针对性护理干预对重度OSAHS患者自我管理水平与生活质量及检查指标影响分析  

Effect analysis of targeted nursing intervention on self-management level,quality of life and examination index of severe OSAHS patients

作　　者：俞利华[1] 张思泉 

机构地区：[1]杭州市余杭区第二人民医院呼吸内科,浙江杭州311121

出　　处：《中国现代医生》2017年第35期158-160,164,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2013KYA170)

摘　　要：目的针对性护理干预对重度阻塞性睡眠呼吸暂停综合征(OSAHS)患者自我管理水平与生活质量及检查指标影响进行分析。方法选取2015年3月~2016年9月来我院接受治疗的重度OSAHS患者150例作为研究对象,并随机将患者分为对照组(75例)进行常规护理指导和观察组(75例)进行自我管理行为指导。对两组患者干预前和干预后分别进行多导睡眠监测、ESS嗜睡量表、Calgary睡眠呼吸暂停生活质量调查问卷及OSAHS患者自我管理行为问卷评分,对比两组研究对象干预前后指标。结果干预后观察组多导睡眠监测、生活质量得分、自我管理得分的各项数据均比对照组明显改善,差异具有统计学意义(P<0.05)。结论针对性护理干预对重度OSAHS患者自我管理水平与生活质量及检查指标有较好影响,值得在临床工作中推广。Objective To analyze the effect of targeted nursing intervention on self-management level, quality of life and quality of patients with severe obstructive sleep apnea syndrome（OSAHS）. Methods A total of 150 patients with severe OSAHS who were treated in our hospital from March 2015 to September 2016 were selected as study object. They were randomly divided into control group（n=75） for routine nursing guidance and observation group（n=75） for self-management behavior guidance. The polysomnography, ESS sleepiness scale, calgary sleep apnea quality of life questionnaire and OSAHS self-management behavior questionnaire were performed on the two groups before and after intervention, The effects were compared between both groups before and after intervention. Results There was no significant difference in the results of self-management behavior questionnaire between the two groups before intervention（P〉 0.05）. The polysomnography, quality of life score and self-management score in the observation group were significantly better than those in the control group, and the difference was statistically siguificant（P〈0.05）. Conclusion It is worthwhile to promote the self-management level, quality of life and inspection index of patients with severe OSAHS after clinical self-management intervention. Self-management intervention in the clinical has a good impact on self-management level, quality of life and inspection indicators, which is worthy of promotion in clinical work.

关 键 词：自我管理 睡眠呼吸暂停 生活质量 阻塞性 针对性护理干预 

分 类 号：R473.76[医药卫生—护理学]