163例老年患者睡眠障碍的原因分析及护理对策

Etiology Study on 163 Cases of Senile Somnipathy and Nursing Countermeasure

目的 进一步了解老年睡眠障碍患者的发病原因及表现,以便于采取相应的护理对策改善病情。方法 收集并整理我院老年心肾科近3 年来住院且合并有各种睡眠障碍的163 例患者,对其临床表现进行统计分析。结果 睡眠障碍以入睡困难最常见,其他还有睡眠时间减少、中途觉醒、早醒及多梦或梦魇等。老年人脑生理学的改变、基础疾病引起的不适、睡眠环境差、心理负担重及药物影响等因素是导致老年患者睡眠障碍的主要原因。结论 应该采取积极合理的护理措施,从改善基础疾病症状、心理治疗、改善环境等多方面入手,从而改善睡眠,促进疾病康复。

Objective To investigate the pathogeny and manifestations of hospitalized senile patients who complicated somnipathy, to improve the condition with corresponding nursing strategy. Methods Etiology data of 163 cases of senile patients with heart disease and nephrosis combining somnipathy were reviewed. Results In these 163 patients （male 153, female 10）, the most frequently seen manifestation included difficulty falling asleep, hours of sleep shortening, waking too early with more dream and nightmare. The main cause involved the changes of brain physiology of the aged, basic diseases, sleep environment, mental burden and drug affection. Conclusions It is suggested that all senile patients with somnipathy have to be more reasonably nursed, including alleviating the symptoms of basic diseases, mental treatment, improving sleep environment, consequently the sleep quality would be meliorated and it would be in favor of the therapy of basic diseases.