腰椎间盘突出症(急性期)住院患者失眠原因分析及循证护理对策

Causes of insomnia and evidence based nursing countermeasures in hospitalized patients with lumbar disc herniation(acute period)

目的：探讨腰椎间盘突出症（急性期）住院患者的失眠原因与循证护理对策。方法选取本院2011年10月～2013年10月腰椎间盘突出症（急性期）住院的失眠患者60例，随机分为两组，常规护理患者30例为对照组，循证护理患者30例为观察组，比较两组患者的睡眠改善情况及疼痛情况。结果观察组患者睡眠潜伏期缩短发生率、总睡眠时间增加发生率均明显高于对照组，观察组患者应用睡眠药物发生率明显低于对照组，观察组患者疼痛情况明显好于对照组，差异均有统计学意义（P＜0.05）。结论腰椎间盘突出症（急性期）住院患者的失眠原因为疼痛因素、心理因素、体位因素、环境因素、饮食因素。循证护理可明显降低患者失眠的发生率，减轻患者的疼痛。

Objective To investigate causes of insomnia and evidence based nursing countermeasures in hospitalized patients with lumbar disc herniation （acute period）. Methods 60 hospitalized patients with lumbar disc herniation （acute period） were selected in hospital from October 2011 to October 2013, who were randomly divided into two groups. 30 patients treated routine nursing as control group. 30 patients treated evidence based nursing as observation group. Sleep improvement and pain were compared between two groups. Results Incidences of sleep latency shorting and total sleep time increasing in observation group were significantly higher than control group. Incidence of sleep medicine application in observation group was significantly lower than control group. Pain in observation group was significantly better than control group. Difference was statistically significant（P ＆lt; 0.05）. Conclusion Causes of insomnia in hospitalized patients with lumbar disc herniation （acute period） are pain factors;psychological factors;posture factors;environmental factors;dietary factors. Evidence based nursing can significantly reduce incidence of insomnia and reduce pain of patients.