持续正压通气联合序惯性康复护理对阻塞性睡眠呼吸暂停低通气综合征患者睡眠质量的影响  

Impact of Continuous Positive Pressure Ventilation Combined with Sequential Rehabilitation Nursing on Sleep Quality in Patients with Obstructive Sleep Apnea Hypopnea Syndrome Undergoing

作　　者：许小红 刘冰 XU Xiaohong;LIU Bing(First Affiliated Hospital of Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门大学附属第一医院,厦门361000

出　　处：《世界睡眠医学杂志》2024年第6期1389-1392,共4页World Journal of Sleep Medicine

摘　　要：目的:分析持续正压通气联合序惯性康复护理对减重术后阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者睡眠质量的影响。方法:选取2022年5月至2023年10月厦门大学附属第一医院减重术后OSAHS患者68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34例。对照组给予常规护理干预,观察组给予持续正压通气联合序惯性康复护理干预。采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的变化,采用自我效能感量表(GSES)比较2组患者干预前后自我效能的变化,夜间持续睡眠时间、醒来次数。结果:干预后,观察组患者PSQI评分显著低于对照组,观察组GSES评分显著高于对照组,观察组持续睡眠时间长于对照组,醒来次数少于对照组,差异均有统计学意义(均P<0.05)。结论:对减重术后OSAHS患者护理时开展持续正压通气联合序惯性康复护理,可以有效提升患者的自我效能,提高睡眠质量,减少夜间醒来次数,值得临床推广应用。Objective:To analyze the effect of continuous positive pressure ventilation combined with sequential rehabilitation nursing on the sleep quality of patients with obstructive sleep apnea hypopnea syndrome(OSAHS)undergoing weight loss surgery.Methods:A total of 68 OSAHS patients who underwent weight loss surgery at the First Affiliated Hospital of Xiamen University from May 2022 to October 2023 were selected as the study subjects.They were randomly divided into a control group and an observation group using a random number table method,with 34 cases in each group.The control group received routine nursing intervention,while the observation group received continuous positive pressure ventilation combined with sequential rehabilitation nursing intervention.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes in sleep quality before and after intervention between two groups of patients.The Self Efficacy Scale(GSES)was used to compare the changes in self-efficacy,duration of nighttime sleep,and number of awakenings between the two groups of patients before and after intervention.Results:After intervention,the PSQI score of the observation group was significantly lower than that of the control group,and the GSES score of the observation group was significantly higher than that of the control group.The observation group had a longer duration of sleep and fewer awakenings than the control group.The difference between the two groups was statistically significant(P<0.05).Conclusion:Continuous positive pressure ventilation combined with sequential rehabilitation nursing can effectively improve the self-efficacy,sleep quality,and reduce the number of nighttime awakenings of OSAHS patients after weight loss surgery.It is worthy of clinical promotion and application.

关 键 词：持续正压通气 序惯性康复护理 减重术 阻塞性睡眠呼吸暂停低通气综合征 睡眠质量 心理状态 自我效能 醒来次数 

分 类 号：R338.63[医药卫生—人体生理学] R364.4[医药卫生—基础医学]