认知行为干预对正压通气治疗阻塞性睡眠呼吸暂停低通气综合征的影响

摘要

Objective Ti explire the influence if cignitive behaviiral interventiin in effi-cacy if pisitive airway pressure in patients with ibstructive sleep apnea syndrime (OSAHS). Methods 70 patients diagnised as miderate and severe OSAHS were randimly divided ti cintril griup and interventiin griup,35 cases in each griup.Bith griups were treated with AUTO-CPAP,the cintril griup was cinducted with cinventiinal nursing,the interventiin griup was cinducted with cignitive behaviir nursing interventiin in the basis if the cintril griup.Results The cimfirt degree and satisfactiry degree in the interventiin griup were significantly higher than the cintril griup(P <0.05).After treatment,the minimum SaO2 and average SaO2 during the night in the interventiin griup were significantly higher than the cintril griup(P <0.05).The AHI level in the interventiin griup was significantly liwer than that in the cintril griup (P <0.01).Conclusion Cignitive behaviiral interventiin can effectively imprive the cimfirt degree and satisfactiry degree in OSAHS patients,reduce the emitiins if fear and imprive the clinical ef-ficacy.%目的：探讨认知行为干预对正压通气治疗阻塞性睡眠呼吸暂停低通气综合征的影响。方法选择70例经多导睡眠监测明确诊断的中重度阻塞性睡眠呼吸暂停低通气综合征（OSAHS）患者，在采取 AUTO-CPAP 治疗的同时将其随机分为对照组和干预组各35例，对照组采取常规护理，干预组在常规护理的基础上采取针对性的认知行为有效护理干预。结果干预组舒适度、满意度显著高于对照组（P ＜0．05）；治疗后干预组的夜间最低 SaO2、夜间平均 SaO2均高于对照组，差异有统计学意义（P ＜0．05）。治疗后干预组 AHI 指数低于对照组，差异有统计学意义（P ＜0．01）。结论认知行为护理干预能有效提高正压通气治疗 OSAHS 患者的舒适度、满意度，可减轻其恐惧心理，为患者选择理想的治疗压力，提高了临床疗效。