舒心养气操对改善老年稳定性心绞痛住院患者失眠的效果研究

Effect of Shu Xin Yang Qi Gong for the improving of sleep quality in elderly patients with stable angina pectoris

目的探讨舒心养气操对改善老年稳定性心绞痛住院失眠患者睡眠质量的效果。方法选择2017年1-8月我院收治的76例老年稳定性心绞痛住院失眠患者,随机分为对照组与观察组各38例;对照组采用常规护理,观察组在常规护理的基础上辅以舒心养气操。应用匹茨堡睡眠质量指数量表(PSQI)、心绞痛症状积分量表和医院焦虑抑郁量表(HADS)分别于干预前后对患者睡眠质量、心绞痛症状、焦虑抑郁情绪等进行评估。结果观察组患者干预后的主观睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、睡眠药物的应用和PSQI总分均优于对照组,差异有统计学意义(P<0.05);观察组患者干预后的失眠疗效、HADS的焦虑情绪和抑郁情绪均优于对照组,差异有统计学意义(P<0.05)。结论舒心养气操能有效提高老年稳定性心绞痛住院失眠患者的睡眠质量,缓解其焦虑和抑郁情绪,提高生存质量,值得临床推广应用。

Objective To study the effect of Shu Xin Yang Qi Gong exercise for the improving of sleep quality in elderly patients with stable angina pectoris.Methods 76 elderly patients with stable angina pectoris were randomly divided into observation group and control group(n=38).Patients in observation group was given the basis of routine nursing care supplemented by Shu Xin Yang Qi Gong nursing.Patients in control group was treated with routine nursing care.Pittsburgh sleep quality index(PSQI),angina pectoris symptom score scale and Hospital anxiety and depression scale(HADS)were applied before and after the intervention to evaluate the sleep quality,angina symptoms,anxiety and depression.Results Subjective sleep quality,time to fall asleep,sleep time,sleep efficiency,sleep disorders,usage of sleep drug and PSQI total score in the observation group after the intervention were lower than those in the control group,the difference was statistically significant(P<0.05);The insomnia effect for observation group patients after interventional,the anxiety and depression of HADS were superior to those of the control group,the difference was statistically significant(P<0.05).Conclusions Shu Xin Yang Qi Gong nursing effectively improved the sleep quality and relieved the anxiety and depression in elderly patients with stable angina pectoris and hospitalized insomnia,improved the survival quality of patients,worthy of clinical application.