肺康复锻炼提高老年慢性阻塞性肺疾病Ⅱ级稳定期患者的睡眠质量

Effects of Lung Rehabilitation Exercise on Sleep Quality of Elderly Patients with Stable Stage Ⅱ Chronic Obstructive Pulmonary Disease

目的了解老年慢性阻塞性肺病(chronic obstructive pulmonary disease,COPD)Ⅱ级临床稳定期患者睡眠不良的发生情况,并给予肺康复锻炼干预措施,以期为改善老年COPDⅡ级患者的睡眠质量提供有效措施。方法便利抽样法选取2011年1月至2011年5月参加健康查体筛查出的老年COPDⅡ级临床稳定期患者60例为研究对象,给予肺康复锻炼指导。在干预前及干预3个月后采集患者匹兹堡睡眠质量自评量表(Pittsburgh Sleep Quality Index,PSQI)评分,并分析肺康复锻炼干预措施的有效性及实用性。结果坚持肺康复锻炼3个月的患者,PSQI各项评价指数明显优于护理干预前,差异有统计学意义(P<0.05)。结论肺康复锻炼能有效提高老年COPDⅡ级临床稳定期患者的睡眠质量。

Objective To investigate the incidence of dyssomnia in the elderly patients with stable stageⅡ chronic obstructive pulmonary disease （COPD）, and to provide the corresponding nursing intervention as the clinical basis for better sleep quality of the patients. Methods From January to May 2011,60 elderly patients with stable stage Ⅱ COPD were selected to receive quantifying lung rehabilitation exercise. The Pittsburgh Sleep Quality Index （PSQI） was collected and compared before and after the intervention for three months separately. Then, the effectiveness and utility of nursing invention were analyzed. Results For those patients who insist on lung rehabilitation exercise for three months, the PSQI indexes were all significantly improved（P〈0.05）. Conclusion Lung rehabilitation exercise can improve the sleep quality of the elderly patients with stable stage Ⅱ COPD.