基于MPNFS模式的综合护理对心力衰竭合并失眠患者睡眠结构、日间疲劳及情绪障碍的影响  

Effects of comprehensive nursing based on MPNFS model on sleep structure, daytime fatigue and emotional disorders in patients with heart failure and insomnia

作　　者：刘敏娟 姜燕 LIU Minjuan;JIANG Yan(No.215 Hospital of Shaanxi Nuclear Industry,Xianyang 712000,China)

机构地区：[1]陕西省核工业二一五医院,陕西咸阳712000

出　　处：《临床医学研究与实践》2025年第6期146-149,共4页Clinical Research and Practice

摘　　要：目的 探讨基于MPNFS模式的综合护理对心力衰竭合并失眠患者睡眠结构、日间疲劳及情绪障碍的影响。方法 选取2021年1月至2022年1月我院收治的82例心力衰竭合并失眠患者作为研究对象,将其随机分为对照组和观察组,各41例。对照组采用常规综合护理,观察组采用基于MPNFS模式的综合护理。比较两组的心功能指标、睡眠情况、日间疲劳情况、情绪障碍及生活质量。结果 干预后,观察组的左心室射血分数、心脏指数及每搏心输出量高于对照组(P<0.05)。干预后,观察组的匹兹堡睡眠质量指数(PSQI)各维度评分低于对照组(P<0.05)。干预后,观察组的躯体疲劳、脑力疲劳评分低于对照组(P<0.05)。干预后,观察组的抑郁自评量表(SDS)、焦虑自评量表(SAS)评分低于对照组(P<0.05)。干预后,观察组的心理领域、社会关系、生理领域、环境领域评分高于对照组(P<0.05)。结论 基于MPNFS模式的综合护理可改善心力衰竭合并失眠患者的心功能及睡眠情况,缓解日间疲劳,减轻不良情绪,提升生活质量。Objective To explore the effects of comprehensive nursing based on MPNFS model on sleep structure,daytime fatigue and emotional disorders in patients with heart failure and insomnia.Methods A total of 82 patients with heart failure and insomnia admitted in our hospital from January 2021 to January 2022 were selected as the research objects and randomly divided into control group and observation group,with 41 cases in each group.The control group was given routine comprehensive nursing,while the observation group was given comprehensive nursing based on MPNFS model.The cardiac function indexes,sleep status,daytime fatigue,emotional disorders and quality of life were compared between the two groups.Results After intervention,the left ventricular ejection fraction,cardiac index and stroke volume in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of each dimension of Pittsburgh Sleep Quality Index(PSQI)in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of physical fatigue and mental fatigue in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of Self-Rating Depression Scale(SDS)and Self-Rating Anxiety Scale(SAS)in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of psychological field,social relationship,physiological field and environmental field in the observation group were higher than those in the control group(P<0.05).Conclusion Comprehensive nursing based on MPNFS model can improve the cardiac function and sleep status of patients with heart failure and insomnia,relieve daytime fatigue,reduce bad mood and improve the quality of life.

关 键 词：MPNFS模式 综合护理 睡眠结构 日间疲劳 

分 类 号：R473[医药卫生—护理学]