摘要
目的探讨睡眠卫生护理干预对消化内科肝硬化伴失眠患者睡眠的调节作用。方法选取2012年6月—2015年1月消化内科收治的118例肝功能A级肝硬化伴失眠患者,按随机数字表法将其分成干预组(66例)和对照组(52例)。干预组给予睡眠卫生护理干预,对照组给予消化内科常规护理,分别在入院和出院时采用匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)评价比较两组患者睡眠质量,并在出院时就两组的护理效果进行比较。结果入院时两组患者PSQI总分及各因子成分评分比较,差异无统计学意义(P>0.05)。出院时两组患者PSQI评分与入院时相比均有明显下降,且干预组患者PSQI评分低于对照组,差异有统计学意义(P<0.05)。在护理效果方面,干预组优于对照组,差异有统计学意义(P<0.001)。结论睡眠卫生护理干预可以有效改善肝功能A级肝硬化伴失眠患者的睡眠状况,护理干预在失眠治疗中的作用应受到重视。
Objective To investigate the mediating effect of nursing intervention of sleep hygiene on insomnia in patients with liver cirrhosis. Methods One hundred and eighteen cirrhotic patients with grade-A liver function and insomnia treated between June 2012 and January 2015 were divided into control group （n=52） and intervention group （n=66） with random number table method. The control group received conventional nursing only, while the intervention group was given nursing intervention of sleep hygiene. The sleep quality of patients in the two groups on admission and discharge were surveyed and compared based on Pittsburgh sleep quality index （PSQI）. The nursing effect was also compared between the two groups on discharge. Results There was no statistically significant difference in total score and scores for each factor of PSQI between the two groups of patients on admission （P〉0.05）. However, the total score and scores for each factor of PSQI on discharge in both groups were significantly lower than those on admission （P〈0.05）. Besides, the scores in the intervention group were significantly lower than those in the control group （P〈0.05）. The effect of nursing in the intervention group was superior to that in the control group （P〈0.001）. Conclusions Nursing intervention of sleep hygiene can effectively improve sleep quality in cirrhotic patients with grade-A liver function. The role of nursing intervention in the treatment of insomnia should be taken seriously.
出处
《华西医学》
CAS
2017年第3期434-438,共5页
West China Medical Journal
关键词
睡眠卫生
护理干预
失眠
肝硬化
Sleep hygiene
Nursing intervention
Insomnia
Liver cirrhosis
