规范化护理干预对慢性心力衰竭患者睡眠质量及心功能的影响

Effect of standardized nursing intervention on sleep quality and cardiac function in patients with chronic heart failure

目的探讨规范化护理方法对CHF患者睡眠质量及心功能的影响。方法将96例患者按随机数字表分为对照组和干预组,对照组患者实施心内科常规护理,干预组患者实施规范化护理干预,应用匹兹堡睡眠质量指数量表(Pittsburgh sleep quality index,PSQI)评价两组患者实施护理前后的睡眠质量;实施6 min步行试验测定其步行距离。结果实施护理前,两组患者PSQI各评价维度的评分比较,差异均无统计学意义(均P>0.05),实施护理后,干预组患者PSQI中各评价维度评分均低于对照组患者,差异有统计学意义(均P<0.05)。护理前,干预组患者的6 min步行距离为(352.90±41.40)m,与对照组的(349.80±40.90)m比较差异无统计学意义(P>0.05),护理后干预组患者的6 min步行试验步行距离为(495.40±38.60)m,明显长于对照组的(458.20±40.10)m,差异有统计学意义(P<0.05)。结论实施规范化护理干预,能够提高CHF患者睡眠质量和6 min步行试验距离,对患者康复和生活质量的提高具有重要作用。

Objective To evaluate the effects of standardized nursing on the sleep quality and cardiac function of CHF(chronic heart failure)patients.Methods A total of 96 patients with CHF were randomly divided into control group and intervention group according to the random number table.Patients in the control group received routine cardiology nursing,patients in the intervention group received standardized nursing intervention.The Pittsburgh sleep quality index(PSQI)was used to evaluate the sleep quality of patients in the two groups before and after nursing.The 6 minutes walking test was carried out to determine the walking distance.Results Before the implementation of nursing,there was no significant difference in the scores of PSQI evaluation dimensions between the two groups(P>0.05).After the implementation of nursing,PSQI scores of patients in the intervention group were lower than those in the control group,with statistically significant differences(P<0.05).Before nursing,the 6-minutes walking distance of patients in the intervention group was(352.90±41.40)meters,and the difference was not statistically significant compared with(349.80±40.90)meters in the control group(P<0.05).Conclusion The implementation of standardized nursing intervention can improve the sleep quality of CHF patients and the 6-minutes walking test distance,which plays an important role in the improvement of patients'rehabilitation and quality of life.