冠心病患者睡眠质量与病情发展转归相关性研究

Correlation study of sleep quality and the development and outcome of disease in patients with coronary heart disease

目的观察了解冠心病患者睡眠质量与病情发展转归相关性。方法抽取住院治疗的均符合1998年全国内科学术会议确定的诊断标准的冠心病患者200例作为研究对象,将其分为观察组和对照组各100例。首先对两组患者于住院治疗1周后的睡眠情况自拟调查问卷进行测评,筛选睡眠障碍阳性病例。然后对两组患者睡眠障碍的测评结果,采用不同的治疗与护理方案给予处理。观察组患者在一般或常规治疗的基础上,从生理、心理和社会不同方面,制定并实施多种方法和措施促进睡眠,提高睡眠质量。对照组则只按照常规疗法,以缓解或消除临床症状和体征为宗旨。连续观察2周,到入院治疗第4周,评定患者疾病的复发、进展与加重情况。测评结果采用SPSS13.0软件统计分析所测数据,采用χ2检验。结果两组患者治疗1周后睡眠情况评估结果显示,不同情况睡眠障碍发生率均较高,经χ2检验,差异无统计学意义(P>0.05)。观察组通过一系列改进睡眠障碍措施的实施,在疾病的复发、加重和进展方面,其发生率均低于对照组(P<0.01),病情稳定情况明显优于对照组(P<0.01),差异具有显著统计学意义。结论冠心病患者通过改善睡眠障碍,提高睡眠质量,对病情的稳定与康复有着直接或间接的良好的影响作用。

Objective To observe and know about the correlation of sleep quality and the development and outcome of disease in patients with coronary heart disease. Methods Two hundred patients with coronary heart disease in hospital who were fit for the diagnostic criteria of the national medical academic conference in 1998 were extracted and selected as subjects. The patients were divided into observation group and control group, with 100 cases in each group. Firstly, the sleep quality of patients in two groups after one week of treatment in hospital was tested by a self-designed questionnaire to choose positive cases with sleep disorders. Then the patients were given different treatment and nursing scheme according to the test results of patients with sleep disorders of the two groups. The patients in the observation group were formulated and implemented many kinds of methods and measures to promote sleep and improve sleep quality from the aspects of physiology, mentality and society on basis of common or conventional treatment. While the control group was still given conventional therapy, aim at relieving or eliminating clinical signs and symptoms. Both groups were observed for 2 weeks continuously. The recurrence, evolution and aggravating circumstances of patients were tested after treatment of 4 weeks in hospital. The test results were measured by statistical software of SPSS 13.0 and ~ inspection. Results The assessment re- sult of sleep quality of patients after one week of treatment in both groups showed that the incidence rate of sleep disorders of different circumstances was all higher, the difference was no statistically significant by X2 inspection （P 〉 0.05）. The in- cidence rate in recurrence, aggravation and progress of disease in the observation group was lower than the control group by the implement of a series of measures of improving sleep disorders （P 〈 0.01）, the stable condition of which was also better than the control group （P 〈 0.01）, the differences were statistically significant. Conclusion There are direct or indirect good effects to the stability and recovery of patients with coronary heart disease by improving sleep disorders and promote sleep quality.