老年睡眠障碍患者护理干预效果观察

目的:探讨对老年睡眠障碍患者实施针对性睡眠护理干预的临床效果。方法:前瞻性纳入诊断符合失眠症的老年睡眠障碍患者,应用匹兹堡睡眠质量指数(PSQI)对入组患者在入院24 h内护理干预前进行问卷调查,评分7分为睡眠质量问题的界值,共入组患者110例。随机分为观察组和对照组各55例。对观察组除与对照组相同的护理措施外进行睡前松弛疗法、睡前行为干预、睡眠质量干预。实施干预后2周再次采用匹兹堡睡眠质量指数(PSQI)对入组患者进行问卷调查。结果:观察组在睡眠质量、入睡时间、睡眠时间和总得分项目得分低于对照组,差异有统计学意义,P0.01。睡眠效率、睡眠障碍及催眠药物项目得分虽低于对照组,但无统计学意义,P0.05。结论:针对性睡眠护理干预可以缓解患者睡眠障碍程度。     

唐山市社区老年人睡眠质量及危险因素分析

[目的]分析城市老年人睡眠质量及其相关因素,为改善老年人睡眠质量提供措施,以促进老年人身心健康。[方法]采用匹兹堡睡眠质量指数调查表及自行设计的量表对唐山市社区老年人进行调查,全部资料应用SPSS13.0软件包进行统计学分析。[结果]睡眠障碍发生率31.34%;女性、目前不工作者、居住环境差者、饮酒者、不坚持日常运动者、身体健康欠佳者、不看书学习者的睡眠功能较差;回归分析显示,对老年人睡眠质量影响较大的因素依次为身体状况、运动、性别、居住环境、看书学习、工作与否、饮酒等。[结论]唐山市区老年人睡眠质量低于北方地区平均水平。     

唐山市社区老年人睡眠质量及危险因素分析

[目的]分析城市老年人睡眠质量及其相关因素,为改善老年人睡眠质量提供措施,以促进老年人身心健康。[方法]采用匹兹堡睡眠质量指数调查表及自行设计的量表对唐山市社区老年人进行调查,全部资料应用SPSS13.0软件包进行统计学分析。[结果]睡眠障碍发生率31.34%;女性、目前不工作者、居住环境差者、饮酒者、不坚持日常运动者、身体健康欠佳者、不看书学习者的睡眠功能较差;回归分析显示,对老年人睡眠质量影响较大的因素依次为身体状况、运动、性别、居住环境、看书学习、工作与否、饮酒等。[结论]唐山市区老年人睡眠质量低于北方地区平均水平。     

军队离退休老年人睡眠质量的多因素调查及干预对策

目的探讨军队离退休老年人睡眠质量状况的影响因素,制定有针对性的护理措施。方法对某部936例年龄≥60岁老年人的睡眠质量状况进行流行病学调查,采用问卷访问和体格检查相结合的方法获得数据,应用SPSS软件系统进行统计分析。结果军队离退休老年人睡眠质量与老年人的性别、生活质量和身体状况呈显著相关。结论养成良好的睡眠习惯、关注老年的心理状态、注意慢性病的保健可改善这一群体的睡眠质量。     

磁珠耳穴法对改善胸痹患者睡眠的效果观察

目的观察应用磁珠耳穴法对改善胸痹患者睡眠的临床干预效果。方法收集60例胸痹患者,将患者分为观察组和对照组,对照组给予常规的睡眠护理,观察组在常规睡眠护理基础上给予磁珠耳穴法。经过一个疗程,应用PSQI量表和NT-pro-BNP指数评价临床疗效。结果与对照组相比,观察组除睡眠时间、睡眠障碍,其他睡眠因子分值和NT-pro-BNP指数比较,差异均具有统计学意义(P0.05)。观察组睡眠改善效果好于对照组,差异具有统计学意义(P0.05)。结论磁珠耳穴法能有效地改善胸痹患者的睡眠,操作简单,安全无副作用,值得在临床推广。     

低频电刺激治疗老年人睡眠障碍的疗效观察

目的：探讨低频电刺激治疗对改善老年人睡眠障碍的临床疗效。方法：符合失眠症诊断标准的睡眠障碍老年患者116例,随机分为2组各58例,对照组每晚口服苯二氮类药物,观察组给予低剂量药物治疗的同时结合低频电刺激治疗。2组治疗前后进行匹兹堡睡眠质量指数（PSQI）及阿森斯失眠量表（AIS）评定。结果：治疗4周后,2组PSQI及AIS评分均较治疗前明显降低,观察组下降更显著（均P〈0.05）;治疗后药物用量较治疗前及对照组明显下降（P〈0.05）。结论：配合低频电刺激治疗老年人睡眠障碍可减少安眠类药物的剂量,且能提高临床睡眠质量。     

