家庭随访健康教育对门诊阻塞性睡眠呼吸暂停综合征伴高血压患者的影响

摘要

目的 探讨家庭随访健康教育干预对门诊阻塞性睡眠呼吸暂停综合征(obstructive sleep apnea syndrome,OSAS)伴高血压患者的影响.方法 将100例OSAS伴高血压患者随机分为研究组与对照组,每组各50例,对照组在治疗过程给予相关知识健康指导,研究组给予实施家庭随访健康教育.比较干预前及干预后1年两组患者睡眠呼吸暂停低通气量指数(apnea-hypopnea index,AHI)、最长呼吸暂停时间、最低血氧饱和度、血压及生活质量情况.结果 干预1年后,两组患者AHI、最长呼吸暂停时间、血氧饱和度及血压比较,差异具有统计学意义(均P＜ 0.05),研究组优于对照组；两组患者在生活质量总分及躯体功能维度、心理功能维度、社会功能维度得分比较,均P＜ 0.05,差异具有统计学意义,研究组优于对照组.结论 家庭随访健康干预可提高患者对疾病正确认识,提高治疗依从性,从而改善门诊OSAS伴高血压患者呼吸暂停及血压情况,提高患者生活质量.%Objective To investigate the influence on the patients with obstructive sleep apnea syndrome (OSAS) combined with hypertension.Methods The OSAS outpatients were randomly divided into 2 groups equally: the control group and the research group.The control group was treated with routine inspection and nursing and the research group with telephone call follow-up every month.The two groups were compared regarding apnea-hypopnea index (AHI),time for apnea,the lowest blood oxygen saturation,blood pressure and quality of life one year after intervention.Results One year after intervention,AHI,time for apnea,the lowest blood oxygen saturation and blood pressure in the experiment group was better than those in the control group (all P < 0.05),and so it was with physical function,psychological function,social function and quality of life (all P < 0.05).Conclusion The family follow-up and health intervention may help to improve the life quality of OSAS outpatients with hypertension so that the blood pressure is improved for the improvement of quality of life.