老年糖尿病患者睡眠障碍的原因分析及护理干预探究

Analysis of Causes of Sleep Disorder in Elderly Diabetes Mellitus Patients and Exploration of Nursing Intervention

目的:探究老年糖尿病患者睡眠障碍的原因分析及护理干预。方法:回顾性分析2018年1月至2018年6月间山东省菏泽市中医医院收治的老年糖尿病患者临床数据,在获得患者同意的前提下选择43例患者作为研究对象,并采用本院自制的影响睡眠因素调查表,对患者进行问卷调查,对其睡眠障碍的具体因素进行分析,然后对患者实施健康知识宣教、心理护理等护理干预,比较干预前后患者睡眠质量和血糖指标的改善情况。结果:本次研究成果显示,在对调查结果进行分析后发现,影响老年糖尿病患者睡眠的主要因素包含环境的陌生(51.16%)、病房噪声(23.26%)、对疾病的恐惧(20.93%)、心理压力大(34.88%)、活动少(30.23%)、不能适应糖尿病的饮食(44.19%),也可能是多种因素相互作用。通过对其实施相应的护理干预,患者的睡眠质量和血糖指标均得到明显改善,干预前后的差异有统计学意义(P<0.05)。结论:老年糖尿病患者的睡眠质量降低和诸多因素相关,但只要对其进行调查和分析,了解影响睡眠的主要因素,给予针对性的护理干预,就可以对其睡眠质量进行明显的改善,同时还有助于降低患者的血糖,对其睡眠质量提供保障。

Objective:To explore the causes of sleep disorders in elderly diabetic patients and nursing intervention. Methods:The clinical data of elderly diabetic patients admitted in our hospital from January2018 to June2018 were retrospectively analyzed.43 patients were selected as the subjects of this experiment with the consent of the patients,and the questionnaire of sleep influencing factors was made by our hospital.The patients were investigated by questionnaire and the specific factors of sleep disorder were analyzed.Then nursing intervention such as health knowledge education and psychological nursing were carried out to compare the improvement of sleep quality and blood sugar index before and after intervention. Results:The results of this study The results showed that the main factors affecting sleep in elderly diabetic patients were unfamiliar environment(51.16%),noise in ward(23.26%)and fear of disease(20.93%),and the main factors affecting sleep in elderly diabetic patients were strange environment(51.16%),noise in ward (23.26%)and fear of disease(20.93%)High psychological stress (34.88%),less activity(30.23%),and unable to adapt to the diet of diabetes mellitus(44.19%),may also be the interaction of many factors.Through the corresponding nursing intervention,the sleep quality and blood glucose index of the patients were obviously improved,and the difference was statistically significant before and after the intervention( P <0.05). Conclusion:Elderly diabetes mellitus The decreased sleep quality of the patients is related to many factors,and the sleep quality of the patients can be improved obviously as long as they are investigated and analyzed.It also helps to reduce blood sugar and guarantee the quality of sleep.