分析多导睡眠监测仪监测阻塞性睡眠呼吸暂停综合征的护理干预效果

To analyze the effect of polysomnography in monitoring obstructive sleep apnea syndrome

目的:分析护理干预在多导睡眠监测仪监测阻塞性睡眠呼吸暂停综合征中的效果。方法:纳入2020年3月至2021年4月期间于本院接受多导睡眠监测仪监测诊断阻塞性睡眠呼吸暂停综合征患者98例,经盲选抽签法分组后(对照组50例、观察组48例),行临床对比研究。多导睡眠监测仪监测期间,对照组配合规范护理、观察组配合护理干预。评价患者监测配合度、负性情绪、监测所得睡眠质量数据、监测完成情况、满意度及安全性差异。结果:(1)配合度、满意度。监测期间观察组临床配合度高于对照组,且观察组护理满意度评价高于对照组,差异显著(P<0.05)。(2)安全性。观察组血压异常、心律失常发生率均降低,较对照组差异显著(P<0.05)。(3)监测完成情况。观察组监测成功率高于对照组,且监测中断率、失败率较对照组均降低,差异显著(P<0.05)。(4)睡眠质量监测数据。观察组监测期间睡眠潜伏时间、低通气次数及阻塞性呼吸暂停发生次数较对照组均下降,差异显著(P<0.05)。(5)负性情绪。观察组监测前、后测评所得GAD-7、PHQ-9评分均低于对照组,差异显著(P<0.05)。结论:护理干预在多导睡眠监测仪监测阻塞性睡眠呼吸暂停综合征中的应用,可在完善监测前宣教力度、准备措施及监测中安全性管理措施后,使患者可在积极配合监测后达成监测预期。

Objective:To analyze the clinical effect and monitoring influence of nursing intervention in monitoring obstructive sleep apnea syndrome with polysomnography.Methods:98 patients with obstructive sleep apnea syndrome who were monitored and diagnosed by polysomnography in our hospital during the research period from March 2020 to April 2021 were randomly divided into two groups(50 cases in the control group and 48 cases in the observation group) for clinical comparative study.During the monitoring period of polysomnography,the control group cooperated with standard nursing and the observation group cooperated with nursing intervention.Evaluate patients’ monitoring cooperation,negative emotions,sleep quality data obtained from monitoring,monitoring completion,satisfaction and safety differences.Results:(1)Cooperation degree and satisfaction degree:During the monitoring period,the clinical cooperation degree of observation group was higher than that of control group,and the evaluation of nursing satisfaction degree of observation group was higher than that of control group,with significant difference(P<0.05).(2)Safety:The incidence of abnormal blood pressure and arrhythmia in the observation group decreased significantly compared with the control group(P<0.05).(3)Monitoring completion:The monitoring success rate of observation group is higher than that of control group,and the monitoring interruption rate and failure rate are lower than that of control group,with significant difference(P<0.05).(4)Monitoring data of sleep quality:the sleep latency time,the times of hypoventilation and the times of obstructive apnea in the observation group decreased significantly compared with the control group(P<0.05).(5)Negative emotions:the scores of GAD-7 and PHQ-9 in the observation group before and after monitoring were lower than those in the control group,with significant difference(P<0.05).Conclusion:The application of nursing intervention in monitoring obstructive sleep apnea syndrome with polysomnography can improve the education before monitoring,the preparation measures and the safety management measures during monitoring,so that patients can actively cooperate with monitoring and achieve the monitoring expectation.