谵妄预测模型的风险分级预防干预对慢性阻塞性肺疾病患者睡眠的影响  

The Impact of Risk-graded Prevention Intervention on Sleep in Patients with Chronic Obstructive Pulmonary Disease under the Framework of Delirium Prediction Model

作　　者：杨国梅 黄彩滨 YANG Guomei;HUANG Caibin(Department of Pulmonary Medicine,Xinglin Branch,The First Affiliated Hospital of Xiamen University,Xiamen 361000,China)

机构地区：[1]福建厦门大学附属第一医院杏林分院肺科,厦门361000

出　　处：《世界睡眠医学杂志》2024年第11期2622-2624,共3页World Journal of Sleep Medicine

摘　　要：目的:分析慢性阻塞性肺疾病急性加重期(AECOPD)患者开展谵妄预测模型(PRE-DELIRIC)的风险分级预防干预的价值。方法:择取2022年10月至2023年10月厦门大学附属第一医院杏林分院收治的AECOPD患者88例作为研究对象,按照随机数字表法随机分为对照组和观察组,每组44例。对照组给予常规护理,观察组给予PRE-DELIRIC框架的风险分级预防干预。评价2组多导睡眠监测、主观睡眠质量评分、谵妄情况。结果:相较对照组,观察组干预后总睡眠时间、睡眠效率均提高(P<0.05);观察组干预后理查兹-坎贝尔睡眠量表(RCSQ)各维度得分均提高(P<0.05);观察组谵妄发生率、谵妄持续时间均降低(P<0.05)。结论:AECOPD患者开展PRE-DELIRIC框架下的风险分级预防干预对睡眠质量有显著改善,且能够减少谵妄发生。Objective:To analyze the value of implementing a delirium prediction model(PRE-DELIRIC)based on risk graded preventive interventions in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods:A total of 88 patients with AECOPD who were admitted to Xiamen University Affiliated First Hospital from October 2022 to October 2023 were selected as research subjects.They were divided into 2 groups according to random number table method,namely control group(n=44,conventional care)and observation group(n=44,PRE-DELIRIC framework risk classification prevention intervention).Polysomnography,subjective sleep quality score and delirium status were evaluated in the two groups.Results:Compared to the control group,the total sleep time and sleep efficiency of the observation group increased after intervention(P<0.05).The scores of Richards-Campbell Sleep Questionnaire(RCSQ)increased in the observation group after intervention(P<0.05).The incidence and duration of delirium in the observation group decreased(P<0.05).Conclusion:In patients with AECOPD,a risk-graded preventive intervention under the PRE-DELIRIC framework can significantly improve sleep quality and reduce delirium.

关 键 词：慢性阻塞性肺疾病 急性加重期 谵妄预测模型 风险分级预防护理 多导睡眠监测参数 睡眠质量 睡眠障碍 主观睡眠质量评分 

分 类 号：R56[医药卫生—呼吸系统] R338.63[医药卫生—内科学]