睡眠健康教育对脑卒中失眠患者康复的影响

目的 探讨睡眠健康教育对脑卒中失眠患者睡眠质量和生存质量(quality of life,QOL)的影响.方法 70例住院脑卒中失眠患者按住院号奇偶顺序分为两组,单号为教育组(n=35),双号为对照组(n=35).两组患者均给予常规护理、康复训练及每晚口服酒石酸唑吡坦片10 mg,观察组同时实施规范的睡眠健康教育.在入院时及入院后2个月采用匹兹堡睡眠质量指数量表(pittsburgh sleep qualily index,PSQI)、世界卫生组织生存质量评定量表简表(world health organization quality of life,WHOQOL)及日常生活能力(activites of daity living,ADL)量表对睡眠质量、QOL及ADL进行评定.结果 入院2个月后,教育组PSQI 7因子评分低于对照组(P＜0.01),QOL评分高于入院时及对照组(P＜0.05),平均住院天数和平均住院费用明显低于对照组(P＜0.01).结论 系统规范的睡眠健康教育可提高脑卒中失眠患者对治疗及康复的依从性,改善睡眠质量和生活质量,缩短住院天数,减少住院费用.

Clinical Study on the Value of Sleep Health Education in Alleviating Insomnia in Stroke Patients

Objective To investigate the value of sleep health education in improving the sleep quality and quality of life(QOL) of stroke patients with insomnia.Methods Seventy stroke patients with insomnia were randomized into the study group(n=35) and control group(n=35).The patients in both groups received routine nursing,rehabilitation training and administration of zolpidem at 10 mg,and in the study group,sleep health education was provided.The Pittsburgh Sleep Quality Index(PSQI),WHO Quality of Life(WHOQOL-BREF) questionnaire and activity of daily living(ADL) assessment were used to evaluate the patients' sleep quality,QOL,and ADL upon and 2 months after admission.Results After 2 months of therapy,the scores of PSQI in the study group was significantly lower than those in the control group(P<0.01),and the scores of QOL was significantly higher in the former group(P<0.05).Conclusion Appropriate sleep health education may help enhance the compliance of the stroke patients with insomnia during therapy and rehabilitation,improve their sleep quality and QOL,and reduce their hospital stay and costs.