心胸外科患者术后睡眠障碍影响因素及护理对策分析  

Analysis of Influencing Factors and Nursing Countermeasures of Postoperative Sleep Disorders in Patients with Cardiothoracic Surgery

作　　者：连雪琪 LIAN Xueqi(Affiliated Hospital of Putian University,Putian 351100,China)

机构地区：[1]福建省莆田市莆田学院附属医院,莆田351100

出　　处：《世界睡眠医学杂志》2023年第6期1358-1361,共4页World Journal of Sleep Medicine

摘　　要：目的:分析造成心胸外科术后患者睡眠障碍的有关因素,并提出具体的护理对策。方法:选取2021年5月至2022年5月福建省莆田市莆田学院附属医院全科医学科收治的心胸外科术后患者70例作为研究对象,按照随机数字表法分为观察组和对照组,每组35例。分析影响患者术后睡眠的有关因素,并实施相应的护理对策。结果:心胸外科术后患者睡眠障碍影响因素有疼痛、体位上的不适、咳嗽、环境影响、心理状态,占比分别为98.67%、82.86%、74.29%、50.00%、44.29%。疼痛因素、体位因素、咳嗽因素、环境因素、心理因素引发的术后睡眠障碍护理质量评分各项分值均超过9分,患者反馈结果较好,其中专业护理和人性关怀项目评分更高。疼痛因素引发的术后睡眠障碍患者护理满意度为100%,其次为环境因素,总满意率为97.14%,体位因素、咳嗽因素、心理因素的护理满意度分别为96.55%、96.15%、96.77%。结论:疼痛因素、体位因素、咳嗽因素、环境因素、心理因素均是影响心胸外科术后患者睡眠质量的关键因素,针对性护理干预后,能够取得理想的护理成效。Objective:To analyze the related factors of sleep disorders in patients after cardiothoracic surgery,and to propose specific nursing countermeasures.Methods:A total of 70 cases of postoperative cardiothoracic surgery patients admitted to the Department of General Medicine of Putian University Affiliated Hospital in Putian City,Fujian Province from May 2021 to May 2022 were selected as the research objects,according to random number table method,the patients were divided into observation group and control group,with 35 cases in each group.The factors affecting postoperative sleep of patients were analyzed,and corresponding nursing countermeasures were implemented.Results:The influencing factors of sleep disorder were pain,postural discomfort,cough,environmental influence and psychological state,accounting for 98.67%,82.86%,74.29%,50.00%and 44.29%,respectively.The nursing quality scores of postoperative sleep disorders caused by pain factors,posture factors,cough factors,environmental factors and psychological factors all more than 9 points,and the feedback results of patients were better,among which the scores of professional nursing and human care items were higher.The nursing satisfaction of patients with postoperative sleep disorders caused by pain factors was 100%,followed by environmental factors,the total satisfaction rate was 97.14%,and the nursing satisfaction of postural factors,cough factors and psychological factors were 96.55%,96.15%and 96.77%,respectively.Conclusion:Pain factors,position factors,cough factors,environmental factors,psychological factors are the key factors that affect the sleep quality of patients after cardiothoracic surgery,targeted nursing intervention can achieve ideal nursing results.

关 键 词：心胸外科 睡眠障碍 影响因素 护理对策 

分 类 号：R338.63[医药卫生—人体生理学]