渐进性放松术改善慢性肝病患者睡眠障碍的研究

Progressive Relaxation Training Improving Difficulty Falling Asleep of Patients with Chronic Hepatic Diseases

目的观察护士引导下渐进性放松术改善慢性肝病患者睡眠障碍的效果。方法将120例有睡眠障碍的慢性肝病患者随机分为放松组(护士引导下渐进性放松训练)29例、薰衣草组(薰衣草温水擦浴及足浴)29例、联合组(综合使用以上两种方法)31例及对照组31例,观察并评价干预前、干预1周及2周后各组患者睡眠自评总分值、入睡困难及睡眠不稳分值的变化情况。结果护士引导下渐进性放松术能有效降低慢性肝病患者的SRSS自评总分,改善入睡困难和睡眠不稳(P<0.05或P<0.01)。结论护士引导下渐进性放松术是一种简便易行、快速有效的提高睡眠质量、改善睡眠障碍的护理方法。

Objective To study the effects of nurse-guided progressive relaxation training on improving the difficulty falling asleep in patients with chronic hepatic diseases. Methods 120 chronic hepatic diseases patients with sleep disorders were randomly divided into 4 groups： the nurse-guided progressive relaxation training group（ n=29）, the lavender hot-bathing and foot-soaking group（ n =29）, the combined group of the former 2 strategies（ n =31） and the control group （ n =31）. The sleep scores, sleep statuses and the difficulty falling asleep were assessed before and 1 week, 2 weeks after intervention in the 3 groups. Results Nurse-guided progressive relaxation training lowered the score of SRSS and improved the difficulty falling asleep of insomniacs （ P 〈 0. 05 or P〈0.01）. Conclusion Nurse-guided progressive relaxation training is a simple, rapid and effective nursing intervention to improve sleep quality.