基于健康行为改变整合理论的护理干预对阻塞性睡眠呼吸暂停患者的影响

Effects of nursing intervention based on integrated theory of health behavior change on patients with obstructive sleep apnea

目的探讨基于健康行为改变整合理论的护理干预对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者持续气道正压通气(CPAP)治疗依从性的影响。方法采用便利抽样法,选取2023年2月—2024年1月江南大学附属无锡五院睡眠中心的98例中重度OSAHS患者为研究对象,按入院时间分为对照组和试验组,各49例。对照组采用常规护理,试验组采用基于健康行为改变整合理论的护理干预。比较两组干预3个月后CPAP治疗依从性、两组干预前后日间主观嗜睡程度、自我效能、社会支持和生活质量。结果干预后,试验组CPAP治疗依从性高于对照组,日间嗜睡、自我效能、社会支持、生活质量评分均优于对照组,差异有统计学意义(P<0.05)。结论基于健康行为改变整合理论的护理干预可提高OSAHS患者CPAP治疗依从性,降低日间嗜睡程度,提高自我效能和社会支持,改善生活质量。

ObjectiveTo explore the effect of nursing intervention based on the integrated theory of health behavior change on the compliance of patients with obstructive sleep apnea hypopnea syndrome(OSAHS)with continuous positive airway pressure(CPAP)treatment.MethodsFrom February 2023 to January 2024,convenience sampling was used to select 98 patients with moderate to severe OSAHS from the Sleep Center of Affiliated Wuxi Fifth Hospital of Jiangnan University as participants.Patients were divided into a control group and an experimental group based on their enrollment time,with 49 cases in each group.Control group received routine nursing,while experimental group was treated with nursing intervention based on the integrated theory of health behavior change.The compliance with CPAP was compared between two groups after three months of intervention,and the subjective daytime drowsiness,self-efficacy,social support,and quality of life were compared between the two groups before and after intervention.ResultsAfter intervention,the compliance with CPAP in experimental group was higher than that in control group,and daytime sleepiness,self-efficacy,social support,and quality of life scores in experimental group were all better than those in control group,with statistical differences(P<0.05).ConclusionsNursing intervention based on the integrated theory of health behavior change can increase compliance of OSAHS patients with CPAP,alleviate daytime sleepiness,enhance self-efficacy and social support,and improve quality of life.