摘要
目的探讨基于发明问题解决理论(TRIZ)的护理干预对胸外科患者术后睡眠呼吸暂停的影响。方法采用便利抽样法选取2018年1月—2019年12月于河北北方学院附属第一医院接受胸外科手术的200例患者为研究对象,依据随机数字表法分为观察组(n=107)和对照组(n=93)。对照组接受常规护理干预,观察组接受基于TRIZ理论的护理干预。比较两组患者术后睡眠呼吸暂停的发生率,采用多导睡眠监测评估两组患者干预前后的睡眠结构,记录两组患者的护理服务质量评分。结果干预期间,观察组10例(9.35%)患者发生睡眠呼吸暂停,对照组19例(20.43%)患者发生睡眠呼吸暂停,观察组的睡眠呼吸暂停发生率低于对照组,差异有统计学意义(P<0.05)。干预后,观察组的总睡眠时间长于对照组,呼吸暂停指数、呼吸暂停低通气指数小于对照组,差异均有统计学意义(P<0.05)。观察组的住院环境、护理技能、生活干预评分及护理服务质量总分均高于对照组,差异均有统计学意义(P<0.05)。结论基于TRIZ理论的护理干预可降低胸外科患者术后睡眠呼吸暂停的发生率,在改善患者睡眠结构的同时提高护理服务满意度。
Objective To explore the effect of nursing based on the theory of inventive problem solving(TRIZ)on sleep apnea after thoracic surgery.Methods From January 2018 to December 2019,200 patients undergoing thoracic surgery in the First Affiliated Hospital of Hebei North University were selected as the study subject by convenience sampling.Patients were divided into observation group(n=107)and control group(n=93)according to random number table.The control group received routine nursing,while the observation group carried out nursing based on TRIZ.The incidence of sleep apnea was compared in the two groups.The sleep structure of the two groups of patients before and after intervention was evaluated by polysomnography,and the nursing service quality scores of the two groups of patients were recorded.Results During the intervention,10 patients(9.35%)in the observation group had sleep apnea,while 19 patients(20.43%)in the control group had sleep apnea.The incidence of sleep apnea in the observation group was lower than that in the control group,with a statistically significant difference(P<0.05).After intervention,the total sleep time of the observation group was longer than that of the control group,and the apnea index and apnea hypopnea index were lower than those of the control group,with significant differences(P<0.05).The hospitalization environment,nursing skills,life intervention scores and total scores of nursing service quality in the observation group were higher than those in the control group,with significant differences(P<0.05).Conclusions The nursing based on TRIZ can reduce the incidence of sleep apnea after thoracic surgery,improve the sleep structure of patients and increase the satisfaction of nursing services.
作者
刘杨
付伟
李倩
李彦明
Liu Yang;Fu Wei;Li Qian;Li Yanming(Department of Thoracic Surgery,the First Affiliated Hospital of Hebei North University,Zhangjiakou 075000,China)
出处
《中华现代护理杂志》
2023年第1期84-88,共5页
Chinese Journal of Modern Nursing
基金
张家口市科学技术研究与发展计划项目(1821057D)。
关键词
胸外科手术
睡眠呼吸暂停
发明问题解决理论
睡眠质量
护理服务
Thoracic surgical procedures
Sleep apnea
Theory of inventive problem solving
Sleep quality
Nursing services
