自我管理对阻塞性睡眠呼吸暂停综合症老年患者睡眠质量的影响(1)
[摘要]目的 研究自我管理对阻塞性睡眠呼吸暂停综合症老年患者睡眠质量的影响。方法 选择2017年6月～2018年6月在我院进行治疗的30例阻塞性睡眠呼吸暂停综合症老年患者，按照随机数字表法分为对照组和实验组，每组各15例。对照组患者进行常规护理，实验组患者进行自我管理护理干预，比较两组护理干预后自我管理能力和护理干预后睡眠质量的变化。结果 护理干预后，实验组的日常生活管理、症状管理、情绪管理、信息管理、自我效能管理等各项评分明显高于对照组，差异有统计学意义(P<0.05)。护理干预后，实验组的睡眠质量、入睡时间、睡眠障碍、安眠药物和日间功能各项评分及总分明显低于对照组，差异均有统计学意义(P<0.05)。结论 对阻塞性睡眠呼吸暂停综合症老年患者进行自我管理护理干预，不仅能够有效改善睡眠质量和水平，还可以有效提高患者的自我管理能力。
[关键词]自我管理;阻塞性睡眠呼吸暂停综合症;睡眠质量
[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721(2019)8(c)-0202-03
[Aabstract] Objective To study the influence of self-management on sleep quality in elderly patients with obstructive sleep apnea syndrome. Methods A total of 30 patients with obstructive sleep apnea syndrome who were treated in our hospital from June 2017 to June 2018 were selected. According to the random number table method， they were divided into the control group and the experimental group， with 15 cases in each group. Patients in the control group were given routine nursing care， and patients in the experimental group were given self-management nursing intervention. The changes of self-management ability and sleep quality after nursing intervention were compared between the two groups. Results After nursing intervention， the scores of daily life management， symptom management， emotion management， information management and self-efficacy management in the experimental group were significantly higher than those in the control group， with statistically significant differences (P<0.05). After nursing intervention， the scores and total scores of sleep quality， sleep time， sleep disorder， sleeping drugs and daytime function in the experimental group were significantly lower than those in the control group， with statistically significant differences (P<0.05). Conclusion Self-management nursing intervention for elderly patients with obstructive sleep apnea syndrome can not only effectively improve the quality and level of sleep， but also effectively improve the patients′ self-management ability.
[Key words] Self-management; Obstructive sleep apnea syndrome; Sleep quality
阻塞性睡眠呼吸暂停综合症是由于睡眠功能紊乱引起的呼吸气道狭窄或关闭，进而引起二氧化碳潴留和缺氧，還会引发心脑血管等疾病[1]。研究显示，该病的发病率约为5%，女性患者占其中的3%，成人的发病率高达3.6%～4.9%[2]。调查显示，如果不及时对其进行治疗，会使病情加重。但是患者对于本病的认知较低，在常规治疗的基础上，提高其自我管理水平，可以有效提高治疗的依从性，并有效降低相关并发症发生率，改善生活质量[3-4]。本研究主要探讨自我管理对阻塞性睡眠呼吸暂停综合症老年患者睡眠质量的影响，现报道如下。
1资料与方法
1.1一般资料
选择2017年6月～2018年6月在我院进行治疗的30例阻塞性睡眠呼吸暂停综合症老年患者。按照随机数字表法将其分为对照组和实验组，每组15例。本研究经相关医学伦理委员会认可批准，患者及家属均知情同意本研究。纳入标准：①≥60岁的老年患者，身材肥胖，能够正常与其进行沟通;②存在中、重度阻塞性睡眠呼吸暂停综合症;③自愿签署知情同意书，并能够积极进行配合[5]。排除标准：①存在沟通障碍或认知功能障碍，不能完成本研究;②不接受持续气道正压通气;③患有严重意识障碍或者精神疾病;④患有严重并发症并且长期服用镇静药物[6]。对照组中，男7例，女8例;年龄60～80岁，平均(70.25±1.04)岁;病程2个月～3年，平均(1.24±0.36)年。实验组中，男8例，女7例;年龄61～82岁，平均(71.05±1.14)岁;病程3个月～3年，平均(1.28±0.39)年。两组的性别、年龄、病程等一般资料比较，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(熊海兰)
[关键词]自我管理;阻塞性睡眠呼吸暂停综合症;睡眠质量
[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721(2019)8(c)-0202-03
[Aabstract] Objective To study the influence of self-management on sleep quality in elderly patients with obstructive sleep apnea syndrome. Methods A total of 30 patients with obstructive sleep apnea syndrome who were treated in our hospital from June 2017 to June 2018 were selected. According to the random number table method， they were divided into the control group and the experimental group， with 15 cases in each group. Patients in the control group were given routine nursing care， and patients in the experimental group were given self-management nursing intervention. The changes of self-management ability and sleep quality after nursing intervention were compared between the two groups. Results After nursing intervention， the scores of daily life management， symptom management， emotion management， information management and self-efficacy management in the experimental group were significantly higher than those in the control group， with statistically significant differences (P<0.05). After nursing intervention， the scores and total scores of sleep quality， sleep time， sleep disorder， sleeping drugs and daytime function in the experimental group were significantly lower than those in the control group， with statistically significant differences (P<0.05). Conclusion Self-management nursing intervention for elderly patients with obstructive sleep apnea syndrome can not only effectively improve the quality and level of sleep， but also effectively improve the patients′ self-management ability.
[Key words] Self-management; Obstructive sleep apnea syndrome; Sleep quality
阻塞性睡眠呼吸暂停综合症是由于睡眠功能紊乱引起的呼吸气道狭窄或关闭，进而引起二氧化碳潴留和缺氧，還会引发心脑血管等疾病[1]。研究显示，该病的发病率约为5%，女性患者占其中的3%，成人的发病率高达3.6%～4.9%[2]。调查显示，如果不及时对其进行治疗，会使病情加重。但是患者对于本病的认知较低，在常规治疗的基础上，提高其自我管理水平，可以有效提高治疗的依从性，并有效降低相关并发症发生率，改善生活质量[3-4]。本研究主要探讨自我管理对阻塞性睡眠呼吸暂停综合症老年患者睡眠质量的影响，现报道如下。
1资料与方法
1.1一般资料
选择2017年6月～2018年6月在我院进行治疗的30例阻塞性睡眠呼吸暂停综合症老年患者。按照随机数字表法将其分为对照组和实验组，每组15例。本研究经相关医学伦理委员会认可批准，患者及家属均知情同意本研究。纳入标准：①≥60岁的老年患者，身材肥胖，能够正常与其进行沟通;②存在中、重度阻塞性睡眠呼吸暂停综合症;③自愿签署知情同意书，并能够积极进行配合[5]。排除标准：①存在沟通障碍或认知功能障碍，不能完成本研究;②不接受持续气道正压通气;③患有严重意识障碍或者精神疾病;④患有严重并发症并且长期服用镇静药物[6]。对照组中，男7例，女8例;年龄60～80岁，平均(70.25±1.04)岁;病程2个月～3年，平均(1.24±0.36)年。实验组中，男8例，女7例;年龄61～82岁，平均(71.05±1.14)岁;病程3个月～3年，平均(1.28±0.39)年。两组的性别、年龄、病程等一般资料比较，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(熊海兰)