective：To explore and analyze the role of comprehensive nursing intervention in preventing sleep disorders in inpatients with chronic obstructive pulmonary diseaseMethods：A total of 72 inpatients with chronic obstructive pulmonary disease in First Affiliated Hospital of Xiamen University from January 2018 to December 2018 were averagely divided into control group and observation group with 36 cases in each group according to difference of nursing modesThe control group were with routine nursing，while the observation group were with comprehensive nursing interventionThen the sleep quality[Pittsburgh sleep quality index（PSQI）]，incidence of insomnia and pulmonary function indexes[forced vital capacity（FVC），peak expiratory flow rate（PEF）and ratio of forced expiratory volume in the first second/forced vital capacity（FEV1/FVC）]of two groups were comparedResults：The PSQI score and incidence of insomnia of observation group were significantly lower than those of control group，the FVC，PEF and FEV1/FVC were significantly higher than those of control group，there were statistically significant differences（P<005）.Conclusion：The comprehensive nursing intervention can effectively improve the pulmonary function indexes and sleep quality of inpatients with chronic obstructive pulmonary disease，and reduce the incidence of sleep disorders，so its clinical application value is higher.

KeywordsComprehensive Nursing intervention; Chronic obstructive pulmonary disease; Inpatients;Sleep disorders

中图分类号：R4735;R33863文献标识码：Adoi：10.3969/j.issn.2095-7130.2020.06.048

慢阻肺全称为慢性阻塞性肺疾病，属于一种常见的呼吸系统疾病，本类患者常常出现喘息、气短、胸闷、呼吸困难、慢性咳嗽、咳痰等症状，且伴随着病情的进展，患者无法正常入睡，进而对患者的机体、情绪等产生严重的危害[1]。通过有效的综合护理干预提高患者的睡眠质量，可预防睡眠障碍的发生。现针对我院收治的慢阻肺住院患者72例作为研究对象，现将结果报道如下。

1资料与方法

11一般资料选取2018年1—12月厦门大学附属第一医院收治的慢阻肺住院患者72例作为研究对象，按护理模式不同等分为对照组和观察组，每组36例。对照组中男17例，女19例，年龄53～77岁，平均年龄（6523±545）岁，病程215～734年，平均病程（455±145）年。观察组中男18例，女18例，年龄54～76岁，平均年龄（6567±618）岁，病程159～805年，平均病程（475±125）年。2组的一般资料比较，差异无统计学意义（P>005），具有可比性。