心脏介入术后失眠原因调查分析及护理对策

Causes analysis and nursing measures in insomina after cardiac interventional therapy

目的探讨心脏介入术后失眠的原因及护理对策。方法采用自行设计的心脏介入术后睡眠情况问卷调查表,对156例行心脏介入术患者术后睡眠状况进行问卷筛查。结果93%的患者术后第1天出现失眠,以经皮冠状动脉腔内成形术(PTCA)患者为主(96%)。入睡困难和睡眠维持障碍(早醒伴再入睡困难)是最常见的症状。失眠的原因依次为:肢体制动、腰背酸痛、排尿困难、环境因素及精神心理因素。结论通过调查分析对心脏介入术后失眠有了进一步了解,有效的护理对策能提高患者的睡眠质量。

Objective To probe into the causes of insomnia and to take nursing measures in the patients after cardiac interventional therapy. Methods Using a self-designed post treatment sleep quality questionnaire to carry out investigation on the sleep conditions in 156 patients after cardiac interventional therapy. Results After the first day of operation, 93 % of the patients suffered from insomnia, especially for those receiving PTCA （96 % ）. Difficulty falling asleep and sleep maintenance disturbance（early wake and difficulty falling asleep again）were the most common presentations. The causes for insomnia included immobility of the extremities, lumbago, urination difficulty, milieu and psychological factors. Conclusion The results of the investigation provide a better understanding about insomnia after cardiac intervention therapy, indicating that appropriate nursing measures are essential in improving sleep quality of the patients.