心内科住院病人睡眠质量分析与护理干预

目的:了解心内科老年住院病人睡眠质量,分析睡眠障碍原因,探讨改善睡眠障碍的有效措施。方法:对97例病人采取一对一访谈式调查,了解其睡眠质量和睡眠障碍症状,包括病人上床时间、入睡所需时间、夜醒次数、再次入睡所需时间、晨醒时间等。分析影响睡眠的因素(包括疾病因素、环境因素、心理因素及其他因素),予针对性护理。护理干预后3、7d再次对病人进行睡眠质量评价。结果:心内科住院老年病人睡眠障碍症状主要为早醒(40.2%)、入睡困难(35.1%)、夜醒、醒后入睡困难等。主要原因依次为疾病因素、心理因素、环境因素、其他因素。护理干预后均有不同程度改善。结论:疾病因素和心理因素是影响心内科老年住院病人睡眠质量的主要因素,通过实施针对性护理干预,可以有效提高病人睡眠质量,促进病人早日康复。

The analysis of sleeping quality and nursing intervention in hospitalized patients in department of cardiology

Objectives：To analyse the sleeping quality and nursing intervention in hospitalized patients in department of cardiology.Methods：To use the self-ordained sleep quality questionnaire to make a detailed inquiry in 97 patients.The symptoms of sleeping disorders were studied,including the time to fall asleep,frequency of nighttime awakenings,the time of morning waking,et al.Analysed the possible factors ：the body diseases,the environment,the mental state and other factors）affect the sleep quality and given the patients nursing intervention.Assessed the sleep quality on the 3,7 day after the intervention respectively.Results：The most frequent symptoms were early morning awakening（40.2%）,difficulty falling asleep（35.1%）,difficulty falling asleep again,et al.These symptoms were improved in different degree after the nursing intervention.The factors caused sleep disorders were the body diseases,the mental state,the environment,other factors in the descending order.Conclusion：The body diseases and the mental stress were the most two risk factors leading to the sleep disorders.The nursing interventional therapy may improve the patients＇ sleep quality and their rehabilitation.