对冠状动脉介入治疗患者睡眠质量及影响因素的调查

目的 了解冠状动脉介入治疗(PCI)患者的睡眠质量及影响因素.方法 采用匹兹堡睡眠质量指数(PSQI)量表和影响睡眠因素调查表,对96例择期PCI患者进行调查.结果 PCI患者术前、术后分别有61.46%、87.08%存在睡眠问题,PSQI总分分别是(9.82±4.51)和(12.11±3.99),总分及各成分得分与国内常模相比、术前PSQI总分及各成分得分与术后相比,差异有统计学意义(P<0.05).术前主要影响因素有手术焦虑、噪音、病房陌生感、经济负担、病床不适;术后主要影响因素有体位不适、腰背酸痛、噪音、夜间查房及治疗护理、排尿困难等.结论 PCI患者睡眠质量较差,以术后为甚,应采取积极的护理措施,控制各种影响因素,提高睡眠质量.

Survey and analysis on the sleep quality of patients with percutaneous coronary intervention and the influencing factors

Objective To know the sleep quality of patients with percutaneous coronary intervention (PCI) and the influencing factors. Methods 96 patients who would undergo the time-selective PCI were surveyed using the Pittsburgh Sleep Quality Index (PSQI) and the scale for sleep factors. Results 61.46% and 87.08% of PC1 patients had sleep questions before and after the operation, respectively. The total scores of PSQI were (9.82 ±4.51 ) and ( 12. 11±3.99), respectively. The total score of PSQI and the scores of each index had statistical meanings with those of normal model in China. The total score of PSQI and the scores of each index before the operation had statistical meanings with those after the operation ( P < 0. 05 ). The major influencing factors before the operation included the operation anxiety, noise, ward strangeness, economic burden, and sickbed discomfort. The major influencing factors after the operation included the position discomfort, waist and back pain, noise, night ward rounds, therapy nursing and difficult urination. Conclusions PCI patients have poor quality of sleep, especially after the operation. It is suggested the active nursing measures should be adopted and each influencing factor should be controlled, thereby improving the quality of sleep.