摘要
目的:通过比较常规护理和护理干预对高龄脑卒中患者睡眠质量的影响,探究护理干预在改善高龄脑卒中患者睡眠质量中的作用。方法:选择在笔者所在医院诊断和治疗的高龄脑卒中患者197例,随机分为对照组和试验组;对照组实施常规护理,试验组在常规护理的基础上给予护理干预。采用匹兹堡睡眠质量指数(PSQI)量表评定两组患者在实施护理干预前后的睡眠质量。采用Logistic回归分析判断影响高龄脑卒中患者的睡眠质量的主要因素。结果:试验组在实施护理干预后患者PSQI成分睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、安眠药物、日间功能以及PSQI总分,与对照组干预后和试验组干预前比较差异有统计学意义(P<0.05)。对照组和试验组在实施不同护理后,患者睡眠质量得到不同程度的改善,但试验组明显好于对照组(P<0.01)。经Logistic回归分析,影响患者睡眠质量的危险因素有文化程度、环境因素、心理因素、精神因素和脑组织损伤;与对照组比较,试验组患者干预后各危险因素的优势比(OR值)降低。结论:护理干预对改善高龄脑卒中患者睡眠质量有重要作用。
Objective ：To explore the function of nursing intervention on improving the sleep quality of elderly stroke patients, comparing the effect of routine care and nursing intervention on the sleep quality of elderly stroke patients. Methods ：197 cases of elderly stroke patients diagnosed and treated in hospital were randomly divided into control and experimental groups ; control group was received routine care, while the experimental group was given nursing intervention on the basis of routine care. Pittsburgh Sleep Quality Index Scale was used to assess the patients, sleep quality before and after the implementation of nursing intervention. The logistic regression analysis was used to judge the main factors that affects the sleep quality of elderly stroke patients. Results ：Compared with the control group after routine care and the experimental group before the intervention, the difference of sleep quality, sleep latency, sleep time, sleep efficiency, sleep disorders, sleeping pills, daytime function, and total score of PSQI in experimental group after nursing intervention had statistical significance（P〈0.05）.The sleep quality of patients got different degrees of improvement after given different care implementation in control group and experimental group, but the experimental group was significantly better than the control group （P〈0.01）.Education level, environmental factors, psychological factors, psychological factors, and brain tissue damage were the risk factors of affecting the sleep quality of in patients with logistic regression analysis ; Compared with the control group, the odds ratio （OR） of the risk factors in experimental group reduced. Conclusion ：Nursing intervention can improve the sleep quality of elderly stroke patients.
出处
《中外医学研究》
2012年第25期68-70,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
护理干预
脑卒中
睡眠质量
Nursing intervention
Stroke
Sleep quality
