心内科老年患者失眠原因调查及护理效果

摘要

目的：调查心内科老年患者失眠原因，并观察其护理效果。方法选择2011年3月-2013年11月在我院心内科住院治疗的失眠的老年患者143例，采用自行设计的睡眠情况调查表对患者及其家属进行失眠原因调查，并实施个体化的护理干预。统计护理干预前后患者匹兹堡睡眠质量指数（PSQI）评分，观察患者入睡潜伏期、睡眠时间及觉醒次数。结果调查结果显示，影响患者失眠的因素主要为疾病原因，占23.08%；其次为心理压力大、环境因素，分别占21.63%、19.71%。护理干预后患者的入睡潜伏期、觉醒次数少于护理干预前，睡眠时间长于护理干预前（P ﹤0.05）。护理干预前患者 PSQI 评分为（11.23±4.32）分，护理干预7 d 后为（8.23±2.99）分，护理干预14 d后为（5.83±1.32）分，干预14 d 后 PSQI 评分低于护理干预7 d 后，护理干预7 d 后低于护理干预前（P ﹤0.05）。结论对心内科老年患者的失眠原因进行分析，实施有针对性的护理干预能明显改善患者睡眠质量，有利于患者康复。%Objective To investigate the reasons of insomnia in elderly patients in department of cardiology and nurs-ing care effect. Methods From March 2011 to November 2013,143 elderly patients with insomnia in Department of Cardiology in our hospital were chosen,the reasons of insomnia were surveyed in patients and their families by self - designed questionnaire, and then given individualized nursing intervention. PSQI score were counted,sleep latency,sleeping time and waking times be-fore and after nursing intervention were observed. Results The main reasons of insomnia was disease(23. 08% ),psychologi-cal stress(21. 63% ),environmental factors(19. 71% ). The sleep latency,waking times after nursing intervention were low-er than those before nursing intervention,sleeping time was longer( P ﹤ 0. 05). PSQI score before nursing intervention was (11. 23 ± 4. 32),that was(8. 23 ± 2. 99)after 7 days of nursing intervention,that was(5. 83 ± 1. 32)after 14 day of nursing intervention,PSQI score after 14 days of nursing intervention was lower than that after 7 days of nursing intervention( P ﹤0. 05),and PSQI score after 7 days of nursing intervention was lower than that before nursing intervention(P ﹤ 0. 05). Conclu-sion Analyzing the reasons of insomnia in elderly patients in department of cardiology and put out implementation of targeted nursing intervention can significantly improve the patients' sleep quality,is helpful to the rehabilitation.