研究心功能等级化干预联合KTH整合式干预对心绞痛患者睡眠的影响效果  

To Study the Effect of Cardiac Function Ranking Intervention Combined with KTH Integrated Intervention on Sleep in Patients with Angina Pectoris

作　　者：杨美蓉 林莉[1] YANG Meirong;LIN Li(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8期1875-1878,共4页World Journal of Sleep Medicine

摘　　要：目的:探讨心绞痛患者接受心功能等级化干预联合KTH整合式干预的价值。方法:选取2022年8月至2023年8月厦门大学附属第一医院心内科收治的心绞痛患者88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44例。对照组给予常规护理干预,观察组给予心功能等级化干预联合KTH整合式干预。采用视觉模拟评分法(VAS)比较2组患者干预前后的疼痛感受,采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后的睡眠质量,使用多导睡眠监测仪监测记录睡眠效率、总睡眠时间、快眼动睡眠时长。结果:干预后,观察组VAS评分、PSQI评分显著低于对照组,观察组心绞痛发作频率、心绞痛持续时间均显著低于对照组,观察组睡眠效率、总睡眠时间、快眼动睡眠时长各项参数显著高于对照组,差异均有统计学意义(均P<0.05)。结论:心绞痛患者接受心功能等级化干预联合KTH整合式干预可缓解病情发作,减轻睡眠障碍,提高主观睡眠质量。Objective:To investigate the value of graded cardiac function intervention combined with KTH integrated intervention in patients with angina pectoris.Methods:A total of 88 patients with angina pectoris admitted to the Department of Cardiology of the First Affiliated Hospital of Xiamen University from August 2022 to August 2023 were selected as the study objects and divided into control group and observation group according to random number table method,with 44 cases in each group.The control group was given routine nursing intervention,and the observation group was given graded cardiac function intervention combined with KTH integrated intervention.Visual analog scale(VAS)was used to compare the pain perception of the two groups before and after the intervention,Pittsburgh Sleep Quality Index(PSQI)was used to compare the sleep quality of the two groups before and after the intervention,and sleep efficiency,total sleep time and REM sleep duration were monitored and recorded by polysomnimetric sleep monitor.Results:After the intervention,VAS score and PSQI score in the observation group were significantly lower than those in the control group;the frequency of angina pectoris attack and duration of angina pectoris in the observation group were significantly lower than those in the control group;sleep efficiency,total sleep time and REM sleep duration in the observation group were significantly higher than those in the control group,with statistical significance(P<0.05).Conclusion:Patients with angina pectoris who receive graded intervention of heart function combined with KTH integrated intervention can alleviate the onset of the disease,reduce sleep disorders and improve the subjective sleep quality.

关 键 词：心绞痛 心功能等级化干预 KTH整合式干预 病情发作 睡眠障碍 睡眠质量 多导睡眠监测 失眠 

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