综合护理干预对阻塞性睡眠呼吸暂停低通气综合征患者生命质量的作用  

The Effect of Comprehensive Nursing Interventions on the Quality of Life of Patients with Obstructive Sleep Apnea Hypopnea Syndrome

作　　者：净卫娟[1] 郝丽娟[1] 潘丽杰[2] 袁晓敏[3] 马清芸[3] 李旭凌[1] JING Weijuan;HAO Lijuan;PAN Lijie;YUAN Xiaomin;MA Qingyun;LI Xuling(Department of Sleep Medicine,Qinghai Red Cross Hospital,Xining 810000,China;Nursing Department of Qinghai Red Cross Hospital,Xining 810000,China;Emergency Department of Qinghai Red Cross Hospital,Xining 810000,China)

机构地区：[1]青海红十字医院睡眠医学科,西宁810000 [2]青海红十字医院护理部,西宁810000 [3]青海红十字医院急诊科,西宁810000

出　　处：《世界睡眠医学杂志》2024年第3期621-624,共4页World Journal of Sleep Medicine

摘　　要：目的:探讨综合护理干预对青海地区阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者生命质量的改善效果。方法:选取2019年1月至2021年12月在青海红十字医院睡眠医学科行多导睡眠监测(PSG)和无创呼吸机治疗的中重度OSAHS住院患者392例作为研究对象,根据收治的时间登记表单双号顺序将患者分为对照组(单号)和观察组(双号),每组196例。对照组给予普通护理,观察组给予综合护理。比较2组干预前后Epworth嗜睡量表(ESS)、焦虑自评量表(SAS)、睡眠呼吸暂停生命质量指数(SAQLl)评分及干预后持续气道正压通气(CPAP)治疗依从性。结果:干预后,2组患者ESS、SAS评分均低于本组干预前(均P<0.05),且观察组干预后ESS、SAS评分均低于对照组(均P<0.05)。干预后,2组患者SAQLI日常活动、社会影响、情感活动、症状评分均高于本组干预前(均P<0.05),且观察组干预后SAQLI日常活动、社会影响、情感活动、症状评分均高于对照组(均P<0.05)。观察组干预后完成CPAP治疗患者例数明显多于对照组(P<0.05)。结论:综合护理干预后可显著提高患者CPAP治疗的依从性,提高疗效,提高患者的生命质量。Objective:To explore the effects of comprehensive nursing interventions on improving the quality of life for patients with Obstructive Sleep Apnea Hypopnea Syndrome(OSAHS)in Qinghai region.Methods:A total of 392 hospitalized patients with moderate to severe OSAHS,who underwent polysomnography(PSG)and non-invasive ventilator treatment at the Sleep Medicine Department of Qinghai Red Cross Hospital from January 2019 to December 2021,were selected as the study subjects.Based on the admission time registration form,patients were divided into a control group(odd numbers)and an observation group(even numbers),each with 196 patients.The control group received standard care,while the observation group received comprehensive nursing.The study compared the Epworth Sleepiness Scale(ESS),Self-Rating Anxiety Scale(SAS),Sleep Apnea Quality of Life Index(SAQLI)scores,and adherence to Continuous Positive Airway Pressure(CPAP)therapy post-intervention between the two groups.Results:After the intervention,both groups showed reductions in ESS and SAS scores compared to pre-intervention(both P<0.05),with the observation group recording lower post-intervention ESS and SAS scores than the control group(P s<0.05).Improvements were also observed in SAQLI scores for daily activities,social impact,emotional functions,and symptoms in both groups post-intervention(P s<0.05),with the observation group showing greater improvements than the control group(P s<0.05).The number of patients who completed CPAP therapy post-intervention was significantly higher in the observation group(P<0.05).Conclusion:Comprehensive nursing interventions significantly enhanced CPAP treatment compliance and effectiveness,thereby improving the patients′quality of life.

关 键 词：阻塞性睡眠呼吸暂停综合征 综合护理 持续气道正压通气 生命质量 睡眠 焦虑 依从性 青海地区 

分 类 号：R338.63[医药卫生—人体生理学] R459.9[医药卫生—基础医学]