帕金森病患者睡眠障碍92例临床护理  

Clinical nursing care in the treatment of 92 Parkinson's disease patients with sleep disorders

作　　者：袁淑娟[1] 宋雪祥[1] 沈明明[1] 孟红君 焦慧[1] 黄海燕[1] 

机构地区：[1]宜兴市人民医院,江苏宜兴214200

出　　处：《齐鲁护理杂志（下旬刊）》2012年第11期1-2,共2页Journal of Qilu Nursing

基　　金：2010年无锡市科技指导性计划项目(CSZ01056)

摘　　要：目的:分析帕金森病(PD)患者睡眠障碍的临床特征,探讨临床护理方法。方法:应用帕金森睡眠量表(PDSS)及爱泼沃斯嗜睡量表(ESS)对93例PD患者(研究组)及60例与PD患者相匹配的健康体检者(对照组)进行测定,PD睡眠障碍患者给予药物及护理治疗,包括睡眠卫生教育、心理护理、药物知识指导等,1个月后复查。结果:研究组患者PDSS评分明显低于对照组(P<0.05,P<0.01),治疗后较治疗前有明显改善(P<0.05,P<0.01);研究组ESS评分较对照组高(P<0.05),治疗后有明显改善(P<0.05)。结论:PD患者睡眠障碍嗜睡常见,药物及护理能明显改善总体睡眠质量、入睡困难、夜尿、夜间精神状况,提高患者生活质量。Objective： To analyze of the clinical characteristics of sleep disorders in Parkinson disease （ PD ） patients and explore clini- cal nursing methods. Methods： Parkinson Disease Sleep Scale （PDSS） and Epworth Sleepiness Scale （ESS） were used to mensurate 93 PD patients I study group} and other 60 PD patients who were the matched healthy subjects I control group}. The PD patients with sleep disorders were given medication and nursing care, including sleep health education, psychological care and instruction on drug therapy, then the patients had re -examination after one month. Results ：The PDSS score of patients was significantly lower in the study group than the control group { P 〈 0. 05,P 〈 0.01 } ;the improvement was more marked after treatment compared with that before treatment （P 〈 0. 05, P 〈 0.01 ） ; the ESS score was higher in the study group than the control group （ P 〈 0.05 ） and it was significantly improved after the treat- ment （ P 〈 0.05 ）. Conclusion. Drowsiness is common in PD patients with sleep disorders. Medication and nursing care can effectively im- prove the overall quality of sleep, such as sleep difficulties, nocturnal enuresis and nocturnal spirit condition, so that the life quality of pa- tients will be improved.

关 键 词：帕金森病 睡眠障碍 护理 

分 类 号：R473.74[医药卫生—护理学]