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目的:探讨呼吸内科住院患者睡眠质量状况及护理干预效果,旨在提高患者睡眠质量。方法:选取2013年1月至2015年6月在遵义医学院第五附属(珠海)医院住院治疗的呼吸内科患者368例。随机分为观察组和对照组,各184例。观察组患者给予舒适护理,对照组给予常规护理。分析比较两组患者的匹兹堡睡眠质量指数(PSQI)以及影响睡眠质量的影响因素。结果:PSQI良好者(<7分)166例,占45.11%;PSQI不良者(≥7分)者202例,占54.89%。两组患者在入院时总体睡眠质量较差(<7分),差异无统计学意义(P>0.05)。而出院时,两组的PSQI得分均出现不同程度的降低,而观察组的PSQI得分明显低于对照组,差异具有统计学意义(P<0.05)。PSQI在是否咳嗽、胸痛、呼吸困难和夜间治疗方面差异具有统计学意义(P<0.05)。结论:呼吸内科患者存在不同程度的睡眠障碍,为患者提供舒适护理,能够有效提高患者的睡眠质量。咳嗽、胸痛、呼吸困难和夜间治疗也对睡眠质量具有重要影响。
Objective: To investigate the quality of sleep inpatients with respiratory medicine and the effect of nursing intervention in order to improve the quality of sleep in patients. Methods: From January 2013 to June 2015, 368 cases of respiratory patients admitted to the Fifth Affiliated Hospital of Zunyi Medical College (Zhuhai) were selected. Randomly divided into observation group and control group, 184 cases each. Patients in observation group were given comfortable nursing and control group were given routine care. Pittsburgh Sleep Quality Index (PSQI) and influencing factors of sleep quality were compared between the two groups. Results: There were 166 cases (45.11%) with good PSQI (<7 points) and 202 cases (54.89%) with poor PSQI (≥7 points). The overall quality of sleep during admission was poor (<7 points) in both groups, with no significant difference (P> 0.05). At discharge, the PSQI scores decreased to some extent in both groups, but the PSQI scores in the observation group were significantly lower than those in the control group (P <0.05). PSQI was statistically significant for cough, chest pain, dyspnea, and nighttime therapy (P <0.05). Conclusion: Respiratory medical patients have different degrees of sleep disorders, providing patients with comfort and care, can effectively improve the patient’s sleep quality. Cough, chest pain, difficulty breathing, and nighttime treatment also have an important effect on sleep quality.