摘要
目的探究护理干预在睡眠呼吸暂停综合征患者使用家用呼吸机中减少并发症的作用。方法以2016年1月—2019年10月为研究时段,将其中就该院接受治疗67例睡眠呼吸暂停综合征(OSAHS)患者作为该次研究对象。基于自主原则分组,成立参照及研究两组,参照组33例,采用常规护理方式;研究组34例,就应用家用呼吸机前中后时期进行有针对性的综合护理干预。分析比对两组对象干预效果、生活质量改善情况以及并发症发生率。结果干预后,研究组治疗效果总改善率(97.06%)相较于参照组(81.82%)呈现明显优越性,差异有统计学意义(χ^2=4.157,P<0.05);研究组SAS(40.2±5.7)分、SDS(36.8±5.2)分及生活质量评分(79.7±5.8)分相较于参照组[(52.1±6.7)分、(49.5±5.5)分、(68.2±5.4)分]均呈现明显优越性,差异有统计学意义(t=12.168、14.238、11.558,P<0.05);同时,研究组并发症发生率(5.88%)相较于参照组(18.18%)也呈现明显优越性,各项对比结果数据均差异有统计学意义(χ^2=4.223,P<0.05)。结论在睡眠呼吸暂停综合征患者应用家用呼吸机时加强护理干预,能有效提高总改善率,降低并发症发生率,改善SDS评分和SAS评分,提高患者生活质量,促进其恢复。
Objective To explore the effect of nursing intervention on reducing complications in patients with sleep apnea syndrome using home ventilator.Methods From January 2016 to October 2019 as the research period,67 patients with sleep apnea syndrome(OSAHS)treated in the hospital were selected as the research object.Grouping based on the principle of autonomy,a reference and research two groups were established,33 cases in the reference group,using conventional nursing methods;34 cases in the research group,targeted comprehensive nursing intervention on the use of home ventilator before,during and after the period.Analysis and comparison of intervention effect,quality of life improvement and incidence of complications in the two groups.Results After intervention,the overall improvement rate of treatment effect in the study group(97.06%)was significantly superior to the reference group(81.82%),the difference was statistically significant(χ^2=4.157,P<0.05);and the SAS(40.2±5.7)points and SDS(36.8±5.2)points and the quality of life score(79.7±5.8)points in the study group compared with the reference group[(52.1±6.7)points,(49.5±5.5)points,(68.2±5.4)points]showed significant superiority,the difference was statistically significant(t=12.168,14.238,11.558,P<0.05);meanwhile,complications in the study group compared with the reference group(18.18%),the incidence rate(5.88%)also showed obvious superiority,and the data of each comparison result were statistically significantly different(χ^2=4.223,P<0.05).Conclusion Intensive nursing intervention when using a domestic ventilator in patients with sleep apnea syndrome can effectively improve the total improvenment efficiency,reduce the incidence of complications,improve the SDS score and SAS score,improve the quality of life of the patients,and promote their recovery.
作者
潘燕
郝红
杨显芳
沈艳宇
PAN Yan;HAO Hong;YANG Xian-fang;SHEN Yan-yu(Department of Respiratory Medicine,Beijing 401 Hospital,China Nuclear Industry,Beijing,102413 China)
出处
《系统医学》
2020年第14期166-168,共3页
Systems Medicine
