心理护理干预在急性心肌梗死患者睡眠状况改善中的应用.docxVIP

心理护理干预在急性心肌梗死患者睡眠状况改善中的应用 孙群(山东省临沂市费县人民医院273400) 【摘要】目的探讨心理护理干预对急性心肌梗死病人睡眠质量的影响，为改 善患者的睡眠质量提供科学依据。方法 将96例首次发牛急性心肌梗死的患者随 机分为干预组和对照组，各48例，对照组给予常规护理，干预组在常规护理基 础上进行心理护理干预，观察两组的临床效果。结果干预组和对照组在性别、 年龄、文化程度、职业等方面比较，差异无统计学意义(Pgt;0. 05)。与常模比 较，PSQI总分及各项评分的差异有统计学意义(Plt;0.05)o干预后睡眠质量明 显提高。结论有效的心理护理干预对改善急性心肌梗死患者的睡眠障碍具有积 极的作用。 【关键词】心理护理 急性心肌梗死 睡眠状况 【中图分类号】R471 【文献标识码】A 【文章编号】1672-5085 (2014) 26-0021-02 Psychological Nursing Intervention on the Patients with Dyssomnia of Acute Myocardial In fa ret i on [Abstract ] Objective To investigate the role of nursing intervention on the patients with dyssom nia of acute myocardial in fa ret i on (AMI) . Methods Nin ety-six cases of AMI associated with dyssomnia were randomly divided into intervention group and control group equally? In the control group, the patients received the routine nursing care . In the intervention group, sleeping intervention plans were laid and the patie ntswere subject to the men tai interve ntions. Results The sleepi ng guaiity in the in tervention group was significa ntiy better tha n in the control group (P lt; 0.05) ? The average hospitai stay in the intervention group was shortened as compared with that in the controi group (P lt; 0.01) . The exceiient rate of sieep guaiity in the intervertion group was obviously higher than in the controi group (P lt; 0.01) ? The effective rate of the intervention measures was up to 90.3 % . Conclusion Effective nursing intervention can significantly improve sleep disturbance in patients with AMI. 【Key words］ acute myocardial infarction dyssomnia nursing intervention 唾眠是影响人类精神及躯体健康的一种重要的生理现象，是人类生存必需的 重要过程，睡眠的好坏与人的身心健康和生活质量密切相关，维持正常的快慢波 唾眠对恢复疲劳、机体的精神与体力意义重大⑴。良好的睡眠有助于患者身心 恢复,减轻心肌的耗氧量;唾眠障碍则直接或间接影响患者免疫功能及康复质量, 其至使病情反复。李映兰等⑵研究表明，每天睡眠吋间为5 h或更少者，其突发 心脏病的几率可比正常唾眠的人多1?2倍。 急性心肌梗死(AMI)是在冠状动脉病变的基础上，发生冠状动脉血供急剧减少 或中断，导致相应心肌因严重持久缺血而造成的部分心肌急性坏死［3］。身患急 性心肌梗死的患者常常伴有焦虑、抑郁、烦躁等负面情绪，由于焦虑、恐惧、烦 躁等因素的影响，其唾眠障碍发生率远高于一般病人⑷，从而严重影响治疗效 果，其至增加并发症发生率及病死率。因此，充足有效的唾眠对于急性心肌梗死 患者的康复及预防并发症具有重要意义。 唾眠障碍的出现往往影响急性