分析便携式呼吸睡眠监测联合集束化护理干预改善心力衰竭患者睡眠情况的效果  

To Analyze the Effect of Portable Respiratory Sleep Monitoring Combined with Cluster Nursing Intervention on Improving Sleep Status of Patients with Heart Failure

作　　者：林莉[1] 李雯 LIN Li;LI Wen(The 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7期1618-1621,共4页World Journal of Sleep Medicine

摘　　要：目的:分析便携式呼吸睡眠监测联合集束化护理干预改善心力衰竭患者睡眠情况的效果。方法:选取2022年1月至2023年6月厦门大学附属第一医院收治的心力衰竭患者86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43例。对照组给予集束化护理干预,观察组给予便携式呼吸睡眠监测干预。利用便携式呼吸睡眠监测仪检测2组的入睡潜伏期、觉醒次数、觉醒时间及实际睡眠时间,采用理查兹-坎贝尔睡眠量表(RCSQ)评估包括睡眠状态、夜间觉醒、重回入睡、睡眠深度的变化,采用彩色多普勒超声仪检测患者的左室射血分数,采用标准参照康纳-戴维森韧性量表(CD-RISC)评估2组患者干预前后心理弹性水平的变化。结果:干预后,观察组入睡潜伏期、觉醒时间及觉醒次数显著低于对照组,实际睡眠时间显著高于对照组,差异均有统计学意义(均P<0.05);观察组的睡眠状态及睡眠深度评分显著高于对照组,观察组夜间觉醒、重回入睡评分显著低于对照组,差异均有统计学意义(均P<0.05);干预后,观察组的左室射血分数与心理弹性CD-RISC评分均高于对照组,差异均有统计学意义(均P<0.05)。结论:便携式呼吸睡眠监测联合集束化护理有利于改善心力衰竭患者的睡眠情况,提升睡眠质量,加快心功能的恢复,临床可进一步推广应用。Objective:To analyze the effect of portable respiratory sleep monitoring combined with cluster nursing intervention on improving sleep in patients with heart failure.Methods:A total of 86 patients with heart failure admitted to the First Affiliated Hospital of Xiamen University from January 2022 to June 2023 were selected as research objects and divided into control group and observation group according to random number table method,with 43 cases in each group.The control group was given cluster nursing intervention,and the observation group was given portable respiratory sleep monitoring intervention.Sleep latency,wake frequency,wake time and actual sleep time of the two groups were detected by portable respiratory sleep monitor.Changes in sleep status,night wake,return to sleep and sleep depth were assessed by Charlize Campbell Sleep Scale(RCSQ).Left ventricular ejection fraction of patients was detected by color Doppler ultrasound.The Conner-Davidson Resilience Scale(CD-RISC)was used to evaluate the changes of mental resilience before and after the intervention.Results:After the intervention,the sleep latency,wake time and wake times in the observation group were significantly lower than those in the control group,and the actual sleep time was significantly higher than that in the control group,the difference between the two groups was statistically significant(P<0.05).The scores of sleep state and sleep depth in the observation group were significantly higher than those in the control group,and the scores of night awakening and return to sleep in the observation group were significantly lower than those in the control group,the difference between the two groups was statistically significant(P<0.05).After intervention,the left ventricular ejection fraction and mental resilience CD-RISC score of the observation group were higher than those of the control group,and the differences between the two groups were statistically significant(P<0.05).Conclusion:Portable respiratory sleep monitoring combined with cluster

关 键 词：心力衰竭 便携式呼吸睡眠监测 集束化护理 睡眠情况 睡眠质量 心功能 心理弹性 护理效果 

分 类 号：R541.6[医药卫生—心血管疾病] R338.63[医药卫生—内科学]