分析康复运动-心理-睡眠护理模式对瓣膜术后睡眠障碍患者睡眠质量及康复进程的影响

Analyzing the Impact of Rehabilitation Exercise Psychological Sleep Nursing Model on Sleep Qualityand Rehabilitation Process in Patients with Postoperative Sleep Disorders after Valve Surgery

目的:分析康复运动-心理-睡眠护理模式对瓣膜术后睡眠障碍患者睡眠质量及康复进程的影响。方法:选取2022年3月至2022年10月福建省厦门大学附属第一医院收治的心脏瓣膜手术术后睡眠障碍患者84例作为研究对象,按照随机对照表法分为对照组和观察组,每组42例。对照组给予常规护理干预,观察组给予“康复运动-心理-睡眠护理”护理干预,采用匹睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的变化,应用小米手环测定睡眠时长、入睡潜伏期、觉醒时间及睡眠效率,比较2组患者的康复进程,并比较2组患者的6 min步行试验(6MWT),同时采用疲劳Borg指数评估患者的疲劳程度。结果:护理后,观察组PSQI评分显著低于对照组,而睡眠时长、睡眠效率显著高于对照组,观察组术后ICU停留时间、下床时间及术后住院时间均显著短于对照组,观察组护理后6MWT评分高于对照组,观察组疲劳Borg指数评分均低于对照组,差异均有统计学意义(均P<0.05)。结论:在瓣膜术后睡眠障碍患者护理中采用“康复运动-心理-睡眠护理”模式干预,有助于改善患者睡眠质量,促进患者康复进程,有着重要的临床意义。

Objective:To analyze the impact of the rehabilitation exercise psychological sleep nursing model on the sleep quality and rehabilitation process of patients with sleep disorders after valve surgery.Methods:A total of 84 patients with postoperative sleep disorders after heart valve surgery admitted to the First Affiliated Hospital of Xiamen University in Fujian Province from March 2022 to October 2022 were selected as the study subjects.They were randomly divided into an observation group(n=42)and a control group(n=42)according to the randomized control table method.The control group received routine nursing intervention,while the observation group received“rehabilitation exercise psychological sleep nursing”intervention.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes in sleep quality before and after intervention between the two groups of patients.Xiaomi wristbands were used to measure sleep duration,sleep latency,awakening time,and sleep efficiency.The rehabilitation progress of the two groups of patients was compared,and the 6-minute walking test(6MWT)of the two groups of patients was also compared,Simultaneously,the fatigue Borg index was used to assess the patient′s level of fatigue.Results:After nursing,the PSQI score of the observation group was significantly lower than that of the control group,while the sleep duration and sleep efficiency were significantly higher than those of the control group.The ICU stay time,bed time,and hospital stay after surgery in the observation group were significantly shorter than those of the control group.The 6MWT score of the observation group after nursing was higher than that of the control group,and the Borg index score of fatigue in the observation group was lower than that of the control group.The differences between the two groups were statistically significant(P s<0.05).Conclusion:The intervention of the“rehabilitation exercise psychological sleep nursing”model in the nursing of patients with postoperative sleep disorders after valve surgery can help improve their sleep quality,promote their recovery process,and has important clinical significance.