约束带辅助下肢制动对全脑血管造影术后患者睡眠状况的影响  

Effect of restraint strap with auxiliary lower limbs braking on sleep status of patients after global cerebral angiography

作　　者：王欢[1] 程宏梅 季衍丽[1] 张雅静[1] 

机构地区：[1]解放军总医院神经内科二病区,北京100853

出　　处：《中华现代护理杂志》2015年第8期988-990,共3页Chinese Journal of Modern Nursing

摘　　要：目的：观察约束带辅助下肢制动对全脑血管造影术后患者睡眠状况的影响。方法选取行全脑血管造影术的患者400例,按随机数字表法将其分为观察组和对照组,每组各200例。对照组患者术后保持术侧肢体伸直制动12 h、平卧24 h,其余肢体可以自由活动；观察组在对照组基础上应用约束带辅助下肢制动。观察两组患者的睡眠状况。结果两组患者全脑血管造影术后睡眠质量均有下降,术后匹兹堡睡眠质量指数量表（PSQI）各项因子及总分均高于术前。术后观察组患者的 PSQI 因子睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍及总分分别为（1.07±0.58）,（1.02±0.89）,（0.93±0.75）,（0.90±0.96）,（1.23±0.67）,（7.73±2.82）分,低于对照组的（1.43±0.97）,（1.73±0.75）,（1.40±0.89）,（1.43±0.89）,（1.53±0.68）,（9.13±4.13）分,,差异有统计学意义（t 值分别为4.505,8.627,6.440,5.726,4.444,3.959；P＜0.05）。结论约束带辅助下肢制动能改善全脑血管造影术后患者睡眠状况,利于病情康复,值得推广。Objective To observe the restraint strap with auxiliary lower limbs braking effect on sleep status of patients after global cerebral angiography. Methods A total of 400 patients, who performed with global cerebral angiography admitted at Department of Neurology, Chinese PLA General Hospital from January to August 2014, were randomly divided into observation group and control group, each with 200 cases. The patients in the control group maintained operative limb braking straight for 12 hours and then kept prostration for 24 hours, but the rest of body could move freely. The patients of observation group received the auxiliary brake application with lower limbs extremity restraint strap based on the care of the control group. Sleep status of the two groups were observed and compared. Results The patients in two groups suffered decreased quality of sleep, but the patient of observation group acquired （1. 07 ± 0. 58）, （1. 02 ± 0. 89）, （0. 93 ± 0. 75）, （0. 90 ± 0. 96）, （1. 23 ± 0. 67） and （7. 73 ± 2. 82） in the PSQI scores of each factor including sleep quality, bedtime, hour of sleep, sleep efficiency, dysssomnia and total PSQI score lower （1. 43 ± 0. 97）, （1. 73 ± 0. 75）, （1. 40 ± 0. 89）, （1. 43 ± 0. 89）, （1. 53 ± 0. 68） and （9. 13 ± 4. 13） in the control group （t = 4. 505, 8. 627, 6. 440, 5. 726, 4. 444, 3. 959,respectively;P 〈 0. 05）. Conclusions The usage of restraint strap after global cerebral angiography can decrease the incidence rate of sleep disorder, further promote the rehabilitation of patients, so widely clinical application should be taken into consideration.

关 键 词：脑血管造影术 约束带 睡眠质量 制动 

分 类 号：R473.74[医药卫生—护理学]