特殊护理干预对老年肺源性心脏病患者睡眠质量影响.docVIP

特殊护理干预对老年肺源性心脏病患者睡眠质量影响 　　[摘要]目的 探讨特殊护理干预对老年肺源性心脏病患者睡眠质量的影响。方法 选择2014年1月～2015年12月在我院获得明确诊断的老年肺心病患者96例，采用随机数字表法将其分为对照组和观察组，每组48例。对照组实施常规护理，观察组实施特殊护理干预，比较两组的护理效果。结果 观察组患者睡眠质量评分显著低于对照组（P0.05）。观察组患者治疗优良率显著高于对照组（P0.05）。结论 对老年肺心病患者实施特殊护理干预，可改善其睡眠质量，提高治疗效果。 　　[关键词]老年肺心病；特殊护理干预；睡眠质量；临床疗效；影响 　　[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721（2018）1（c）-0183-03 　　Influence of special nursing intervention on sleep quality in elderly patients with pulmonary heart disease 　　PENG Chun-ling 　　Department of Respiratory，Ganzhou Municipal Hospital in Jiangxi Province，Ganzhou 341000，China 　　[Abstract]Objective To explore the influence of special nursing intervention on the sleep quality of elderly patients with pulmonary heart disease.Methods 96 cases of elderly patients with pulmonary heart disease who were cleary diagnosed in our hospital from January 2014 to December 2015 were selected.They were divided into control group and observation group by random number table method，with 48 cases in each group.In the control group，routine nursing was carried out，and special nursing intervention was performed in the observation group.The nursing effects of the two groups was compared.Results The sleep quality score of the observation group was significantly lower than that of the control group（P0.05）.The optimal rate of treatment in the observation group was significantly higher than that in the control group（P0.05）.Conclusion Special nursing intervention can be achieved in elderly patients with pulmonary heart disease，which can improve the quality of sleep and improve the therapeutic effect. 　　[Key words]Senile pulmonary heart disease；Special nursing intervention；Sleep quality；Clinical effect； Influence 　　老年肺源性心脏病（肺心病）患者的病情变化与心肌细胞功能、有效循环容积、外周血管阻力、肺部微血管阻力、肺毛细血管渗漏等血流动力学改变存在密切的联系。在临床治疗中，不但需要对其开展常规治疗、护理，同时还需提高睡眠质量，这对于降低肺循环阻力、肺动脉高压等，改善患者心肌供血能力，增加氧供应，进而在一定程度上缓解临床症状均具有重要意义[1-2]。本次研究中，出于探讨特殊护理干预对老年肺心病患者睡眠的影响的目的，对老年肺心病患者进行分组护理并对比护理效果，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　选择2014年1月～2015年12月在我院获得明确诊断的96例老