针对性护理干预对阻塞性睡眠呼吸暂停综合征合并高血压患者代谢指标及睡眠质量的影响研究

Effect of Targeted Nursing Intervention on Metabolic Indexes in Patients with Obstructive Sleep Apnea Syndrome Complicated with Hypertension

目的:研究针对性护理干预对阻塞性睡眠呼吸暂停综合征合并高血压患者代谢指标及睡眠质量的影响,探讨一种有效的护理模式,为提高临床护理质量提供参考依据。方法:选取2020年1至2020年12月青海省心脑血管病专科医院高血压科收治的阻塞性睡眠呼吸暂停综合征合并高血压患者88例作为研究对象,按照不同护理模式将其分为对照组与观察组,每组44例。对照组实施常规护理,观察组实施针对性护理干预,比较2组患者的多导睡眠监测指标、血压水平、脂质代谢指标、糖代谢指标、睡眠质量以及护理满意度。结果:护理后,观察组的呼吸暂停指数、低通气指数、呼吸暂停及低通气时间、最低80%以下氧饱和度次数、最低80%以下氧饱和度时间均少于对照组,收缩压、舒张压均低于对照组,总胆固醇、三酰甘油、低密度脂蛋白胆固醇均低于对照组,高密度脂蛋白胆固醇高于对照组,空腹血糖、餐后2 h血糖、糖化血红蛋白均低于对照组,PSQI评分低于对照组,差异有统计学意义(P<0.05);护理后,观察组的护理满意度高于对照组,差异有统计学意义(P<0.05)。结论:针对性护理干预对阻塞性睡眠呼吸暂停综合征合并高血压患者有积极影响,可改善多导睡眠监测指标、血压水平、脂质代谢指标、糖代谢指标,提高睡眠质量与护理满意度,值得临床推广应用。

Objective:To study the effect of targeted nursing intervention on metabolic indexes in patients with obstructive sleep apnea syndrome complicated with hypertension,and to explore an effective nursing model,so as to provide reference basis for improving the quality of clinical nursing.Methods:A total of 88 patients with obstructive sleep apnea syndrome complicated with hypertension treated in Qinghai Cardio cerebrovascular Hospital from January 2020 to December 2020 were divided into control group and observation group according to different nursing modes,with 44 cases in each group.Group a received routine nursing and observation group received targeted nursing intervention.The polysomnography monitoring indexes,blood pressure level,lipid metabolism indexes,glucose metabolism indexes,sleep quality and nursing satisfaction of the two groups were compared.Results:The apnea index,hypopnea index,apnea and hypopnea time,the times of minimum oxygen saturation below 80%and the time of minimum oxygen saturation below 80%in observation group were less than those in control group(P<0.05);The systolic blood pressure and diastolic blood pressure in observation group were lower than those in control group(P<0.05);The total cholesterol,triglyceride and low density lipoprotein cholesterol in observation group were lower than those in control group,and the high density lipoprotein cholesterol was higher than that in control group(P<0.05);The fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin in observation group were lower than those in control group(P<0.05);The PSQT score of observation group after nursing was lower than that of the control group(P<0.05)and the difference was significant(P<0.05);The nursing satisfaction of observation group was higher than that of control group(P<0.05)and the difference was significant(P<0.05).Conclusion:Targeted nursing intervention has a positive effect on patients with obstructive sleep apnea syndrome complicated with hypertension.It can improve polysomnography monitoring indexes,blood pressure level,lipid metabolism indexes and glucose metabolism indexes,and improve sleep quality and nursing satisfaction.It is worthy of application.