保护REM睡眠为主的护理在冠心病患者睡眠中的应用及其对夜间突发病变的影响

Application of REM Sleep Protected Based Nursing in the Sleep of Patients with Coronary Heart Disease and the Influence on Nighttime Sudden Diseases

目的探讨保护REM睡眠为主的护理在冠心病患者睡眠中的应用及其对夜间突发病变的影响。方法选取2016年4月至2019年1月于我院住院的冠心病患者96例,根据患者意愿和病情分为对照组(n=50)和观察组(n=46)。对照组行常规护理,观察组行保护REM睡眠为主的护理。对比两组护理前后睡眠时间和夜间病情突变情况。结果护理后,两组睡眠潜伏期缩短,Ⅰ期和Ⅳ期睡眠时间延长(P均<0.05);与对照组比较,观察组的睡眠潜伏期较短,Ⅰ期和Ⅳ期睡眠时间较长(P均<0.05)。观察组护理后的REM睡眠时间短于护理前(P<0.05),而对照组护理前后的REM睡眠时间比较差异无统计学意义(P>0.05)。观察组护理后的夜间心律失常发生率低于护理前(P<0.05)。结论保护REM睡眠为主的护理能够缩短冠心病患者的睡眠潜伏期和REM睡眠时间,延长睡眠总时长,降低夜间心律失常发生率,值得临床应用。

Objective To explore the application of REM sleep protected based nursing in sleeping patients with coronary heart disease and the influence on nighttime sudden diseases.Methods 96 patients with coronary heart disease in our hospital from April 2016 to January 2019 were divided into control group(n=50)and observation group(n=46)according to patients'wishes and disease conditions.The control group received routine nursing,and the observation group received REM sleep protected based nursing.The sleep time and nighttime sudden diseases before and after nursing were compared between two groups.Results After nursing,the sleep latency of the two groups decreased,and phaseⅠand phaseⅣsleep time increased(P<0.05);Compared with control group,the sleep latency of the observation group was shorter,and phaseⅠand phaseⅣsleep time was longer(P<0.05).The REM sleep time of the observation group after nursing was shorter than that before nursing(P<0.05),but no statistical difference was found in the REM sleep time before and after nursing in the control group(P>0.05).After nursing,the incidence of nighttime arrhythmia in the observation group was lower than that before nursing(P<0.05).Conclusions REM sleep protected based nursing can shorten sleep latency and REM sleep time of patients with coronary heart disease,prolong total sleep time and reduce the incidence of nighttime arrhythmia,which is worthy of clinical application.