鼻孔交替呼吸护理法对老年脑卒中合并原发性失眠患者睡眠质量的影响

Effect of applying nostril alternate respiratory nursing for sleep quality in elderly patients with stroke complicated with primary insomnia

目的探讨鼻孔交替呼吸护理法对老年脑卒中合并原发性失眠患者睡眠质量的影响。方法选取2018年1月至2019年6月收入我院治疗的60例老年脑卒中合并原发性失眠患者为研究对象,随机将其均分为对照组与研究组,对照组实施常规护理,研究组在此基础上加以鼻孔交替呼吸法护理,比较两组睡眠结构参数以及睡眠质量。结果研究组总睡眠时间(TST)、睡眠潜伏期(SL)、快速眼球运动潜伏期(REMSL)、睡眠效率均优于对照组,组间比较差异有统计学意义(P<0.05);研究组入睡时间>30 min、睡眠障碍、催眠药物、日间功能、匹斯堡睡眠质量指数量表(PSQI)评分均高于对照组,组间比较差异有统计学意义(P<0.05)。结论鼻孔交替呼吸护理法的实施,可有效改善老年脑卒中合并原发性失眠患者睡眠结构参数,提高睡眠质量,有利于疾病预后,值得临床借鉴。

Objective To explore the effect of nostril alternate respiratory nursing for sleep quality in elderly patients with stroke complicated with primary insomnia.Methods To select 60 cases of elderly patients with stroke and primary insomnia who were admitted to our hospital from January 2018 to June 2019 as the study subjects.They were randomly divided into a control group and a study group,and the control group was given routine nursing,the study group was given nostril alternate respiratory nursing on this basis to compare the sleep structure parameters and sleep quality of the two groups.Results The total sleep time(TST),sleep latency(SL),and rapid eye movement latency(REM-SL)and sleep efficiency of the study group were better than those of the control group.The differences between the groups were statistically significant(P<0.05).The sleep time of the study group was greater than 30 minutes,sleep disorders,hypnotic drugs,daytime function,and Pittsburgh sleep quality index(PSQI)scores were higher than those of the control group.The differences between the groups were statistically significant(P<0.05).Conclusion The application of the nostril alternate breathing nursing method could effectively improve the sleep structure parameters and improve the sleep quality of elderly patients with stroke and primary insomnia,which was beneficial to the prognosis of the disease and was worthy of clinical reference.