护理干预对社区稳定期COPD患者睡眠质量的影响效果评价

目的 ：探讨护理干预对社区稳定期慢性阻塞性肺疾病（Chronic Obstructive Pulmonary Disease,COPD）患者睡眠质量的影响。方法 ：采用便利抽样法选取出院或门诊睡眠质量指数评分大于7的患者80例,按匹配对照原则分为干预组和对照组。干预组40例,在常规睡眠护理基础上实施联合认知行为、支持性干预和健康教育的综合护理干预即Cognitive Behavior Support Education干预（以下简称＂CBSE干预＂）;对照组40例,给予常规护理。干预前后均采用睡眠质量量表（PSQI）、睡眠个人信念与态度量表（DBAS）对两组患者进行睡眠状况测评。结果 ：干预后干预组患者PSQI得分较对照组显著降低（P〈0.01）;睡眠信念与态度得分显著改善（P〈0.01）。结论 ：CBSE干预可显著改善社区稳定期COPD患者睡眠质量。

Effects of nursing intervention on the sleep quality in community patients with stable chronic obstructive pulmonary disease

Objective： To explore the effects of nursing intervention on the sleep quality in community patients with stable chronic obstructive pulmonary disease（COPD）. Methods： According to the principle of control-matching, eighty COPD patients whose PSQI7 were divided into two groups. Forty of them in the intervention group received CBSE（Cognitive Behavior Support Education） intervention in addition to routine nursing care, and others in the control group just received routine nursing care. Before and after the intervention, the patients were investigated with Pittsburgh Sleep Quality Index（PSQI）, Dysfunction Beliefs and Attitudes about Sleep（DBAS）. Results： The PSQI score was significantly lower in the intervention group than control group after intervention（P〈0.01） and DBAS score was significantly improved（P〈0.01）. Conclusion： CBSE intervention can improve sleep quality of community patients with stable COPD effectively.