诱导睡眠护理联合低强度间歇有氧运动改善卒中后患者睡眠质量的研究

A Study on Inducing Sleep Care Combined with Low-intensity Intermittent Aerobic Exercise to Improve Sleep Quality in Post-stroke Patients

目的:探究对卒中后患者护理时开展诱导睡眠护理联合低强度间歇有氧运动对患者睡眠质量改善的作用。方法:选取2022年5月至2023年11月福建省南安市中医院收治的脑卒中患者94例作为研究对象,随机分为对照组和观察组,每组47例。对照组治疗期间开展常规护理支持,观察组开展诱导睡眠护理联合低强度间歇有氧运动。针对患者睡眠质量、肢体功能、认知功能以及神经缺损评分等进行比较。结果:干预前,2组患者睡眠质量比较,差异无统计学意义(P>0.05);干预后,观察组评分均低于对照组,差异有统计学意义(P<0.05)。干预前,2组患者应对方式评分比较,差异无统计学意义(P>0.05),干预后,观察组面对维度评分高于对照组,回避、屈服维度评分均低于对照组,差异有统计学意义(P<0.05)。护理前,2组患者疲倦情况比较,差异无统计学意义(P>0.05),护理后,观察组躯体疲劳以及脑力疲劳维度评分均低于对照组,差异有统计学意义(P<0.05)。干预前,针对患者NIHSS评分比较,差异无统计学意义(P>0.05),干预后,观察组评分低于对照组,差异有统计学意义(P<0.05)。结论:在对卒中患者护理时开展诱导睡眠护理联合低强度间歇有氧运动,可以提升患者睡眠质量,改善其肢体功能、认知功能,帮助其受损神经功能进行恢复,并调节其应对方式,缓解疲劳状态,有助于其恢复。

Objective:To explore the effect of inducing sleep care combined with low-intensity intermittent aerobic exercise on improving sleep quality in post-stroke patients.Methods:From May 2022 to November 2023,94 stroke patients in our hospital were selected as the subjects and randomly divided into a control group(47 cases,receiving routine nursing support during treatment)and an observation group(47 cases,receiving induced sleep-care combined with low-intensity intermittent aerobic exercise)through an Excel table.Compare the sleep quality,limb function,cognitive function,and neurological deficit score of patients.Results:Compared with the sleep quality of patients,there was no difference in the PSQI scale score before intervention(P>0.05).After intervention,the observation group had lower scores in all dimensions than the control group(P<0.05).Compared with the patient's coping style scores,there was no difference in the MC-MQ scale scores before intervention(P>0.05).After intervention,the observation group had higher scores in the face dimension,avoidance,and surrender dimensions than the control group(P<0.05).Compared with the patient's fatigue status,there was no difference in the FS-14 scale score before nursing(P>0.05).After nursing,the observation group had lower scores in both physical fatigue and mental fatigue dimensions than the control group(P<0.05).Regarding the comparison of NIHSS scores among patients,there was no difference before intervention(P>0.05).After intervention,the observation group had lower scores than the control group(P<0.05).Conclusion:Conducting induced sleep care combined with low-intensity intermittent aerobic exercise in the care of stroke patients can improve their sleep quality,improve their limb and cognitive functions,assist in the recovery of damaged neurological function,regulate their coping strategies,alleviate fatigue,and aid in their recovery.