分析冠脉介入治疗后患者睡眠障碍并探讨相应护理干预措施  

Objective to Analyze the Sleep Disorder of Patients after Coronary Intervention and Explore the Corresponding Nursing Intervention Measures

作　　者：蔡思琴 傅春花 蔡青 CAI Siqin;FU Chunhua;CAI Qing(Yubei District People′s Hospital,Chongqing 401120,China)

机构地区：[1]重庆市渝北区人民医院,重庆401120

出　　处：《世界睡眠医学杂志》2020年第10期1679-1681,共3页World Journal of Sleep Medicine

摘　　要：目的:讨论对冠脉介入治疗患者应用综合护理干预模式进行干预对其睡眠障碍的改善效果。方法:选取2018年2月至2019年7月重庆市渝北区人民医院收治的接受冠脉介入治疗的冠心病患者60例作为研究对象,按照随机数字表法分为对照组和观察组,每组30例。对照组患者使用常规护理方案,观察组患者基于对照组增加运用综合护理干预模式。比较分析不同护理方案应用于冠脉介入治疗患者的临床应用效果。结果:接受干预后,2组的LVEF、E/A水平均显著提升,且观察组的提升幅度更大,差异有统计学意义(P<0.05);2组的LVFS、LVED水平均显著下降,且观察组的下降幅度更大,差异有统计学意义(P<0.05);较之对照组,观察组的TC、TG、LDL-C水平均呈现明显的下降趋势,而HDL-C水平呈现明显的升高趋势,差异有统计学意义(P<0.05);观察组的睡眠质量评分、生命质量评分均明显提高,差异有统计学意义(P<0.05)。结论:对冠脉介入治疗后冠心病患者应用综合护理模式进行干预,有助于改善患者的心功能、睡眠质量及生命质量,调节患者的血脂水平,有助于患者获得良好预后。Objective:To discuss the effect of comprehensive nursing intervention model on the improvement of sleep disturbance in patients undergoing coronary intervention.Methods:A total of 60 patients with coronary heart disease who were treated in Chongqing Yubei District People′s Hospital from February 2018 to July 2019 were selected as the research objects.They were randomly divided into control group and observation group,30 cases in each group.The patients in the control group were given routine nursing program,while the patients in the observation group were given comprehensive nursing intervention mode based on the control group.The clinical application effect of different nursing programs in patients with coronary intervention were compared and analyzed.Results:After the intervention,the levels of LVEF and E/A in the two groups were significantly increased,and the improvement range of the observation group was greater,the difference was statistically significant(P<0.05);the lvfs and lved levels of the two groups were significantly decreased,and the decline range of the observation group was greater,the difference was statistically significant(P<0.05);compared with the control group,the levels of TC,TG,LDL-C in the observation group showed a significant downward trend,while the HDL-C level was significantly decreased The sleep quality score and life quality score of the observation group were significantly improved(P<0.05),and the difference was statistically significant(P<0.05).Conclusion:Intervention of patients with coronary heart disease after comprehensive interventional intervention in the application of comprehensive nursing mode can improve the patient′s cardiac function,sleep quality and quality of life,regulate the patient′s blood lipid level,and help patients obtain a good prognosis.

关 键 词：经皮冠状动脉介入治疗(PCI) 冠心病 睡眠障碍 护理干预 

分 类 号：R541.4[医药卫生—心血管疾病] R338.63[医药卫生—内科学]