急性心肌梗死患者住院期间失眠的危险因素分析及护理建议

Analysis of risk factors and nursing advice for insomnia in patients with acute myocardial infarction during hospitalization

目的分析影响急性心肌梗死(AMI)患者住院期间失眠的危险因素,并提出护理建议。方法回顾性分析我院2016年7月至2018年4月收治的102例AMI患者的临床资料,根据住院期间失眠发生情况将患者分为发生组和未发生组,对影响失眠发生的危险因素进行Logistic回归分析。结果 102例患者中共有82例发生失眠,失眠发生率为80.39%;发生组年龄>60岁、合并心律失常、合并心力衰竭、下壁梗死、家庭月收入<2 000元构成比均高于未发生组(P<0.05);多因素Logistic回归分析显示,上述因素均为AMI患者住院期间失眠的危险因素(P<0.05)。结论年龄、合并心律失常、合并心力衰竭、下壁梗死、家庭月收入均为AMI患者住院期间失眠的危险因素,需要实施针对性护理改善患者睡眠质量。

Objective To analyze the risk factors for insomnia in patients with acute myocardial infarction (AMI) during hospitalization, and to put forward nursing advice.Methods The clinical data of 102 cases of AMI from July 2016 to April 2017 were retrospectively analyzed, patients were divided into occurrence group and non-occurrence group according to the insomnia situations.The risk factors for insomnia in patients with AMI during hospitalization were analyzed by Logistic regression method.Results Among the 102 patients, 82 cases had insomnia, and the incidence of insomnia was 80.39%.The age >60, complicated with arrhythmia, complicated with heart failure, inferior wall infarction, monthly income <2 000 yuan in the occurrence group were all higher than those in the non-occurrence group(P<0.05).Multivariate Logistic regression analysis showed that the above factors were risk factors for insomnia in patients with AMI during hospitalization(P<0.05).Conclusion Age, arrhythmia, heart failure, inferior wall infarction and family monthly income were risk factors for insomnia in patients with AMI during hospitalization, and targeted nursing is needed to improve sleep quality of patients.