心内科住院患者睡眠质量分析与护理干预.docVIP

心内科住院患者睡眠质量分析与护理干预 龚雪梅 (四川医科大学附属医院介入医学部 四川泸州646000) 目的对心内科住院患者睡眠质量及护理干预效果进行分析。方法 选取我院心内科住院患者50例，采用访谈式问卷调查来了解患者的睡眠质量， 并对其记录。问卷包括患者睡觉时间、入睡所需的时间、半夜醒来的次数、再次 睡着需要的时间、早晨醒来的时间等。根据调查结果分析其影响因素。并对患者 给予护理干预，一星期后，对比患者干预前后的睡眠效果。结果主要受疾病、 心理、环境等因素的影响，导致患者出现入睡困难、半夜醒来次数多、再入睡困 难、早醒等不良现象。及时给予护理干预后，不良现象得到改善。结论影响心 理内科患者睡眠质量的主要因素为疾病和心理等，给予干预护理可以改善患者的 睡眠质量，有利于患者早日康复。 关键词 心内科；睡眠质量；护理干预 R473.5 A 1007-8231 (2015) 07-0027-02 [Abstract] Objective Sleep quality and the effect of nursing intervention in patients with heart medicine in hospital were analysed. Methods To choose our heart hospitalized patients with 50 cases, adopts in terview, questi onn aire survey to understand the patients quality of sleep, and its records. Questionnaire including patients sleep time, sleep, wake up in the middle of The Times, the time needed for sleep again need time, time to wake up in the morning. According to the survey to an a lyze its in flue ncing factors. And give nursing interve ntion on the patients, after a week, compared with patients before and after the intervention effect of sleep. Results The main affected by disease, psychological and environment factors, such as, lead to difficulty sleeping, and wake up in the middle of the number of patients, then trouble falling asleep, early awakening and other bad phenomenon. Gives promptly after nursing intervention, improve bad phenomenon. Conclusion The main factors in flue ncing the psychological medical patie nts sleep quality, such as disease and psychological intervention nursing care can improve patients quality of sleep, is beneficial to patients recover at an early date. Key words] Heart medicine; Sleep quality; Nursing intervention 唾眠质量的好坏直接影响着患者的治疗效果，在心内科体现的尤为重要⑴。 心内科患者老年病人较多，由于患者对自身病情、临床疗效等一系列事情的担忧, 严重影响患者的睡眠质量。睡眠不足可能会导致患者出现血压上升、心跳呼吸加 快及心、肺、脑血流增加等一系列临床症状[2],从而进一步加重患者的病情， 影响治疗效果，同吋影响对患者的身心健康。本文分析了解影响患者唾眠的因素, 并对患者进行护理进行探究。现报告如下 1 ?资料与方法 1.1 一般资料 随机选取我院2013年4月?10月心内科住院患者50例，其中28例冠心病 患者、18例高血压患者、4例慢性病心力衰竭患者。男性24例，女性26例，年 龄55?75岁，平均年龄(