摘要
目的:分析实施心脏康复训练对改善冠心病合并睡眠障碍患者睡眠质量的改善效果。方法:选取2021年1月至2023年12月蚌埠医科大学第一附属医院心血管内科收治的冠心病合并睡眠障碍患者90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45例。对照组给予常规护理干预,观察组给予心脏康复训练护理干预。分别在入院当天、干预后采取美国纽约心脏病学会(NYHA)分级完成心功能的评估工作,分别在开展锻炼之前、锻炼4周之后利用心脏彩色超声仪测定左心室收缩末期内径(LVESD)、左心室舒张期内径(LVEDD)、左心室射血分数(LVEF)等指标变化,并采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的差异。结果:干预后,观察组LVESD、LVEDD显著低于对照组,观察组LVEF显著高于对照组,差异均有统计学意义(均P<0.05)。结论:采取心脏康复训练措施实施护理干预可改善冠心病合并睡眠障碍患者心功能,提升其睡眠质量,值得临床推广应用。
Objective:To analyze the effect of implementing cardiac rehabilitation training on improving the sleep quality of patients with coronary heart disease and sleep disorders.Methods:Ninety patients with coronary heart disease and sleep disorders admitted to the Cardiovascular Department of the First Affiliated Hospital of Bengbu Medical University from January 2021 to December 2023 were selected as the study subjects.Using a random number table method,they were randomly divided into control and observation groups,with 45 cases in each group.The control group received routine nursing intervention,while the observation group received cardiac rehabilitation training nursing intervention.On the day of admission and after intervention,the New York Heart Association(NYHA)grading system was used to assess cardiac function.Left Ventricular End systolic Diameter(LVESD),Left Ventricular Diastolic Diameter(LVEDD),Left Ventricular Ejection Fraction(LVEF),and other indicators were measured using echocardiography before and after exercise for 4 weeks.Pittsburgh Sleep Quality Index(Pittsburgh Sleep Quality Index)was also used to assess changes in these indicators.Compare the differences in sleep quality between two groups of patients using the sleep Sleep Quality Index(PSQI).Results:After intervention,LVESD and LVEDD in the observation group were significantly lower than those in the control group,while LVEF in the observation group was significantly higher than that in the control group.The differences between the two groups were statistically significant(P<0.05).Conclusion:Implementing nursing interventions through cardiac rehabilitation training measures can improve the cardiac function and sleep quality of patients with coronary heart disease and sleep disorders,and is worthy of clinical promotion and application.
作者
汪玲川
WANG Lingchuan(First Affiliated Hospital of Bengbu Medical University,Bengbu 233000,China)
出处
《世界睡眠医学杂志》
2024年第4期902-904,908,共4页
World Journal of Sleep Medicine
关键词
冠心病
睡眠障碍
心脏康复训练
睡眠质量
护理
心血管疾病
心功能
Coronary heart disease
Sleep disorders
Cardiac rehabilitation training
Sleep quality
Nursing
Cardiovascular disease
Cardiac function
