摘要
目的:探讨多元化睡眠干预在脑卒中后偏瘫患者中的应用效果。方法:选取2021年6月—2023年2月南华大学附属第二医院收治的92例脑卒中后偏瘫患者作为研究对象,根据随机数表法将患者分为试验组和参照组,各46例。参照组采用常规护理措施,试验组给予多元化睡眠干预,比较两组睡眠质量、神经功能缺损程度评分、日常生活能力评分、并发症发生情况及患者对护理干预措施的满意程度。结果:干预前,两组睡眠质量评分、美国国立卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)评分和日常生活能力量表(activity of daily living scale,ADL)评分比较,差异无统计学意义(P>0.05);干预后,两组睡眠质量较干预前提高,试验组入睡时间、睡眠时间、睡眠效率和睡眠质量评分低于参照组,差异有统计学意义(P<0.05);干预后,两组神经功能缺损和日常生活能力较干预前改善,且试验组NIHSS评分低于参照组,ADL评分高于参照组,差异有统计学意义(P<0.05)。试验组并发症发生率(4.35%)低于参照组(23.91%),差异有统计学意义(P<0.05)。试验组患者对护理技术、护理服务和护理环境的满意度评分高于参照组,差异有统计学意义(P<0.05)。结论:多元化睡眠干预可提高脑卒中后偏瘫患者睡眠质量,改善神经功能缺损程度,提高日常生活能力,减少并发症,患者满意度高。
Objective:To explore the application effect of diversified sleep intervention in patients with hemiplegia after stroke.Method:A total of 92 patients with hemiplegia after stroke who admitted to the Second Affiliated Hospital of University of South China from June 2021 to February 2023 were selected as the study objects,and the patients were divided into the experimental group and the reference group according to the random number table method,46 cases in each group.The reference group was given routine nursing measures,and the experimental group was given diversified sleep intervention,the sleep quality,neurological deficit score,daily living ability score,complications and patients'satisfaction with nursing intervention measures were compared between two groups.Result:Before intervention,there were no significant difference in sleep quality score,National Institute of Health stroke scale(NIHSS)score and activity of daily living scale(ADL)score between two groups(P>0.05);after intervention,the sleep quality of two groups were improved compared with those before intervention,the time to fall asleep,sleep time,sleep efficiency and sleep quality scores of the experimental group were lower than those of the reference group,and the differences were statistically significant(P<0.05);after intervention,the neurological deficit and daily living ability of two groups were improved compared with those before intervention,and the NIHSS score of the experimental group was lower than that of the reference group,and the ADL score was higher than that of the reference group,the differences were statistically significant(P<0.05).The incidence of complications in the experimental group(4.35%)was lower than that in the reference group(23.91%),and the difference was statistically significant(P<0.05).The satisfaction scores of nursing technology,nursing service and nursing environment in the experimental group were higher than those in the reference group,and the differences were statistically significant(P<0.05).Conclusion:Diversif
作者
汪玲
龚利兰
WANG Ling;GONG Lilan(The Second Affiliated Hospital of University of South China,Hengyang 421001,China;不详)
出处
《中外医学研究》
2024年第13期91-95,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
多元化睡眠干预
脑卒中
偏瘫
睡眠质量
Diversified sleep interventions
Stroke
Hemiplegia
Sleep quality
