基于ERG理论构建SAHS患者多导睡眠监测护理新模式

Construction of a new nursing model of polysomnography monitoring for SAHS patients based on ERG theory

目的应用ERG理论,构建睡眠呼吸暂停低通气综合征(SAHS)患者多导睡眠监测(PSG)护理新模式。方法选择2015年8月至2016年12月在该科行PSG的170例患者,采用随机数字表法分为两组(各85例):对照组行常规护理,干预组在常规护理的基础上采用ERG理论进行护理干预。两组患者均参照匹兹堡睡眠质量指数量表进行睡眠质量评价。干预时和次日睡眠监测结束后,测试睡眠感受、入睡时间、睡眠时间、睡眠效率评分。计算PSG监测成功率和SAHS阳性率。结果干预组护理后患者的睡眠感受、入睡时间、睡眠时间、睡眠效率评分分别为(1.20±0.45)、(1.32±0.64)、(1.45±0.66)、(1.25±0.54)分,对照组护理后分别为(2.03±0.76)、(1.82±0.58)、(1.93±0.62)、(1.91±0.57)分,两组比较差异有统计学意义(t=3.290,2.663,2.457,2.155,P<0.05)。干预组监测成功率为95.3%,SAHS阳性率为71.6%,均高于对照组的85.9%和56.2%(χ2=4.416,3.987,P<0.05)。结论将ERG理论应用在PSG患者的临床护理中,能够改善患者的睡眠质量,且接近于家中的常态化睡眠,提高PSG对SAHS患者的监测成功率。

Objective To construct the new nursing model of polysomnography monitoring(PSG)for the patients with sleep apnea hypopnea syndrome(SAHS)by applying the ERG theory.Methods One hundred and seventy patients with polysomnography in the respiration department of this hospital from August 2015 to December 2016 were selected and randomly divided into 2 groups by using the random number table method:the control group was given the routine nursing care,while the intervention group conducted the nursing intervention based by adopting the ERG theory on the basis of routine nursing care.All the patients conducted the sleep quality evaluation by referring to the Pittsburgh sleep quality index scale(PSQI).At the time of intervention and the end of sleep monitoring on the next day,the scores of sleep feeling,time of falling asleep,sleep time and sleep efficiency were tested.The PSG monitoring success rate and SAHS positive rate were calculated.Results The scores of sleep feeling,time of falling asleep,sleep time and sleep efficiency after nursing in the intervention group were(1.20±0.45),(1.32±0.64),(1.45±0.66),(1.25±0.54)points respectively,which in the control group were(2.03±0.76),(1.82±0.58),(1.93±0.62),(1.91±0.57)points respectively,and the differences between the two groups were statistically significant(t=3.290,2.663,2.457,2.155,P<0.05).The success rate of PSG monitoring in the intervention group was 95.3%and the SAHS positive rate was 71.6%,which were significantly higher than 85.9%and 56.2%in the control group(χ2=4.416,3.987,P<0.05).Conclusion The application of ERG theory in clinical nursing of the patients with polysomnography can improve the sleep quality of the patients,keep the patients close to normalization sleep at home,improve the success rate of PSG monitoring in SAHS patients,and provide a new model for clinical nursing of the patients with PSG.