缩唇腹式呼吸训练改善老年慢性心力衰竭患者睡眠障碍的护理研究  

Nursing study in abdominal breathing training ameliorating sleep status in elderly patients with chronic heart failure

作　　者：沈莹[1] 郝敬荣 刘文娟[1] 白海燕[1] 张培影[1] 贺彤彤 倪慧[2] 

机构地区：[1]江苏省徐州市中心医院心内科,221009 [2]江苏省徐州市中心医院心脏诊疗中心,221009

出　　处：《中国实用护理杂志》2017年第12期904-907,共4页Chinese Journal of Practical Nursing

基　　金：江苏省社会发展-重点病种规范化诊疗项目（BE2015624）

摘　　要：目的 探讨缩唇腹式呼吸训练改善老年慢性心力衰竭患者睡眠障碍的效果.方法按照随机数字表法将100例主诉睡眠障碍且匹兹堡睡眠质量指数（PSQI）总分〉7分的住院心力衰竭患者分为试验组和对照组,每组各50例;2组患者均接受相同的心内科常规治疗和护理,试验组另外进行缩唇腹式呼吸训练.分别于入组前、训练后1周和8周评价患者睡眠质量、心率、血压、SpO2和脑钠肽（BNP）等指标,并比较2组统计学差异.结果训练后1周试验组睡眠障碍有所改善,但与对照组相比差异无统计学意义（P〉0.05）;而训练后8周时试验组PSQI总分、BNP和心率分别为（9.21±6.38）分、（193.78±152.16）μg/L、（63.5±10.8）次/min,对照组分别为（12.92±0.33）分、（417.55±262.47）μg/L、（70.7±8.5）次/min,2组比较差异有统计学意义（t=3.627、2.041、2.767,P〈0.05）;2组血压和SpO2变化差异无统计学意义（P〉0.05）.结论缩唇腹式呼吸训练改善老年慢性心力衰竭患者睡眠障碍有效.Objective To investigate the effects of abdominal breathing training on sleep disorders in elderly patients with chronic heart failure. Methods Total of 100 patients with chronic heart failure complain of sleeping disorders and Pittsburgh Sleep Quality Index （PSQI）〉7 points were assigned into two groups by random digits table method, 50 cases in each group. The observation group and the control group were nursed in the same way except that abdominal breathing was adapted to the observation group. Sleep status, heart rate, blood pressure, SpO2 and brain natriuretic peptide （BNP） were evaluated before training, one week and eight weeks after training respectively. Statistics was used to analyze the differences between two groups. Results After training one week, the sleep status of the observation group was ameliorated, but without significant difference compared to the control group （P〉0.05）. And after training eight weeks, the PSQI, BNP and heart rate were （9.21 ± 6.38） points, （193.78 ± 152.16） μg/L, （63.5 ± 10.8） times/min in the observation group, and （12.92 ± 0.33） points, （417.55 ± 262.47） μg/L, （70.7 ± 8.5） times/min in the control group, and there was significant differences between 2 groups （t=3.627, 2.041, 2.767, all P 〈 0.05）, while the blood pressure, SpO2 did not change obviously（P〉0.05）. Conclusions Abdominal breathing training could ameliorate sleep status in elderly patients with chronic heart failure.

关 键 词：老年人 睡眠障碍 慢性心力衰竭 缩唇腹式呼吸 

分 类 号：R473.5[医药卫生—护理学]