老年痴呆患者睡眠障碍特点及其临床护理干预(1)

http://www.100md.com 2019年5月1日 《世界睡眠医学杂志》 20195

     摘要 目的：探究老年癡呆患者(Alzheimer′s Disease，AD)睡眠障碍特点及其临床护理干预。方法：选取2018年1月至2018年12月东莞市莞城医院收治的老年痴呆并出现睡眠障碍的患者72例作为研究对象，随机分为观察组和对照组，每组36例。对照组给予单纯健康教育和常规护理，观察组在对照组基础上增加护理干预。比较2组潜伏睡眠、睡眠时间，安全意外情况、匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index，PSQI)量表评分、临床护理满意度。结果：相较于对照组，护理后观察组的睡眠潜伏期及睡眠时间均较优，2组比较，差异有统计学意义(P<0.05);与对照组比较，观察组的PQSI量表总分均明显较高，2组比较差异有统计学意义(P<0.05);相较于对照组，观察组的安全意外情况均较优，2组比较差异有统计学意义(P<0.05);相较于对照组24例(66.67%)，观察组的临床护理满意度35例(97.22%)更优，2组比较差异有统计学意义(P<0.05)。结论：针对老年痴呆出现睡眠障碍患者，采用健康教育和常规护理，加护理干预，可改善其精神状态、睡眠障碍的睡眠状态，延缓疾病进展，显著恢复患者体力，减轻家庭、社会负担，避免或减少安全意外的发生，改善患者生命质量，加快康复速度，具有临床应用价值。

    关键词 睡眠障碍;特点;护理干预;老年痴呆

    Characteristics of Sleep Disorder in Senile Dementia Patients and its Clinical Nursing Intervention

    Weng Guifang，Cheng Erlin，Chen Zhijian，Wang Yu，Li Zhuanjie，Su Jianyu

    (Dongguan guancheng hospital，Dongguan 523000，China)

    Abstract Objective：To explore the characteristics of sleep disorders in patients with Alzheimer′s Disease(AD)and clinical nursing intervention.Methods：A total of 72 cases of senile dementia patients with sleep disorders admitted to dongguan guancheng hospital from January 2018 to December 2018 were randomly divided into observation group and control group，36 cases in each group.The observation group was given nursing intervention，and the control group was given simple health education and routine nursing.Latent Sleep，Sleep time，safety accident，Pittsburgh Sleep Quality Index(PSQI)score and clinical nursing satisfaction were compared between the two groups.Results：Compared with the control group，the sleep latency and sleep time of the observation group after nursing were better.The difference between the two groups was statistically significant(P<0.05).Compared with the control group，the total score of PQSI scale in the observation group was significantly higher，and the difference between the two groups was statistically significant(P<0.05).Compared with the control group，the safety accidents in the observation group were all better，and the difference between the two groups was statistically significant(P<0.05).Compared with the control group(24 cases，66.67%)，the clinical nursing satisfaction of the observation group(35 cases，97.22%)was better，and the difference between the two groups was statistically significant(P<0.05).Conclusion：for patients with dementia in sleep disorders，using routine health education and nursing care，nursing intervention，can improve their mental state，sleep disorder state of sleep，slow down disease progression，patients with significant strength，lighten the burden of family，society，avoid or reduce the occurrence of safety accidents，improve patient quality of life，to speed up the recovery，have clinical application value.(翁桂芳 程尔林 陈志坚 王宇 李转婕 苏建榆)

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