鼻窦炎鼻内镜手术后睡眠障碍原因及护理干预

Causes of Sleep Disorder After Endoscopic Sinus Surgery and Nursing Intervention

目的探讨鼻窦炎内镜术后睡眠障碍的原因及护理策略。方法选取2019年1—12月我院收治的鼻内镜手术患者50例,采用统计学软件与多因素Logistic回归模型分析患者出现睡眠障碍的原因并制定对应的护理策略。结果经统计学分析,呼吸方式改变、疼痛评分≥4分、焦虑评分≥50分、术前未进行呼吸训练、环境改变、持续口鼻腔分泌物是引起睡眠障碍的主要因素之一(P<0.05);经logistic回归分析,疼痛评分≥4分、呼吸方式改变、环境改变为影响患者睡眠障碍的独立危险因素(P <0.05)。结论鼻窦炎术后疼痛、呼吸方式改变、环境改变是引起睡眠障碍最主要原因,护理人员可根据患者情况进行针对性的心理疏导、生活干预,以改善患者的睡眠。

Objective To explore the causes and nursing strategies of sleep disorders after endoscopic sinus surgery. Methods From January to December 2019, 50 patients with endoscopic sinus surgery in our hospital were selected. Statistical software and multivariate Logistic regression model were used to analyze the causes of sleep disorders and formulate corresponding nursing strategies. Results By statistical analysis, the change of breathing style, pain score ≥ 4 points, anxiety score ≥ 50 points One of the main factors causing sleep disorder was not breathing training before operation, environmental change and continuous secretion of the mouth and nose(P < 0.05). By Logistic regression analysis, pain score ≥ 4 points, change of breathing mode and environment were independent risk factors(P < 0.05). Conclusion The main causes of sleep disorder are pain, change of breathing style and environment after operation of nasosinusitis. Nurses can carry out targeted psychological guidance and life intervention according to patients’ conditions to improve patients’ sleep.