医学生睡眠质量调查

[目的]调查吉林大学医学生睡眠质量现状,分析睡眠质量的影响因素,为有效改善医学生睡眠质量提供理论依据。[方法]采用匹兹堡睡眠质量指数(PSQI)量表,以PSQI总分≥8分作为判断睡眠障碍的标准,对吉林大学临床、公共卫生、护理3个专业的五年制在校本科生进行分层随机抽样调查。[结果]非考试期间睡眠差者占17.0%;考试期间睡眠差者占41.7%。考试期间临床专业学生PSQI总分为(8.16±3.20)分,高于护理专业学生(6.40分±2.16分)和公共卫生专业学生(6.67分±3.29分)。[结论]医学生睡眠质量较差,尤其是考试期间睡眠质量更差,临床专业学生更明显。     

高电位治疗慢性偏头痛有效性与安全性的随机对照观察

目的探讨高电位疗法治疗慢性偏头痛的有效性与安全性。方法 86例符合纳入标准的慢性偏头痛患者者随机分为两组,治疗组(n=43)接受高电位治疗仪治疗,对照组(n=43)采用空白对照,疗程20 d。对痊愈的受试者停止治疗后随访4周。采用简式McGill疼痛问卷(MPQ)进行评定,记录治疗前后实验室检查结果。统计分析数据集的选择包括处理意向(ITT)及符合方案数据分析(PP)。结果治疗组和对照组对治疗后疼痛分级指数(PRI)、视觉模拟评分(VAS)和现有疼痛强度(PPI)有显著性差异(P<0.05)。治疗组6例、对照组1例痊愈。随访4周,治疗组与对照组均有1例复发,疼痛程度无显著性差异。两组患者治疗前后血、尿、便常规,肝肾功能及心电图检查均无明显变化。结论高电位治疗仪治疗慢性偏头痛效果较好,无副作用。     

Sleep quality in hospitalized patients

Aims and objectives. The objective of this study was to evaluate and compare sleep quality of the hospitalized patients and matched healthy controls. Background. Although the functions of sleep are not clearly understood, it is generally accepted that it is necessary for the maintenance of good health. Hospitalized patients’ sleep may not be refreshing or restorative. The reasons for this can be categorized into three groups: environmental, physiological and psychological. Design and methods. This research was conducted at the Cumhuriyet University Hospital in Turkey. One hundred and fifty hospitalized patients (psychiatry = 50; orthopaedic + general surgery + cardiovascular surgery + urology = 50; internal medicine + chest diseases + infectious diseases + physical therapy and rehabilitation = 50) and 50 healthy controls constituted the sample. The researchers administered to the patient and control groups Sociodemographic Information Form and the Pittsburgh Sleep Quality Index. We compared sociodemographic and illness variables with sleep characteristics. The following statistical analyses were used in order to evaluate the data: variance analysis, Tukey HSD test, Student's t‐test, Kruskall–Wallis test. Results. We found that patients in psychiatric ward experienced worse sleep quality than the other patients, worse in female patients than male patients, and worse sleep characteristics in patients than controls. Conclusions. Health professionals must be educated about sleep and must provide intervention when needed. Relevance to clinical practice. The enhancing of sleep quality accelerates to the recovery from illness.     

Sleep quality and sleep disturbing factors of inpatients in a Chinese general hospital

Aims and objective. This study was undertaken to determine sleep quality and sleep disturbing factors of inpatients and to compare the perception of sleep disturbing factors between nurses and inpatients in a Chinese general hospital. Background. Sleep aids patients’ recovery. A variety of factors affect inpatients’ sleep quality. Current research on inpatients’ sleep quality in China is limited and narrowly focuses on patients in intensive care units or older patients. Design. Survey. Methods. This research was conducted in a Chinese general hospital. The Pittsburgh Sleep Quality Index and self‐designed questionnaires were used to examine inpatients’ sleep quality and compare perceptions of sleep disturbing factors between 397 inpatients and 101 nurses. The following statistical methods were used to evaluate the data: chi‐square test, logistic regression analysis and Z statistic. Results. Patients reported poor sleep quality (45·6%) during hospitalisation and a reduction in sleep quality after hospitalisation (57·4%). The chi‐square and logistic regression analysis showed that the main sleep disturbing factors were worries about illness, discomfort associated with diseases, using the toilet at night and noise from nurses’ shoes. There was a significant difference in the perception of sleep quality and sleep disturbing factors between inpatients and nurses. Conclusion. This study demonstrates that most inpatients reported sleeping problems stemming from multiple sources. Additionally, there was a significant difference in the perception of sleep disturbing factors between nurses and inpatients. Relevance to clinical practice. Our survey shows that most nurses are aware of inpatients’ poor sleep quality. However, many patients continue to suffer from poor sleep during hospitalisation because of a wide range of sleep disturbing factors. This suggests that nurses need to be better educated and trained to minimise sleep disturbing factors and improve sleep quality of inpatients.     

