摘要
目的:探究睡眠诱导联合护理干预对颅内动脉狭窄支架成形术后高灌注状态患者的影响;方法:选取2021年6月至2022年6月邢台市信都区人民医院收治的行颅内动脉狭窄支架成形术的患者70例作为研究对象,按照随机数字表法分为对照组和观察组,每组35例。对照组采用常规护理干预,观察组在上述护理的基础上行睡眠诱导干预。干预前后采用匹兹堡睡眠质量指数(PSQI)评估患者睡眠质量,采用常用的柯氏音/袖带法测量患者血压水平,并诊断患者高灌注状态发生情况。结果:对2组患者进行干预后,与干预前患者的PSQI量表比较,干预后评分有改善,并且观察组患者的评分改善更为显著,差异有统计学意义(P<0.05);对2组患者进行干预后,较干预前患者的血压水平有所改善,并且观察组患者的血压改善更为显著,差异有统计学意义(P<0.05);在高灌注状态发生率方面,对照组患者发生脑出血2例,脑水肿3例,癫痫/谵妄4例,高灌注状态发生率为25.71%,观察组患者发生脑出血0例,脑水肿1例,癫痫/谵妄1例,高灌注状态发生率为5.71%,观察组发生率更低,差异均有统计学意义(均P<0.05)。结论:睡眠诱导联合护理干预能够改善对颅内动脉狭窄支架成形术患者的血压水平,提高睡眠质量,降低患者高灌注状态发生率,值得临床推广。
Objective:To explore the effect of sleep induction combined with nursing intervention on patients with high perfusion after stenting for intracranial artery stenosis.Methods:A total of 70 patients with intracranial artery stenosis who underwent stenting in Xingtai Xindu District People′s Hospital from June 2021 to June 2022 were selected as the research objects.According to the random number table method,they were divided into the control group and the observation group,with 35 cases in each group.The control group received routine nursing intervention,while the observation group received sleep induction intervention based on the above nursing.The Pittsburgh Sleep Quality Index(PSQI)was used to evaluate the sleep quality of patients before and after the intervention,and the blood pressure level of patients was measured with the commonly used Kirschner/cuff method,and the incidence of hyperperfusion was diagnosed.Results:After intervention,the scores of the two groups of patients were improved compared to the PSQI scale before intervention,and the improvement in the scores of the observation group patients was more significant,with a statistically significant difference(P<0.05).After intervention,the blood pressure levels of the two groups of patients improved compared to before intervention,and the blood pressure improvement in the observation group was more significant,with a statistically significant difference(P<0.05).In terms of the incidence of high perfusion state,the control group had 2 cases of cerebral hemorrhage,3 cases of cerebral edema,and 4 cases of epilepsy/delirium,with a high perfusion state incidence rate of 25.71%.The observation group had 0 cases of cerebral hemorrhage,1 case of cerebral edema,and 1 case of epilepsy/delirium,with a high perfusion state incidence rate of 5.71%.The observation group had a lower incidence rate,and the difference was statistically significant(P<0.05).Conclusion:Sleep induction combined with nursing intervention can improve the blood pressure level of patients wit
作者
张梦彩
李志永
李春霖
张素霞
赵雪萌
唐灵涛
李英毅
ZHANG Mengcai;LI Zhiyong;LI Chunlin;ZHANG Suxia;ZHAO Xuemeng;TANG Lingtao;LI Yingyi(Xingtai Xindu District People′s Hospital,Xingtai 054001,China;The Third Hospital of Xingtai,Xingtai 054099,China)
出处
《世界睡眠医学杂志》
2023年第5期1142-1145,共4页
World Journal of Sleep Medicine
基金
邢台市重点研发计划自筹项目(2022ZC091)。
关键词
睡眠诱导
颅内动脉狭窄
支架成形术
高灌注状态
预后
Sleep induction
Intracranial artery stenosis
Stent plasty
High perfusion state
Prognosis
