心内科老年住院患者失眠原因调查及护理探讨

目的调查了解心内科老年住院病人的睡眠状况及原因,探讨有效改善失眠状况的护理措施。方法采用睡眠状况自评量表及科室自行设计的调查表收集病人睡眠状况相关资料并根据失眠的原因采取有针对性的护理措施,护理干预后再次进行睡眠状况评估。结果心内科老年病人失眠的发生原因中,22.5%由于环境改变(噪音、光线等),33%由于疾病本身的因素引起,心理因素也占了17.5%,其他原因仅占2%。经过护理干预,各类型失眠的发生率均显著降低,差异有统计学意义(P﹤0.05)。结论采取综合护理措施可以有效减低心内科老年住院病人失眠的发生率。

Discussion on the nursing and reasons of insomnia among old inpatients in cardiology department

OBJECTIVE To investigate the reasons of insomnia among old inpatients in cardiology department,and discuss the effect nursing measures of improve sleep.METHODS By self-assessment questionnaire,we collected data on sleep status and related nursing measures for insomnia,and evaluated the effect of nursing measures.RESULTS Among the reason of insomnia among old inpatients in cardiology department,22.5% of them were environment changes,33% of them were uncomfortable from disease,17.5% of them were mental factors and 2% of them were other reasons.Through nursing,all kinds of insomnia showed significantly decrease.There was significant difference between them(P﹤0.05).CONCLUSION Comprehensive nursing measures could decrease the incidence of insomnia among old inpatients in cardiology department.