分析医护一体化护理对病毒性肺炎合并呼吸衰竭患者睡眠质量的影响
Analysis of the Impact of Integrated Medical and Nursing Care on Sleep Quality in Patients with Viral Pneumonia Complicated with Respiratory Failure
李雪婷 1陈慧莉 1张秀燕 1陈桂贞 1杨萍丽 1陈思如1
作者信息
- 1. 福建医科大学附属泉州第一医院,泉州,362000
- 折叠
摘要
目的:分析医护一体化护理对病毒性肺炎合并呼吸衰竭患者睡眠质量的影响.方法:选取2022年3月至2023年3月福建医科大学附属泉州第一医院收治的病毒性肺炎合并呼吸衰竭患者67例作为研究对象,按照随机数字表法分为对照组(n=33)和观察组(n=34),2组均给予对症治疗,对照组给予常规护理模式干预,观察组给予医护一体化模式干预.采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的差异;在护理前1 d、护理10 d后测定患者的睡眠参数,应用睡眠监测仪测定睡眠时长、睡眠潜伏期、觉醒时间以及睡眠效率;在入院后1 d、护理10 d后通过肺功能检测仪测定患者的第1秒用力呼吸容积(FEV1)、用力肺活量(FVC)及第1秒用力呼吸容积和肺活量比值(FEV1/FVC).结果:干预后,2组患者的肺功能指标FEV,、FVC及FEV1/FVC均有改善,且观察组显著高于对照组,差异有统计学意义(P＜0.05);观察组睡眠时长、睡眠效率显著高于对照组,觉醒时间显著短于对照组,差异有统计学意义(P＜0.05);干预后,观察组PSQI评分显著低于对照组,差异有统计学意义(P＜0.05).结论:在病毒性肺炎合并呼吸衰竭患者临床治疗中配合医护一体化护理,可促进病情转归,改善患者睡眠质量.
Abstract
Objective:To analyze the impact of integrated medical and nursing care on the sleep quality of patients with viral pneumonia complicated with respiratory failure.Methods:A total of 67 patients with viral pneumonia complicated with respiratory failure admitted to Quanzhou First Hospital Affiliated with Fujian Medical University from March 2022 to March 2023 were select-ed as the study subjects.Using a random number table method,they were randomly divided into a control group(n=33)and an observation group(n=34).Both groups received symptomatic treatment.The control group received routine nursing intervention,while the observation group received integrated medical and nursing intervention.Compare the differences in sleep quality between two groups of patients using the Pittsburgh Sleep Quality Index(PSQI).Measure the patient's sleep parameters 1 day before and 10 days after nursing,and use a sleep detector to measure sleep duration,sleep latency,wakefulness time,and sleep efficien-cy.After 1 day of admission and 10 days of nursing care,the patient's first-second forced respiratory volume(FEV1),forced vital capacity(FVC),and the ratio of forced respiratory volume to vital capacity(FEV1/FVC)were measured using a lung function de-tector.Results:After the intervention,the lung function indicators FEV1,FVC,and FEV1/FVC of both groups of patients im-proved,and the observation group was significantly higher than the control group.The difference between the two groups was statis-tically significant(P＜0.05).The observation group had significantly longer sleep duration and efficiency than the control group,while the awakening time was significantly shorter than the control group.The difference between the two groups was statistically significant(P＜0.05).After intervention,the PSQI score of the observation group was significantly lower than that of the control group,and the difference between the two groups was statistically significant(P＜0.05).Conclusion:In the clinical treatment of patients with viral hepatitis combined with respiratory failure,integrating medical and nursing care can promote disease progression and improve patient sleep quality.
关键词
医护一体化/护理/病毒性肺炎/呼吸衰竭/睡眠时长/睡眠潜伏期/觉醒时间/睡眠效率Key words
Integrated medical care/Nursing/viral pneumonia Respiratory failure/Sleep duration/Sleep latency/Awakening time/Sleep efficiency引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据