老年患者股骨粗隆间骨折睡眠质量调查及护理干预

A survey of sleep quality of elder patients with intertrochanteric fracture and thereof nursing intervention

目的:了解骨粗隆间骨折老年患者睡眠障碍状况并制定相应的护理干预措施。方法:2009年5月-2010年5月间,采取整群抽样的方式对湘西自治州民族中医院收治入院的股骨粗隆间骨折老年患者38例就睡眠障碍情况进行床旁问卷调查,调查表为以《匹兹堡睡眠质量调查表》(PSQI)为基础,自行设计老年患者股骨粗隆间骨折睡眠质量问卷。结果:84.2%股骨粗隆间骨折住院老年患者存在睡眠障碍(PSQI评分≥8);睡眠障碍前4位的原因包括:疼痛(76.3%)、体位和牵引因素(68.4%)、焦虑(52.6%)、药物依赖(42.1%);睡眠行为护理干预后PSQI评分(10.9±4.0分)与未进行干预前PsQI评分(14.2±4.6分)比较明显降低(P<0.01)。结论:大多数股骨粗隆间骨折住院老年患者存在睡眠障碍。经过针对性的睡眠行为护理干预可能提高股骨粗隆间骨折患者的睡眠质量,进而有助于提高股骨粗隆间骨折住院老年患者的舒适度。

Objective： To understand the status of sleep disorders in elder patients with intertrechanteric fracture and develop corresponding nursing interventions. Methods： Data was collected from May of 2009 to May of 2010 by cluster sampled 38 elder patients with intertrochanteric fracture at bedside in department of orthopaedics of Xiangxi Traditional Chinese Medicine hospital by self-designed questionnaire based on Pittsburgh Sleep Quality Questionnaire （PSQI）. Results： The rate of sleep disorders in eider patients with intertrochanteric fracture （PSQI scores ≥ 8）; Pain （76.3%, position and the traction factor （68.4%）, anxiety （52.6%）, drug dependence （42.1%） are in＇st to four major facts for patients＇ sleep disorders; After nursing interventions, PSQI scores of elder patients with intertrechanteric fracture significantly decreased from the former 14.2±4.6 scores to the later 10.9±4.0 scores （P 〈 0.01）. Conclusions： The rate of sleep disorder in eider patients with intertrochanteric fracture was high; the corresponding nursing intervention on patients＇ sleep behavior may improve the sleep quality of eider patients with intertrochanteric fracture, and thus help to improve the degree of comfort in hospitalized elder patients with intertrechanteric fractures.