老年心血管病患者失眠原因及护理对策分析

Demonstrate reasons and nursing causes for insomnia of old cardiovascular patients

目的:阐述我院老年心血管病患者失眠原因及护理对策。方法:回顾性分析我院2009年1～10月住院的84例老年心血管病患者的失眠情况、原因及干预措施效果。结果:影响老年心血管病患者失眠的主要因素是环境因素和心理因素,分别占64.3%和56.0%。干预前失眠症84例,干预后失眠症45例,干预前后失眠率比较有显著性差异(χ2=50.791,P<0.001);干预前后患者的失眠症状种类数的分布有显著性差异(χ2=80.981,P<0.001)。结论:针对老年心血管病患者的失眠症状采取的针对性的护理干预措施,对于降低失眠发生率、减轻失眠症状程度有重要的意义。

Objective： To demonstrate the reasons and nursing causes for insomnia of old cardiovascular patients in our hospital. Methods： We retrospected and analyzed insomnia, its causes and effect of intervention measures of 84 elderly patients with cardiovascular disease and insomnia who hospitalized our hospital in from January to October in 2009. Resuits： The major factors affected elderly patients with cardiovascular disease and insomnia are environmental factors and psychological factors, which accounted for 64.3% and 56.0%. Before the intervention 84 patients all had insomnia, after intervention 45 patients had insomnia. Insomnia rate between before and after intervention was different （x2=50.791,P〈0.001）. Distributions of insomnia species before and after intervention were difference （X2=80.981,P〈0.001）. Conclusion： The tar- geted interventions for insomnia of elderly patients with cardiovascular disease are important for reducing the incidence of insomnia and relieving insomnia degree.