重度尼古丁暴露对睡眠的影响

目的：研究重度尼古丁暴露对成人睡眠的影响。方法：采用吸烟问卷和匹兹堡睡眠质量指数量表（PSQI）表对浙江地区吸烟（重度：≥10支／天,大于1年）与不吸烟的青年男性进行调查和比较,PSQI 分数越高表示睡眠质量越低。结果：单因素方差分析发现重度尼古丁暴露组人群 PSQI 的睡眠质量（C1）、入睡时间（C2）、睡眠时间（C3）、睡眠效率（C4）、睡眠障碍（C5）、日间功能障碍（C7）和总分与健康对照组相比显著升高（均 P ＜0.05）。通过分析睡眠障碍得分与吸烟特征之间的关系,发现开始吸烟年龄与 C4呈正相关（r ＝0.109,P ＝0.045）;每日吸烟量与 C1（r ＝0.169,P ＝0.002）、C4（r ＝0.149,P ＝0.006）、C7（r ＝0.17,P ＝0.002）和 PSQI 总得分（r ＝0.202,P ＜0.001）均呈正相关。每日吸烟最大数量与 C3（r ＝0.112,P ＝0.042）、C4（r ＝0.119,P ＝0.028）、C7（r ＝0.155,P ＝0.004）和 PSQI 总分（r ＝0.15,P ＝0.005）呈正相关。以上研究结果表明重度尼古丁暴露显著降低睡眠质量。     

Impact of beta-blockers on sleep in patients with mild hypertension: a randomized trial between nebivolol and metoprolol

Introduction  Sleep is an innate and essential part of human life. Various aspects of sleep are negatively affected by beta-blockers. We compared the impact of two beta-blockers, metoprolol succinate (extended release) and nebivolol, on sleep quality in patients with stage 1 hypertension. Methods  This was a prospective, randomized, open-label, parallel-group study. Eligible patients were administered the Pittsburgh Sleep Quality Index (PSQI) questionnaire by a blinded interviewer and were randomized to receive metoprolol (starting dose 25 mg) or nebivolol (starting dose 2.5 mg) once daily for 6 weeks. The first dose was administered before patients left the clinic. Visits were scheduled for 1, 2, 4, and 6 weeks after the initiation of therapy. At the end of the study, patients were readministered the PSQI questionnaire by the same interviewer, as before blinded to treatment allocation. Results  A total of 22 patients in the nebivolol group and 17 patients in the metoprolol group completed the study and were included in the data analysis (mean age of patients, 40.7 years). At study entry, systolic blood pressure (BP), diastolic BP, and PSQI scores were similar in the two groups. Over 6 weeks of treatment, systolic and diastolic BP normalized in both groups. Global PSQI score improved significantly in patients in the nebivolol group, whereas it worsened in the metoprolol group. The difference in effect of two beta-blockers was statistically significant (P<0.001). Conclusion  Nebivolol was associated with improved sleep (as assessed by the PSQI), whereas metoprolol was associated with a worsening of sleep characteristics.     

Sleep Quality,Fatigue, and Quality of Life in Individuals With Heart Failure

Heart failure is a chronic condition that negatively impacts sleep, fatigue, and quality of life. The purpose of this study was to explore sleep, fatigue, and quality of life among patients with heart failure. There were significant differences between the study variables, and these were moderately correlated. Together, sleep quality and fatigue predicted 40% of the variance in the physical and mental components of quality of life. The findings of this study support the use of sleep and fatigue assessments in patients with heart failure.     

综合心理干预在抑郁症并发睡眠障碍患者护理中的应用及对患者睡眠质量的影响

目的:分析综合心理干预在抑郁症并发睡眠障碍患者护理中的应用效果及对患者睡眠质量的影响.方法:回顾性分析2017年12月至2018年12月期间于龙岩市第三医院治疗的抑郁症并发睡眠障碍患者74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37例.对照组给予常规护理干预,观察组在此基础上实施综合心理干预.比较2组患者干预前后睡眠质量、生命质量和心理状况.结果:干预后,2组患者的睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍及PSQI总分均下降,观察组均明显低于对照组,2 组比较差异有统计学意义(P<0.05);2组患者的躯体功能、心理功能、社会功能、物质生活状态和GQOLI-74总分均明显升高,观察者均高于对照组,2 组比较差异有统计学意义(P<0.05);2组患者的SAS评分和SDS评分均明显降低,观察者低于对照组,2 组比较差异有统计学意义(P<0.05).结论:针对抑郁症并发睡眠障碍患者实施综合心理干预后,睡眠质量明显提升,生命质量和心理状况显著改善,临床应用价值高.     

某集中医学观察点观察对象睡眠质量调查分析

目的：疫情期间对集中医学观察点观察对象睡眠情况进行调查分析,为医学观察人员管理提供参考数据。方法：采用匹兹堡睡眠质量指数量表(Pittsburgh Sleep Quality Index, PSQI),以问卷星形式进行匿名扫码形式,对集中医学观察点272名入境人员进行调查。结果：272例调查对象中有21人(7.7%)存在睡眠障碍,PSQI评分最高分16分,最低分0分,总分为(3.49±2.71)分。不同的性别、年龄、学历、国别的研究对象的PSQI得分均无统计学差异。有无基础疾病影响了研究对象的睡眠时间,差异有统计学意义。结论：本研究显示集中医学观察不会对人体生物节律产生显著影响,不会额外引起集中医学观察人员的睡眠质量问题。说明我们所采用的集中医学观察的方式,一方面有效控制了新冠疫情的传播,一方面不会对观察对象造成额外的睡眠障碍,是安全的,有效的,值得推广和借鉴的。