舒适护理干预对行多导睡眠监测睡眠呼吸暂停综合征患者的多重影响

Multiple effects of comfortable nursing intervention on patients with polysomnography sleep apnea syndrome

目的探讨舒适护理干预对行多导睡眠监测睡眠呼吸暂停综合征患者的多重影响。方法选取2014年5月—2016年6月湖州市中心医院呼吸内科行多导睡眠监测的睡眠呼吸暂停综合征患者162例,按随机数字表法分组,所有患者均接受多导睡眠监测检查,对照组81例予以常规对症护理,研究组81例监测全过程予以舒适护理干预,观察并记录2组监测成功率及监测失败原因、焦虑状态评分、舒适度、相关知识知晓度,同时对比护理满意率。结果对照组监测成功率(85.19%)低于研究组监测成功率(95.06%),差异具有统计学意义(P<0.05);监测失败的原因主要为环境改变睡眠时间短、电极脱落未及时补救、鼻气流脱落、SPO2信号丢失、夜间腹泻,对照组电极脱落未及时补救发生率明显高于研究组,差异具有统计学意义(均P<0.05);与对照组比较,研究组多导睡眠护理后焦虑状态评分较低,研究组舒适度、相关知识知晓度较高,差异具有统计学意义(均P<0.05);对照组护理满意率(79.01%)低于研究组护理满意率(97.53%),差异具有统计学意义(P<0.05)。结论舒适护理干预能够提高睡眠呼吸暂停综合征患者行多导睡眠监测的舒适度及相关知识知晓度,缓解患者焦虑情绪,提高护理满意率和监测成功率。

Objective To explore the nursing intervention for multiple effects on polysomnography in patients with sleep apnea syndrome. Methods A total of 162 cases of the patients with polysomnography sleep apnea syndrome in respirato- ry medicine department of our hospital were randomly divided and all patients underwent polysomnography examination. The control group of 81 cases treated with conventional symptomatic nursing, 81 cases of the study group to monitor the whole process of nursing intervention, observe and record the two groups of monitoring and monitoring the success rate of failure, the score of anxiety, comfort, knowledge awareness, comparison of nursing satisfaction rate at the same time. Results In the control group, the success rate of monitoring （85. 19% ） was lower than that in the study group （95.06%）, with statistical significance （P 〈 0.05） ; the main reasons for the failure of the monitoring include environ- ment change leading to less sleep time, the electrode off without timely recovery, shedding gas off, the SPO2 signal getting lost, diarrhea at night. That the control group did not timely remedy electrode loss was significantly higher than that in study group, with statistical significance （ all P 〈 0.05 ） ; compared with the control group, after polysomnography nursing anxiety score was lower in study group, comfort degree, knowledge degree is higher, with statistical significance （all P 〈0.05） ; nursing satisfaction rate of the control group （79.01%） was lower than the study group （97.53%）, with statistical significance （P 〈 0.05）. Conclusion Nursing intervention can improve the sleep apnea syndrome patients underwent polysomnography comfort and relevant knowledge, alleviate the anxiety of patients ; improve nursing satisfaction rate as well as success rate of monitoring.