体外反搏治疗对冠心病患者睡眠障碍的影响-基于混合研究视角

Effect of external counterpulsation treatment on sleep disturbance in patients with coronary heart disease-based on a mixed research perspective

目的通过混合研究方法观察体外反博治疗对冠心病患者睡眠障碍的改善效果。方法量性研究将确诊为冠心病伴睡眠障碍的80例患者随机分为对照组和试验组。对照组给予心内科常规护理及健康睡眠方式指导,试验组在此基础上给予体外反博治疗。分别于治疗前、后使用匹兹堡睡眠量表进行患者睡眠障碍的评估。质性研究随机从两组选取17例患者进行半结构式访谈。比较两组治疗前后的匹兹堡睡眠量表得分和患者治疗前后感受。结果治疗后,对照组与试验组除在睡眠障碍外其余因子得分及总分方面对比差异有统计学意义(P<0.05)。体外反搏治疗可以帮助患者缩短入睡时间、提高睡眠效率、减少夜间易醒情况、改善日间困倦、减少催眠药物服用次数,改善了冠心病患者的睡眠障碍。结论体外反博治疗对于冠心病患者睡眠障碍的改善效果明显,可用于临床今后在心脏康复方向的应用。

Objective To observe the improvement effect of external counterpulsation treatment on sleep disturbance in patients with coronary heart disease through mixed research methods.Methods In quantitative study,totally 80 patients diagnosed with coronary heart disease(CHD)with sleep disorder were randomly divided into control group and experimental group.The control group was given cardiology routine nursing and healthy sleep method,and the intervention group was given external counterpulsation treatment on this basis.Pittsburgh Sleep Scale was used to evaluate the sleep disorder of the patients before and after the treatment.The qualitative study randomly selected 17 patients from two groups for semi-structured interview.The score of Pittsburgh Sleep Scale and patients'feelings before and after the treatment were compared between the two groups.Results After treatment,there was statistically significant difference between control group and experimental group in the scores and total scores of other factors except the score of sleep disorder(P<0.05).The external counterpulsation treatment could help patients shorten the time to fall asleep,improve the sleep efficiency,reduce the waking situation at night,improve daytime sleepiness,reduce the frequency of hypnotic drugs,and improve the sleep disorder of patients with CHD.Conclusion The external counterpulsation can improve sleep disturbance in patients with CHD,and it also can be used in cardiac rehabilitation of clinical in the future.