健康教育路径对老年慢性阻塞性肺疾病患者睡眠质量的影响

目的:探讨对老年慢性阻塞性肺疾病患者实施健康教育路径对于患者睡眠质量产生的影响效果,为提升此类患者睡眠质量提供参考。方法:选取2016年10月至2018年10月在广西百色市人民医院接受诊断治疗的老年慢性阻塞性肺疾病患者共150例作为研究对象,按照患者的入院先后顺序实施分组,其中75例先入院的患者作为对照组,给予患者常规护理干预措施,后入院的75例患者作为观察组,在常规护理基础上开展健康教育路径模式,对2组患者的疾病知识掌握程度以及情绪状态评分、睡眠质量改善效果进行比较分析。结果:经过实施不同的护理干预措施之后,观察组患者对于慢性阻塞性肺疾病的防治措施、饮食原则、有效咳嗽方法、氧疗的重要性等等有了更加全面的认识,各项知识掌握程度评分显著高于对照组(P<0.05);进行护理前后患者焦虑、抑郁情况评分比较,护理后2组评分均有不同程度下降,但观察组患者的各项评分更低,组间差异有统计学意义(P<0.05);进行2组患者护理前后PSQI睡眠质量评分,2组睡眠质量均较治疗前有所改善,其中观察组患者的睡眠质量更高(P<0.05)。结论:对于老年慢性阻塞性肺疾病患者,通过开展健康教育路径模式,有利于提升患者对疾病各项相关知识的认知程度,提升依从性,缓解不良心理状态,促进睡眠质量的有效改善,从而提升患者生命质量。

Effects of Health Education Pathway on Sleep Quality of Elderly Patients With Chronic Obstructive Pulmonary Disease

Objective:To explore the effect of health education on sleep quality in elderly patients with chronic obstructive pulmonary disease(copd). Methods:Selection in October2016 to October2018 in our hospital for diagnosis and treatment of the elderly,a total of150 patients with chronic obstructive pulmonary disease,according to the order of the patient′s admission to implement group,75 cases of hospitalized patients as control group ,the first to give patients with routine nursing intervention measures,as a group of 75 cases of hospitalized patients,after on the basis of conventional nursing care to carry out health education path mode,disease knowledge and level of two groups of patients and emotional state score,the sleep quality improved effect for comparative analysis. Results:After the implementation of different nursing interventions,patients in the study group for chronic obstructive pulmonary disease prevention and treatment measures,dietary principles,effective cough method,the importance of oxygen therapy and so on have a more comprehensive understanding of the knowledge of the score was significantly higher than the control group( P <0.05);The scores of anxiety and depression of the patients before and after the nursing were compared.After the nursing,the scores of the two groups decreased to different degrees,but the scores of the patients in the study group were lower,and the difference between the two groups was statistically significant( P <0.05).PSQI sleep quality score of patients in both groups before and after nursing was conducted,and the sleep quality of patients in both groups was improved compared with that before treatment,and the sleep quality of patients in the study group was higher( P <0.05). Conclusion:For the elderly patients with chronic obstructive pulmonary disease,health education path mode can help improve the patients′ cognitive level of various knowledge related to the disease,improve the compliance ,alleviate the adverse psychological state,promote the effective improvement of sleep quality,and thus improve the quality of life of patients.