治疗性触摸在睡眠呼吸暂停患者CPAP压力滴定当晚应用的效果评价

Application of therapeutic touch in CPAP titration night with obstructive sleep apnea syndrome patients

目的探讨治疗性触摸对阻塞性睡眠呼吸暂停低通气综合征（OSAHS）患者持续气道正压通气（CPAP）压力滴定当晚焦虑及睡眠质量的影响。方法将48例经多导睡眠图监测诊断为中、重度并接受CPAP压力滴定的OSAHS患者随机分为对照组和治疗组各24例。在压力滴定当晚对照组采用常规护理，治疗组在常规护理基础上，采用治疗性触摸干预。滴定结束时采用状态焦虑量表（SAI）和视觉模拟评分标尺（VAS）评估患者的焦虑水平及CPAP治疗的满意度。结果与对照组相比，干预后治疗组SAI评分显著下降，CPAP治疗满意度显著高于对照组；治疗组睡眠潜伏期变短，实际睡眠时间变长，睡眠质量较对照组显著提高。结论治疗性触摸可以有效缓解患者CPAP压力滴定当晚的焦虑情绪，提高治疗接受度及舒适度，缩短入睡时间，延长总睡眠时间，有效改善患者的睡眠质量。

Objective To evaluate the effect of therapeutic touch on continuous positive airway pressure titration with obstructive sleep apnea hypopnea syndrome （OSAHS） patients. Methods Fortyeight patients diagnosed with OSAHS were randomly allocated to the therapeutic group and the control group with 24 patients in each group. Therapeutic touch was used in the therapeutic group before CPAP titration and the control group received usual care. Anxiety was measured post intervention with State-trait Anxiety Inventory（SAI） and Visual Analogue Scale（VAS）. CPAP therapy satisfaction was also evaluated by VAS. Results Compared with the control group,those patients with therapeutic touch showed significant reductions in SAI scores,better sleep quality,and higher satisfaction with CPAP treatment. Conclusions Results suggest that 15- min of therapeutic touch pre CPAP titration night significantly reduced anxiety and improved sleep quality in patients with OSAHS.