睡眠干预对老年冠心病失眠患者的临床效果观察

Clinical Effect of Sleep Intervention on Elderly Patients with Insomnia Due To Coronary Heart Disease

目的:观察睡眠干预对老年冠心病失眠患者的临床效果;方法:选取2022年7月至2023年6月安溪县医院收治的老年冠心病失眠患者84例作为研究对象,采用抽签法分为对照组和观察组,每组42例。对照组采用常规治疗,观察组采用常规治疗+睡眠干预,统计分析2组患者疗效,对2组患者治疗前后睡眠质量及生命质量进行比较。结果:观察组治疗有效率为95.24%,明显高于对照组的78.57%,差异有统计学意义(P<0.05);治疗前,2组患者睡眠质量量表(PSQI)、失眠情况量表(ISI)以及生命质量量表(SF-36)评分比较,差异无统计学意义(P>0.05),治疗后,观察组PSQI及ISI评分低于对照组,SF-36评分高于对照组,差异有统计学意义(P<0.05);结论:睡眠干预应用于老年冠心病失眠患者效果显著,可以提高睡眠质量,减轻失眠严重程度,提高生命质量,具有临床推广价值。

Objective:To observe the clinical effect of sleep intervention on elderly patients with coronary heart disease and insomnia.Methods:From July 2022 to June 2023,84 elderly patients with insomnia due to coronary heart disease were selected as the research object.and divided into control group(n=42,routine treatment)and observation group(n=42,routine treatment sleep intervention)by drawing lots.The control group was given routine treatment,while the observation group was given sleep intervention.The therapeutic effects of the two groups were compared,and the sleep quality and quality of life before and after treatment were analyzed.Results:The effective rate in the observation group was significantly higher than that in the control group(P<0.05).Before treatment,there was no significant difference in the scores of the sleep quality scale(PSQI),insomnia scale(ISI),and quality of life scale(SF-36)between the two groups(P>0.05).After treatment,the scores of PSQI and ISI in the observation group were significantly lower than those in the control group,and the scores of SF-36 were significantly higher than those in the control group(P<0.05).Conclusion:Sleep intervention is effective in elderly patients with insomnia due to coronary heart disease,which can improve sleep quality,reduce the severity of insomnia,and improve the quality of life,and has clinical promotion value.