延续护理在睡眠呼吸暂停综合征无创呼吸机治疗患者中的应用评价

Application of continuation nursing in patients with obstructive sleep apnea syndrome undergoing non-invasive ventilator treatment

目的探讨延续护理对睡眠呼吸暂停综合征(obstructive sleep apnea syndrome,OSAS)无创呼吸机治疗患者的应用与效果,为临床延续护理提供参考。方法采用随机抽样法将120例接受持续气道正压通气(continuous positive airway pressure,CPAP)无创呼吸机治疗的OSAS患者分为对照组(n=60)和观察组(n=60),前者采用常规的传统护理方法,后者在前者的基础上制定更具针对性的延续护理干预方案,干预周期为24周。比较2组干预6个月后CPAP治疗依从性、多导睡眠图(PSG)参数、白天嗜睡程度及生活质量。结果干预6个月后,观察组CPAP治疗依从性良好率为63.33%,明显高于对照组的40.00%(χ^2=6.541,P<0.05)。干预6个月后,观察组睡眠呼吸暂停低通气指数、最低氧饱和度及最长呼吸暂停时间明显优于对照组(t=7.221、t=2.606、t=6.194,P均<0.05),观察组白天嗜睡程度明显轻于对照组(χ^2=6.786,P<0.05),观察组生活质量各维度(日常生活、情感、症状、社会交往)评分明显高于对照组(t=3.455、t=2.110、t=2.048、t=2.598,P<0.05)。结论延续护理可有效提高OSAS患者CPAP治疗依从性,增强治疗效果,改善生活质量。

Objective To explore application and effect of continuous nursing on patients with obstructive sleep apnea syndrome(OSAS) undergoing non-invasive ventilator treatment,and to provide reference for clinical continuous nursing.Methods A total of 120 OSAS patients who underwent continuous positive airway pressure(CPAP) and non-invasive ventilator treatment were divided into control group(n=60) and observation group(n=60) by random sampling method.The former was given traditional routine nursing method,while the latter was given more targeted continuous nursing intervention on basis of the former.The intervention cycle was 24 weeks.CPAP treatment compliance,polysomnography(PSG) parameters,daytime sleepiness degree and quality of life after at 6 months after intervention were compared between the two groups.Results At 6 months after intervention,good compliance rate of CPAP treatment in observation group was significantly higher than that in control group(63.33% vs 40.00%)(χ^2=6.541,P<0.05).At 6 months after intervention,sleep apnea hypopnea index,lowest oxygen saturation and longest apnea time in observation group were significantly better than those in control group(t=7.221,t=2.606,t=6.194,P<0.05).The daytime sleepiness degree in observation group was significantly milder than that in control group(χ^2=6.786,P <0.05).The scores of life quality in all dimensions(daily life,emotion,symptoms,social interaction) in observation group were significantly higher than those in control group(t=3.455,t=2.110,t=2.048,t=2.598,P<0.05).Conclusion Continuing nursing can effectively improve CPAP treatment compliance in OSAS patients,enhance curative effect and improve quality of life.