针对性护理改善脑卒中患者睡眠障碍的效果观察

Observation on the Effect of Targeted Nursing in the Improvement of Sleep Disorder of Patients after Stroke

目的:探究针对性护理在改善脑卒中患者睡眠障碍的临床效果。方法:选取2017年3月至2018年3月福建医科大学附属泉州第一医院收治的脑卒中后睡眠障碍患者80例作为研究对象,随机分为观察组和对照组,每组40例。对照组进行常规护理干预,观察组进行针对性护理。比较2组护理前后的PSQI(匹兹堡睡眠质量指数)评分和SRSS(睡眠状况自评量表)评分、入睡时间、持续睡眠时间、觉醒次数。结果:护理后观察组的PSQI评分和SRSS评分低于对照组,入睡时间短于对照组,觉醒次数少于对照组,持续睡眠时间长于对照组,2组比较差异均有统计学意义(P<0.05)。结论:针对性护理干预可显著改善脑卒中后睡眠障碍患者的睡眠质量,并且能有效减少入睡时间和觉醒次数,增加睡眠持续时间,值得临床推广和应用。

Objective:To explore the clinical effect of targeted nursing in the improvement of sleep disorders of patients after stroke.Methods:A total of 80 patients with sleep disorder after stroke in Quanzhou First Hospital Affiliated to Fujian Medical University from March 2017 to March 2018 were randomly divided into observation group and control group with 40 cases in each group.The control group were with routine nursing intervention,the observation group were with targeted nursing.Then the PSQI(Pittsburgh Sleep Quality Index)score and SRSS(Self-Rating Sleep Status Scale)score before and after the nursing,leeping time,wake-up times,duration of continuous sleep of two groups were compared.Results:The PSQI and SRSS scores of observation group after nursing were lower than those of control group,and the sleeping time was shorter than that of control group,the wake-up times were less than that of control group,the duration of continuous sleep were longer than those of control group,there were statistically significant differences(P<0.05).Conclusion:Targeted nursing intervention can significantly improve the sleep quality of patients with sleep disorders after stroke,and effectively reduce the time to fall asleep and the number of wake-ups,increase the duration of sleep,so it is worthy of clinical promotion and application.