脑卒中后睡眠呼吸暂停低通气综合征的预防及护理干预

Zhongxiyi Jiehe Huli (Zhong-Yingwen Ban)

张慧萍¹ 

关键词: 护理干预;    脑卒中;    睡眠呼吸暂停低通气综合征;    焦虑;    抑郁;    睡眠质量;   

DOI  :  10.11997/nitcwm.2017010020

学科分类：护理学

来源: Shanghai Jiao Tong University Press

【 摘 要 】

Abstract：Objective To investigate the targeted nursing in prevention of sleep apnea-hypopnea syndrome(SAHS)in patients with cerebral apoplexy. Methods 〓Totally 78 patients with cerebral apoplexy were assigned to the observation group and the control group, with 39 cases in each group. Both two groups received comprehensive treatment and routine care, and the targeted nursing intervention in prevention of SAHS was performed in the observation group. The incidence of SAHS, maximum duration of apnea, mental status and sleeping quality of patients were observed and compared between two groups. Results 〓Patients in both two groups had a higher minimal oxyhemoglobin saturation and shorter maximum duration of apnea after treatment, and patients in the observation group had a better outcome in minimal oxyhemoglobin saturation and maximum duration of apnea(P<0.05). The incidence of SAHS was 30.77% in the observation group and was 64.10% in the control group(P<0.05). Patients in the observation group achieved a lower score in Pittsburgh Sleep Quality Index scale(PSQI), the Epworth Sleeping Scale(ESS), self-rating anxiety scale(SAS)and self-rating depression scale(SDS), with significant difference(P<0.05). Conclusion 〓Application of targeted nursing intervention may improve sleeping quality and mental status of patients after cerebral apoplexy, and reduce the risk of sleep apnea-hypopnea syndrome.

【 授权许可】

CC BY-NC