阻塞性睡眠呼吸暂停低通气综合征患者家属参与健康-中国护理管理.PDF

实践探索 Practice and Exploration 阻塞性睡眠呼吸暂停低通气综合征患者 家属参与健康教育的实践与效果 王凌娟 吕静霞 刘鹏 [ 摘 要] 目的：探讨家属参与健康教育在阻塞性睡眠呼吸暂停低通气综合征（OSAHS）患者管理中的应用效果。方法：将 100 例OSAHS患者按入院顺序分为对照组与试验组，对照组使用常规健康教育方法，对患者进行入院宣教、出院指导及随访等； 试验组在此基础上，采取家属参与健康教育的模式。干预时间 6 个月，观察两组患者干预前及干预6 个月后的呼吸暂停低通气 指数（AHI）、最低血氧饱和度 (SPO )及白天Epworth 嗜睡评分（ESS）。结果：干预后，试验组患者的AHI及ESS 低于对照组， 2 SPO 高于对照组，差异有统计学意义（P0.05）；试验组患者的自护行为能力评分高于对照组，差异有统计学意义（P0.01）。结论： 2 家属参与健康教育更有利于 OSAHS患者症状及相关指标的改善，对患者自护行为能力提高有明显的促进作用，但在实施中要有 针对性，注重患者及其家属的个体化需求。 [ 关键词 ] OSAHS；健康教育；家属参与 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2013.02.031 Application of family members to participate in health education for the patients with OSAHS / WANG Ling-juan, LYU Jing-xia, LIU Peng // The Fifth Ward, Qingzhou Invalides Hospital,Shandong provenice,262500 China /// Chinese Nursing Management- 2013,13(2): 98-101 [Abstract] Objective: To investigate the management effects of health education including families participation in patients who have obstructive sleep apnea pause and hypopnea syndrome (OSAHS). Methods: A total of 100 OSAHS patients were randomly divided into the control group and the experimental group. The control group used conventional education methods including patients admission, discharge instructions and follow-up. Experimental group involved family members to participate in the health education. The apnea-hypopnea index (AHI), lowest oxygen saturation (SPO2) and daytime Epworth sleepiness score (ESS) were observed before and after six months intervention. Results: AHI and ESS in the experimental group were lower than the control group, while SPO2 is higher, the difference was statistically significant (P0.05); the socre of self-care capacity in experimental group patients was higher than the control group, the difference was statistically significant (P