全程护理模式在儿童多导睡眠监测中的效果研究(1)
摘要 目的：探讨全程护理在儿童多导睡眠监测中的应用护理。方法：选取2018年10月至2019年10月在福建省厦门市妇幼保健院儿内科进行多导睡眠监测的患儿100例作为研究对象，按随机数字表法随机分为全程护理观察组和常规护理对照组，每组50例，记录2组患儿监测成功和失败原因，评估干预前及睡眠监测时患儿监测成功率及护理工作满意度。结果：经综合干预后，观察组监测成功率、健康教育知晓率、患者满意度、舒适度分别为98%、98%、98%、96%高于对照组90%、80%、88%、85%，差异有统计学意义(P<0.05)。结论：在多导睡眠监测的过程中，实施全程的护理干预，可以增强患儿的安全感、心理、生理的满足，也可减少家属的焦虑情绪，能提高监测的成功率及护理满意度。
关键词 睡眠呼吸暂停综合征;多导睡眠监测;全程护理
Study on the Effect of Whole Course Nursing Mode in Monitoring Children′s Polysomnography
LI Juan
(Xiamen Maternal and Child Health Care Hospital，Xiamen 361000，China)
Abstract Objective：To explore the application of whole course nursing in children′s polysomnography.Methods：A total of 100 cases of children with polysomnography were randomly divided into whole course nursing observation group and routine nursing control group according to random number table method.The reasons of success and failure of monitoring in two groups were recorded，and the monitoring success rate and nursing satisfaction before and during sleep monitoring were evaluated.Results：After comprehensive intervention，the monitoring success rate，health education awareness rate，patient satisfaction and comfort degree of the observation group were 98%，98%，98% and 96%，respectively，which were higher than 90%，80%，88% and 85% of the control group，and the difference was statistically significant(P<0.05).Conclusion：In the process of polysomnography，the implementation of the whole process of nursing intervention can enhance the children′s sense of security，psychological and physiological satisfaction，but also can reduce the anxiety of family members，and improve the success rate of monitoring and nursing satisfaction.
Keywords Sleep apnea syndrome; Polysomnography; Whole course nursing
中图分类号：R473.5;R338.63文献标识码：Adoi：10.3969/j.issn.2095-7130.2020.07.046
儿童睡眠障碍多因儿童睡眠时间不足及其相关症状构成，主要表现为呼吸暂停、打鼾、说梦话、张口呼吸等。引发儿童睡眠障碍的原因多样，多导睡眠监测可为诊断患儿睡眠障碍提供更准确且重要的指导方向，为临床改善患儿睡眠质量提供可参考的依据[1]，而阻塞性睡眠呼吸暂停低通气综合征(Obstructive Sleep Apnea-hypopnea Syndrome，OSAHS)的确诊需要依据多导睡眠监测结果，因此，多导睡眠监测被认为诊断OSAHS的“金标准”[2]。早期及时进行多导睡眠监测对于保障患儿生命安全有重要意义，在监测前做好护理工作可保证所获数据的准确性，保证患儿舒适度[3]。儿童由于心理、生理发育不成熟，自制能力差，周围环境的改变及睡眠过程中的各种睡姿变换均可引起电极导联脱落、探头固定不牢、移位等情况，故对儿童進行多导睡眠监测时的实施难度较大，如何降低儿童恐惧心理、使其适应环境，保证足够的睡眠监测时间等问题是提高监测成功率的关键。有研究表明，在多导睡眠监测过程中应用人文关怀理念具有显著的效果[4]。本研究观察采用全程护理方式的多导睡眠监测的患儿，对其监测中影响的因素及监测的效果，现报道如下。
1 资料与方法
1.1 一般资料 选取2018年10月至2019年10月在福建省厦门市妇幼保健院儿内科进行多导睡眠监测的患儿100例作为研究对象，所有患者资料都经医院伦理委员会的批准。采用随机数字表法进行分组，每组50例，观察组中男27例，女23例;年龄3～6岁，平均年龄(4.86±0.97)岁。对照组中男37例，女13例;年龄3～6岁，平均年龄(4.69±0.91)岁。, 百拇医药(李娟)
关键词 睡眠呼吸暂停综合征;多导睡眠监测;全程护理
Study on the Effect of Whole Course Nursing Mode in Monitoring Children′s Polysomnography
LI Juan
(Xiamen Maternal and Child Health Care Hospital，Xiamen 361000，China)
Abstract Objective：To explore the application of whole course nursing in children′s polysomnography.Methods：A total of 100 cases of children with polysomnography were randomly divided into whole course nursing observation group and routine nursing control group according to random number table method.The reasons of success and failure of monitoring in two groups were recorded，and the monitoring success rate and nursing satisfaction before and during sleep monitoring were evaluated.Results：After comprehensive intervention，the monitoring success rate，health education awareness rate，patient satisfaction and comfort degree of the observation group were 98%，98%，98% and 96%，respectively，which were higher than 90%，80%，88% and 85% of the control group，and the difference was statistically significant(P<0.05).Conclusion：In the process of polysomnography，the implementation of the whole process of nursing intervention can enhance the children′s sense of security，psychological and physiological satisfaction，but also can reduce the anxiety of family members，and improve the success rate of monitoring and nursing satisfaction.
Keywords Sleep apnea syndrome; Polysomnography; Whole course nursing
中图分类号：R473.5;R338.63文献标识码：Adoi：10.3969/j.issn.2095-7130.2020.07.046
儿童睡眠障碍多因儿童睡眠时间不足及其相关症状构成，主要表现为呼吸暂停、打鼾、说梦话、张口呼吸等。引发儿童睡眠障碍的原因多样，多导睡眠监测可为诊断患儿睡眠障碍提供更准确且重要的指导方向，为临床改善患儿睡眠质量提供可参考的依据[1]，而阻塞性睡眠呼吸暂停低通气综合征(Obstructive Sleep Apnea-hypopnea Syndrome，OSAHS)的确诊需要依据多导睡眠监测结果，因此，多导睡眠监测被认为诊断OSAHS的“金标准”[2]。早期及时进行多导睡眠监测对于保障患儿生命安全有重要意义，在监测前做好护理工作可保证所获数据的准确性，保证患儿舒适度[3]。儿童由于心理、生理发育不成熟，自制能力差，周围环境的改变及睡眠过程中的各种睡姿变换均可引起电极导联脱落、探头固定不牢、移位等情况，故对儿童進行多导睡眠监测时的实施难度较大，如何降低儿童恐惧心理、使其适应环境，保证足够的睡眠监测时间等问题是提高监测成功率的关键。有研究表明，在多导睡眠监测过程中应用人文关怀理念具有显著的效果[4]。本研究观察采用全程护理方式的多导睡眠监测的患儿，对其监测中影响的因素及监测的效果，现报道如下。
1 资料与方法
1.1 一般资料 选取2018年10月至2019年10月在福建省厦门市妇幼保健院儿内科进行多导睡眠监测的患儿100例作为研究对象，所有患者资料都经医院伦理委员会的批准。采用随机数字表法进行分组，每组50例，观察组中男27例，女23例;年龄3～6岁，平均年龄(4.86±0.97)岁。对照组中男37例，女13例;年龄3～6岁，平均年龄(4.69±0.91)岁。, 百拇医药(李娟)