探讨不同护理模式对于改善老年心内科患者的睡眠质量的效果

目的:探讨不同的护理模式在改善心内科老年患者睡眠质量的效果。方法:随机选取本院心内科的老年患者200例,按照随机抽样法将其分为两组,每组100例。对照组进行常规护理和睡眠健康教育;试验组在常规内科护理基础上根据其具体情况有针对性的采取适当的护理模式进行护理,这些护理模式可包括以下措施:心理护理、行为习惯指导、药物使用指导、合理的作息时间安排、良好的环境等。比较两组患者在接受护理的不同阶段内睡眠质量和匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评分。结果:入院时,两组PSQI评分7分的患者人数比较差异无统计学意义。护理1周和2周后,试验组PSQI评分7分的患者人数显著高于对照组,两组比较差异均有统计学意义。结论:有针对性地对心内科老年失眠患者进行护理,能明显改善其睡眠质量,有利于支持患者抵抗疾病,早期康复。

The Different Nursing Models of Care Elderly Patients in Department of Cardiology for Improving the Quality Sleep Effect

Objective：To explore the different models of care in improving the quality of sleep effect of patients in the department of cardiology. Method：Two hundred elderly patients in department of cardiology were randomly selected in the hospital,and randomly divided into two groups,each group of 100 cases. The control group was given routine care and sleep health education;The experiment group was given appropriate nursing mode according to the specific circumstances of nursing base on routine care and sleep health education. The nursing mode might include the following measures：psychological nursing,behavior guidance,guidance,rational drug use schedule arrangements,good environment. The two groups were compared in the different stages of sleep nursing quality and the Pittsburgh sleep quality index（PSQI）score. Result：There were no statistical significance in the rate of PSQI0.05）. The rate of PSQI〈7 of the experiment group were significantly higher than the control group（P〈0.05）after 1 week and 2 weeks,and the difference between the two groups were statistically significant（P〈0.05）. Conclusion：The specific circumstances of nursing in department of cardiology for elderly patients with insomnia,can obviously improve the quality of sleep,is conducive to the support of patients with disease resistance,early rehabilitation.