多导睡眠呼吸监测与护理干预的研究

Research on polysomnography apnea monitoring and nursing intervention

目的探讨护理干预对阻塞性睡眠呼吸暂停低通气综合征患者的影响,以提高多导睡眠监测的准确性,为患者的诊断治疗提供依据。方法选取郑州大学第一附属医院呼吸睡眠科2013年1月-2013年10月收治的因打鼾、憋气拟行PSG监测的患者200例,随机抽取其中100例进行有护理干预的呼吸睡眠监测作为实验组,另外100例进行无护理干预的睡眠呼吸监测作为对照组。采用调查问卷的方式对患者在睡眠监测过程中的睡眠质量进行分析。比较各组间的睡眠质量和监测结果。结果经过护理干预的实验组OSAHS患者睡眠呼吸监测成功99例,没有经过护理干预的OSAHS患者睡眠呼吸监测成功90例。对其进行分析,实验组与对照组确诊OSAHS患者人数进行比较P≤0.05,差异有统计学意义。结论护理干预是保证睡眠监测成功的重要因素,对进行睡眠呼吸监测的患者进行适当的护理干预可以提高患者监测的准确性。

Objective To investigate the influence of proper nursing interventions on patients with obstructive sleep apnea hypopnea and improve the accuracy of the polysomnography（PSG） for diagnosis and treatment of patients with sleep aPnea hypop- nea syndrom. Methods We selected 200 cases from January 2013 to October 2013 in our department, of whom we randomly selected 100 cases with nursing intervention of PSG, the other 100 cases without nursing intervention of PSG. And analyze the sleep quality in the process by method of questionnaire and monitoring results between groups. Results In the experimental group, 90 cases was diagnosed as sleep apnea hypopnea syndrome（ SAHS）, 7 cases didn＇t conform, 3 cases failed. In control group, 70 cases was diagnosed as SAHS, 11 cases didn＇t conform, 19 cases failed. The difference was statistically significant. Conclusion Nursing intervention is the important guarantee of PSG. For patients with sleep apnea monitoring, appropriate nursing intervention can improve the accuracy of PSG, and thus provide assurance for the diagnosis and treatment.