摘要
目的探讨集束化护理干预应用于心内科住院失眠老年患者的临床效果。方法选择心内科住院且有明确失眠症的老年患者146例,随机分为观察组与对照组,每组73例,均服用一片阿普唑仑助眠。对照组实施常规护理,观察组则在此基础上实施集束化护理干预,对比两组护理前后睡眠进程参数、匹兹堡睡眠质量指数(PSQI)及汉密尔顿焦虑和抑郁量表(HAMA、HAMD)评分和临床疗效。结果观察组的总有效率为94.52%,显著高于对照组的80.82%(P<0.05);干预后观察组的入睡潜伏时间、觉醒次数及觉醒时间均显著低于对照组,实际睡眠时间及睡眠维持率均显著高于对照组(P<0.05);干预后观察组的PSQI量表各维度评分、HAMA及HAMD评分均显著低于对照组(P<0.05)。结论集束化护理干预合并助眠药物能够改善心内科失眠老年患者的精神心理状态及失眠症状,提高其睡眠质量并促进病情康复。
Objective To investigate the clinical effect cluster-based care on insomnia in elderly hospitalized cardiological patients. Methods Totally 146 cases of cardiology hospitalized elderly patients with insomnia were ran-domly divided into observation group （n=73） and control group （n=73） . The control group was given routine care, the observation group was given cluster-based care. The sleep process parameters, scores of Pittsburgh Sleep Quality Index （ PSQI ）, Hamilton Anxiety and Depression Scale （ HAMA, HAMD ） and clinical efficacy between the groups were compared. Results The total effective rate was 94.52 % in the observation group, which was statistically higher than that in the control group （80.82 % ）（P 〈 0.05 ）; After the intervention, the sleep onset latency, awakenings and awakening time in observation group was significantly lower than those in the control group, the total sleep time and sleep maintenance was significantly higher （ P 〈 0.05 ）; After the intervention, the scores of each dimension of PSQI scale, HAMA and HAMD in observation group were significantly lower than the control group （ P 〈 0.05 ） . Conclusion Cluster-based care can improve the psychological status and symptoms of insomnia of elderly hospitalized cardiological patients with insomnia, improve sleep quality and promote disease recovery.
出处
《国际精神病学杂志》
2017年第2期325-328,341,共5页
Journal Of International Psychiatry
基金
西安医学院校级重点建设学科项目基金(编号:16JK1667)
关键词
失眠
老年患者
心内科
集束化护理
睡眠质量
Insomnia
Elderly patients
Cardiology
Cluster-based care
Sleep quality
