目的：比较个性化护理对改善老年心血管疾病患者睡眠质量的效果。方法：收集2013年2月至2015年2月心内科住院老年患者96例，按随机数字表法将患者分为试验组和对照组，分别采取个性化护理和常规护理，2周后比较两组患者的睡眠质量。结果：试验组全睡眠时间为（6.58±1.49）h，显著长于对照组的（3.51±1.16）h，差异有统计学意义（P＜0.05）；入睡潜伏期为（12.82±6.75）min，显著短于对照组的（40.01±11.68）min，差异有统计学意义（P＜0.05）；觉醒次数为（1.10±0.62）次，显著少于对照组的（3.96±1.25）次，差异有统计学意义（P＜0.05）。试验组护理后睡眠质量良好率显著升高，与护理前比较差异有统计学意义（P＜0.05）。试验组护理后1周和2周睡眠质量良好率均显著高于对照组（P＜0.05）。结论：个性化护理能有效改善老年心血管疾病患者的睡眠质量，临床推广价值较高。%Objective: To compare the effect of the individualized nursing on the improvement of the sleep quality for the elderly patients with cardiovascular disease.Methods: In the department of cardiology of the hospital, 96 elderly in-patients were collected from Feb. 2013 to Feb. 2015 and divided into an experiment group and a control group according to the random number table method and cared with the individualized and conventional nursing, respectively. The sleep qualities were compared between two groups after two weeks.Results:The total sleep time was 6.58±1.49 h in the experiment group which was obviously longer than (3.51±1.16) h in the control group and the difference had the statistical signiifcance (P<0.05). The sleep latency was (12.82±6.75) min in the experiment group which was obviously shorter than (40.01±11.68) min in the control group and the difference had the statistical signiifcance (P<0.05). The number of awakening was 1.10±0.62 which was obviously less in the experiment group than 3.96±1.25 in the control group and the difference had the statistical signiifcance (P<0.05). The sleep quality was better in the experiment group after the nursing care and compared with before nursing care, it had the statistical signiifcance (P<0.05). The sleep quality was better in the experiment group than in the control group after nursing care 1 and 2 weeks (P<0.05).Conclusion:The individualized nursing can improve the sleep quality of the elderly patients with cardiovascular disease and the clinical promotion has a high value.
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