摘要
目的:探讨肺部体位引流与专项干预对重症肺炎患者睡眠质量和生命质量的影响效果。方法:选取2022年9月至2023年9月厦门大学附属第一医院重症医学科收治的重症肺炎患者86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43例。对照组给予肺部体位引流及常规护理干预,观察组在此基础上开展专项干预。采用多导睡眠监测系统记录总睡眠时间、睡眠潜伏期、睡眠效率,采用失眠严重程度指数量表(ISI-C)比较2组患者的失眠症状,采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的变化,使用肺功能测量仪记录用力肺活量(FVC)、呼气峰值流速(PEF),采用生命质量综合评定问卷(GQOLI-74)比较2组患者干预前后生命质量的变化。结果:干预后,观察组总睡眠时间、睡眠效率均提高,睡眠潜伏期均降低,差异有统计学意义(P<0.05);干预后,观察组失眠严重程度指数ISI-C评分、PSQI评分均显著低于对照组,差异有统计学意义(P<0.05);干预后,观察组用力肺活量(FVC)、呼气峰值流速(PEF)、生命质量综合评定问卷(GQOLI-74)均显著高于对照组,差异有统计学意义(P<0.05)。结论:重症肺炎患者接受肺部体位引流与专项干预能改善整体睡眠状况,促进肺功能改善,提高生命质量。
Objective:To investigate the effects of pulmonary postural drainage and special intervention on sleep quality and quality of life in patients with severe pneumonia.Methods:A total of 86 patients with severe pneumonia admitted to the Department of Intensive Care Medicine of the First Affiliated Hospital of Xiamen University from September 2022 to September 2023 were selected as the research objects,and were divided into control group and observation group according to random number table method,with 43 cases in each group.The control group received pulmonary postural drainage and routine nursing intervention,and the observation group carried out special intervention on this basis.Total sleep time,sleep latency and sleep efficiency were recorded by polysleep monitoring system.Insomnia severity Index Scale(ISIS-C)was used to compare the insomnia symptoms of the two groups,and Pittsburgh Sleep quality Index(PSQI)was used to compare the changes in sleep quality of the two groups before and after intervention.Forced vital capacity(FVC)and peak expiratory flow rate(PEF)were recorded by pulmonary function measuring instrument.The changes of quality of life(QOL)before and after intervention were compared by GQOLI-74.Results:After the intervention,the total sleep time and sleep efficiency of the observation group were increased,and the sleep latency was decreased,with statistical significance between the two groups(P<0.05).After intervention,the insomnia severity index ISI-C score and PSQI score in the observation group were significantly lower than those in the control group,and the difference between the two groups was statistically significant(P<0.05).After the intervention,forced vital capacity(FVC),peak expiratory flow rate(PEF)and quality of life comprehensive assessment questionnaire(GQOLI-74)in the observation group were significantly higher than those in the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion:Pulmonary postural drainage and special intervention
作者
李雅勤
杨柳
LI Yaqin;YANG Liu(The First Affiliated Hospital of Xiamen University,Xiamen 361006,China)
出处
《世界睡眠医学杂志》
2024年第8期1861-1864,共4页
World Journal of Sleep Medicine
关键词
重症肺炎
肺部体位引流
专项干预
多导睡眠监测
睡眠障碍
失眠
睡眠质量
生命质量
Severe pneumonia
Pulmonary postural drainage
Special intervention
Polysomnosis monitoring
Sleep disorders
Insomnia
Sleep quality
Quality of life
