护理学本科论文-心血管疾病失眠患者的护理干预.doc

毕业设计 *** 题 目: 心血管疾病失眠患者的护理干预 目 录 绪论 …………………………………………………………… 3 正文主体 …………………………………………………………3-7 结论 …………………………………………………………7 致谢 …………………………………………………………8 主要参考文献 …………………………………………………9 心血管疾病失眠患者的护理干预 【摘 要】 目的　分析心血管病患者的失眠原因和护理干预措施。方法　回顾我科2013 年 3 月 - 12月收治的97例心血管病住院失眠患者的临床资料，采用病史询问及巡房的方式对影响因素进行调查，并对所有失眠患者采取干预护理措施，结果　97例心血管病住院患者失眠的原因主要包括入睡困难、早醒、夜醒等，所有失眠患者经过一系列的干预护理后，发生睡眠障碍的患者也较护理前有所减少，存在心血管疾病的患者睡眠质量普遍较差，对患者实施干预护理措施后，可以有效的帮助患者改善睡眠质量，提高疾病康复的几率,提高了老年人的生活质量,是一项很重要的临床护理工作,同时也是提高护士综合素质的标尺。 【关键词】 心血管疾病; 失眠; 护理 【Abstract】 Analysis of causes of insomnia and nursing intervention in patients with cardiovascular diseases objective. Methods in our department from 2013 March - December were treated 97 cases of cardiovascular disease in hospital insomnia in patients with clinical data, the history and the real investigation of influencing factors, and to all patients with insomnia take nursing intervention measures, the results of 97 cases of cardiovascular disease in hospital patients with insomnia mainly include difficulty sleeping, wake up early, night waking, all patients with insomnia after a series of nursing intervention, the prevalence of sleep disorders in patients with nursing before decreased, generally poor quality of sleep in patients with existing cardiovascular disease, intervention nursing measures for patients after the implementation, can effectively help patients improve sleep quality, improve chances of rehabilitation of the disease, the elderly quality of life, is a very important clinical nursing work, but also improve the overall quality of staff nurses. 【Key words】Cardiovascular disease; insomnia; nursing 绪 论 失眠是指无法入睡或无法保持睡眠状态，导致睡眠不足，又称入睡和维持睡眠障碍（DIMS），为各种原因引起入睡困难、 睡眠深度或频度过短、 早醒及睡眠时间不足或质量差等［1］。失眠是老年心血管疾病患者常见的睡眠障碍，能够加重心血管疾病患者的症状 [2]。心血管内科近年来住院患者中有不少由于环境的改变，噪声、疾病本身及焦虑等原因导致症状性失眠。有文献[3]报道，住院患者失眠的发生率高达64％。失眠可引起心跳呼吸加快、血压上升．心肺脑血流量增加导致心绞痛，心力衰竭、心律失常、高血压、脑出血、头痛、头昏、记忆力减退等心脑血管相关疾病的发生。了解老年心血管疾病患者的失眠原因可为采取针对性的护理干预措施提供依据。为此．本文通过对本院97例老年心血管疾病患者的临床资