医院到家庭连续干预方案对老年心力衰竭患者睡眠情况的改善作用

Effect of HtoH Continuous Care Program on Sleep Improvement in Elderly Patients with Heart Failure

目的:分析对老年心力衰竭患者应用医院到家庭(HtoH)连续干预方案的效果。方法:取选2021年6月至2023年6月厦门大学附属第一医院心血管内科收治的老年心力衰竭患者82例为研究对象,随机分为对照组和观察组,每组41例。对照组实施常规护理,观察组则增加HtoH连续干预方案,比较2组睡眠呼吸监测指标、催眠药物使用情况、睡眠质量评分(EPworth睡眠)。结果:干预前2组患者各项指标比较,差异无统计学意义(P>0.05),干预后,观察组睡眠呼吸监测指标更优、催眠药物使用人数更低、EPworth睡眠质量更优,差异有统计学意义(P<0.05)。结论:对老年心力衰竭患者实施HtoH连续干预方案护理的效果较好,可打破时间和空间限制,给予患者连续性护理,能提高其睡眠质量,减少助眠药物应用,利于患者睡眠质量提高,居家更好自护休养。

Objective:To analyze the effect of HtoH continuous care program on elderly patients with heart failure.Methods:A total of 82 elderly patients with heart failure were selected from our hospital from 2021/6 to 2023/6,The 41 patients in the control group were received routine nursing.The 41 patients in the observation group were given HtoH continuous care program.The indexes of sleep breathing monitoring,the use of hypnotic drugs and Self-care Ability Sleep Quality Score(Epworth Sleep)were compared.Results:After intervention,there was no significant difference in all indexes between the two groups(P>0.05).After intervention,the observation group had better indexes of sleep breathing monitoring,lower number of hypnotics users and higher self-care ability of Epworth Sleep,the difference was significant(P<0.05).Conclusion:HtoH continuous care program on the elderly patients with heart failure is good,which can break the time and space limitation,and can improve the sleep quality of the patients and reduce the use of sleeping drugs,good for patients home better self-care.