阻塞性睡眠呼吸暂停低通气综合征患者日间嗜睡相关影响因素分析及护理对策  

Analysis of influencing factors related to excessive daytime sleepiness in patients with obstructive sleep apnea-hypoventilation syndrome and related nursing countermeasures

作　　者：王倩 赵丽亭 邱秀敏 徐阳 吴美 WANG Qian;ZHAO Liting;QIU Xiumin;XU Yang;WU Mei(Department of Otolaryngology of Huadong Hospital Affiliated to Fudan University,Shanghai 200040,China)

机构地区：[1]复旦大学附属华东医院耳鼻咽喉科,上海200040

出　　处：《上海医药》2024年第22期14-17,62,共5页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的:探讨阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea-hypopnea syndrome,OSAHS)患者日间嗜睡相关影响因素及护理对策。方法:选取2023年3月至2024年3月华东医院耳鼻咽喉科住院部收治的OSAHS患者96例,根据Epworth嗜睡量表评分将患者分为非嗜睡组和嗜睡组。采用一般资料调查问卷、匹兹堡睡眠质量指数量表(PSQI)等工具进行两组间比较分析及二元logistic回归分析影响OSASH患者日间嗜睡的相关因素。结果:96例患者中56例有不同程度的嗜睡现象,占58.3%。两组间吸烟史、饮酒史、体质量指数(BMI)、呼吸暂停低通气指数(AHI)、夜间最低血氧饱和度(LSaO_(2))、夜间最高血氧饱和度(MSaO_(2))和PSQI评分等因素差异有统计学意义(P<0.05),二元logistic回归分析显示BMI、AHI、LSaO_(2)和PSQI评分是主要影响因素。结论:BMI、AHI、LSaO_(2)和睡眠质量是影响OSASH患者日间嗜睡的主要因素,护理人员需针对各因素予以相对应的护理对策,通过改善患者饮食、运动及睡眠质量以减轻患者日间嗜睡程度。Objective:To explore the influencing factors related to excessive daytime sleepiness(EDS)in patients with obstructive sleep apnea-hypoventilation syndrome(OSAHS)and related nursing countermeasures.Methods:Ninety-six OSAHS patients admitted to the Department of Otolaryngology of Huadong Hospital from March 2023 to March 2024 were selected,and were divided into the non-drowsiness group and the drowsiness group according to the Epworth drowsiness scale.The tools such as general information questionnaires,Pittsburgh sleep quality index(PSQI)scale and others were used for comparative analyses between the two groups and binary logistic regression analyzed the related factors affecting drowsiness in OSASH patients.Results:Fifty-six of the 96 patients had varying degrees of drowsiness phenomenon,accounting for 58.3%.The differences were statistically significant in smoking history,drinking history,BMI,AHI,LSaO_(2),MSaO_(2),PSQI and other factors between the two groups(P<0.05),and binary logistic regression analysis showed that BMI,AHI,LSaO_(2)and PSQI scores were the main influence factors.Conclusion:BMI,AHI,LSaO_(2)and sleeping quality are the main factors affecting EDS of OSASH patients,nurses need to take corresponding nursing countermeasures for each factor,and the degree of EDS is reduced through improving patients’diet,exercise and sleep quality.

关 键 词：阻塞性睡眠呼吸暂停低通气综合征 日间嗜睡 影响因素 护理对策 

分 类 号：R563.9[医药卫生—呼吸系统]