以脑心健康管理师为主导的护理模式在卒中后睡眠障碍中的应用效果

Application effect of nursing model led by brain-heart health managers in post-stroke sleep disorders

目的探讨以脑心健康管理师为主导的护理模式在卒中后睡眠障碍中的应用效果。方法选取安徽省六安市人民医院2019年1月至2020年12月收治的97例卒中后睡眠障碍患者,按照随机数字表法分为观察组(49例)与对照组(48例)。两组均给予相同的治疗方案,对照组在上述治疗的基础上给予常规护理,观察组在对照组的基础上给予以脑心健康管理师为主导的护理模式。两组均随访4个月,比较两组护理前后睡眠情况、匹兹堡睡眠质量指数(PSQI)、负性情绪以及卒中复发情况。结果观察组护理后睡眠潜伏期短于对照组,总睡眠时间长于对照组,觉醒次数少于对照组,差异有统计学意义(P<0.05)。两组护理后睡眠潜伏期短于护理前,总睡眠时间长于护理前,觉醒次数少于护理前,差异有统计学意义(P<0.05)。两组护理后PSQI评分低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。两组护理后焦虑、抑郁评分低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。两组卒中复发率比较,差异无统计学意义(P>0.05)。结论以脑心健康管理师为主导的护理模式能够明显改善卒中后睡眠障碍患者的睡眠情况及负性情绪,值得临床推广应用。

Objective To explore the application effect of the nursing model led by brain-heart health managers in post-stroke sleep disorders.Methods A total of 97 patients with post-stroke sleep disorders admitted to People’s Hospital of Lu’an City in Anhui Province from January 2019 to December 2020 were selected and divided into observation group(49 cases)and control group(48 cases)according to the random number table method.Both groups were given the same treatment plan.The control group was given routine care based on the above treatments,while the observation group was given nursing model led by brain-heart health managers based on the control group.Both groups were followed up for four months to compare the sleep status,Pittsburgh sleep quality index(PSQI),negative emotions,and stroke recurrence before and after nursing.Results The sleep latency after nursing in the observation group was shorter than that of the control group,the total sleep time was longer than that of the control group,while the number of awakenings was less than that of the control group,and the differences were statistically significant(P<0.05).The sleep latency after nursing of two groups were shorter than those before nursing,the total sleep time of two groups were longer than those before nursing,and the number of awakenings of two groups were less than those before nursing,and the differences were statistically significant(P<0.05).The PSQI score of two groups after nursing were lower than those before nursing,while the observation group was lower than the control group,and the differences were statistically significant(P<0.05).The anxiety and depression scores of the two groups after nursing were lower than those before nursing,while the observation group was lower than the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the recurrence rate of stroke between the two groups(P>0.05).Conclusion The nursing model led by brain-heart health managers can significantly improve the sleep conditions and negative emotions of patients with sleep disorders after stroke,and is worthy of clinical application.