基于循证构建慢性心力衰竭患者睡眠障碍管理方案  

Constructing an evidence-based management plan for sleep disorders in patients with heart chronic failure

作　　者：郭晓鑫 柳春霞 范玺 GUO Xiaoxin;LIU Chunxia;FAN Xi(Department of Cardiovascular Medicine,the Affiliated Wuxi People’s Hospital of Nanjing Medical University,Jiangsu,Wuxi 214000,China)

机构地区：[1]南京医科大学附属无锡人民医院心血管内科,江苏无锡214000

出　　处：《中国医药科学》2025年第3期145-149,共5页China Medicine And Pharmacy

基　　金：江苏省无锡市科技发展资金项目(N20192017);南京医科大学一般项目(NMUB20210343)。

摘　　要：目的 构建慢性心力衰竭患者睡眠障碍管理方案并评价其应用效果。方法 通过文献研究及专家会议法形成慢性心力衰竭患者睡眠障碍管理方案。选取2023年1—10月于无锡市人民医院确诊为CHF并伴有睡眠问题的住院患者作为研究对象。采用随机数表法分为试验组(40例)和对照组(40例)。试验组接受一套专门的睡眠障碍管理方案作为护理手段,而对照组则按照心内科的标准护理程序接受治疗。在出院前1天比较两组患者在住院期间出现不适症状的频率。同时,在出院前1天及出院后1个月比较两组患者在睡眠质量、睡眠时长以及焦虑和抑郁评分方面的差异。结果 两组睡眠质量、睡眠时长以及心理焦虑及抑郁指数比较,差异有统计学意义(P <0.05)。两组患者在院期间不适症状发生频次比较,差异无统计学意义(P> 0.05)。结论 针对睡眠问题的优化策略,其科学性与实用性兼备,能够显著增加患者的睡眠时长、提升睡眠品质,同时减轻患者的焦虑与抑郁情绪。Objective To construct sleep disorder management scheme for patients with chronic heart failure and evaluate its application effect.Methods A sleep disorder management scheme for patients with chronic heart failure was developed through literature research and expert meeting.From January to October 2023,Wuxi People’s Hospital admitted a total of 80 patients with chronic heart failure as study samples.These patients were randomly assigned to the experimental group(40 cases)and the control group(40 cases).The experimental group received a specific sleep disorder management protocol as a means of care,while the control group was treated according to standard cardiology care procedures.The day before the patients were due to be discharged,the researchers compared how often the two groups experienced symptoms of discomfort during their stay.At the same time,the researchers compared differences in sleep quality,sleep duration,and anxiety and depression scores between the two groups the day before and the first month after discharge.Results The sleep quality,sleep time and psychological anxiety and depression index of the two groups showed statistically significant differences(P<0.05).There was no statistically significant difference between the two groups in terms of the frequency of discomfort experienced during hospitalization(P>0.05).Conclusion The optimization strategy for sleep problems,which is both scientific and practical,can significantly increase patients'sleep duration,improve sleep quality,and reduce patients'anxiety and depression.

关 键 词：心力衰竭 睡眠障碍 睡眠质量 睡眠管理方案 

分 类 号：R473.5[医药卫生—护理学]