分析老年慢性心力衰竭患者睡眠障碍原因及护理干预价值

Analyzing the Causes of Sleep Disorders in Elderly Patients with Chronic Heart Failure and the Value of Nursing Intervention

目的:研究老年慢性心力衰竭患者睡眠障碍原因及护理干预效果。方法:选取2022年1月至2023年4月福建省老年医院收治的老年慢性心力衰竭患者60例作为研究对象,按照随机数字表法分为对照组和观察组,每组30例。对照组采用常规护理干预,观察组采用睡眠护理干预。结果:2组老年慢性心力衰竭患者睡眠障碍原因比较,差异无统计学意义(P>0.05)。观察组总满意度高于对照组,差异有统计学意义(P<0.05)。2组干预前匹兹堡睡眠质量指数(PSQI)评分比较,差异无统计学意义(P>0.05);干预后观察组、对照组PSQI量表评分均低于干预前,差异有统计学意义(P<0.05);观察组PSQI量表评分低于对照组,差异有统计学意义(P<0.05)。观察组焦虑、抑郁评分低于对照组,差异有统计学意义(P<0.05)。观察组体力、情绪、社会评分低于对照组,差异有统计学意义(P<0.05)。结论:老年慢性心力衰竭患者睡眠障碍原因主要包括疾病因素、环境因素、心理因素、生活习惯因素,老年慢性心力衰竭患者在睡眠护理干预下的护理效果更好,更具推广价值。

Objective:To study the causes of sleep disorders in elderly patients with chronic heart failure and the effectiveness of nursing interventions.Methods:A total of 60 elderly patients with chronic heart failure admitted to Fujian Provincial Elderly Hospital from January 2022 to April 2023 were selected as the research subjects.They were randomly divided into a control group and an observation group using a random number table method,with 30 patients in each group.The control group received routine nursing intervention,while the observation group received sleep nursing intervention.Results:There was no significant difference in the causes of Sleep disorder between the two groups(P>0.05).The overall satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in Pittsburgh Sleep Quality Index(PSQI)scores between the two groups before intervention(P>0.05).After intervention,the PSQI scale scores of the observation group and the control group were lower than those before intervention,and the difference was statistically significant(P<0.05).The PSQI scale score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The anxiety and depression scores of the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05).The physical strength,emotion,and social scores of the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05).Conclusion:The main causes of sleep disorders in elderly patients with chronic heart failure include disease factors,environmental factors,psychological factors,and lifestyle factors.Elderly patients with chronic heart failure have better nursing effects under sleep nursing intervention,which is more valuable for promotion.