分析营养支持疗法改善阿尔茨海默病伴营养风险患者睡眠质量的效果

Analysis of the Effect of Nutritional Support Therapy on Improving Sleep Quality in Elderly Dementia Patients with Nutritional Risk

徐锦帆¹

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作者信息

1. 福清市第八医院,福清,350300
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摘要

目的:分析营养支持疗法改善阿尔茨海默病伴营养风险患者睡眠质量的效果.方法:选取2022年5月至2023年5月福清市第八医院精神科收治的阿尔茨海默病伴营养风险患者80例作为研究对象,按照随机数字表法分为对照组和观察组,每组40例.对照组给予常规护理干预,观察组给予营养支持治疗干预.治疗后通过NRS 2002评分筛查患者营养状况,采用自制睡眠质量量表比较2组患者干预前后的睡眠状态,包括半夜睡眠时间、半夜醒转次数、全夜睡眠时间、全夜醒转次数,并收集比较患者午睡时间、睡眠时间及睡眠效率、睡眠维持率.结果:干预后,观察组患者营养风险发生率显著低于对照组,观察组半夜、全夜睡眠时间显著长于对照组,半夜、全夜醒转次数显著低于对照组,观察组午睡时间、睡眠时间、睡眠效率、睡眠维持率显著高于对照组,差异均有统计学意义(均P＜0.05).结论:应用营养支持治疗可有效改善阿尔茨海默病伴营养风险患者的睡眠及生命质量,保证患者的营养需求,减少营养不良的发生风险,使得治疗效果得到显著优化和提升,值得临床推广应用.

Abstract

Objective:To analyze the effect of nutritional support therapy on improving sleep quality in elderly dementia patients with nutritional risk.Methods:A total of 80 elderly dementia patients with nutritional risk admitted to the Department of Psychia-try of Fuqing Eighth Hospital from May 2022 to May 2023 were selected as the research subjects.The effect of nutritional support therapy on improving sleep quality of elderly dementia patients with nutritional risk was analyzed.The control group received rou-tine nursing intervention,while the observation group received nutritional support therapy intervention.After treatment,the nutri-tional status of patients was screened through the NRS 2002 score.A self-made sleep quality scale was used to compare the sleep status of two groups of patients before and after intervention,including midnight sleep time,midnight wake-up frequency,all night sleep time,and all night wake-up frequency.The nap time,sleep time,sleep efficiency,and sleep maintenance rate of patients were collected and compared.Results:After intervention,the incidence of nutritional risk in the observation group was significant-ly lower than that in the control group.The observation group had significantly longer sleep time at midnight and all night,and the number of awakenings at midnight and all night was significantly lower than that in the control group.The observation group had significantly higher nap time,sleep time,sleep efficiency,and sleep maintenance rate than the control group.The differences be-tween the two groups were statistically significant(P＜0.05).Conclusion:The application of nutritional support therapy can ef-fectively improve the sleep and quality of life of elderly dementia patients with nutritional risk,ensure their nutritional needs,re-duce the risk of malnutrition,and significantly optimize and enhance the treatment effect.It is worth promoting and applying in clinical practice.

关键词

阿尔茨海默病/老年人/营养风险/营养支持疗法/睡眠状态/睡眠质量/营养风险筛查

Key words

Senile dementia/Elderly people/Nutritional risks/Nutritional support therapy/Sleep state/Sleep quality/Nutri-tion risk screening

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出版年

2024

世界睡眠医学杂志

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参考文献量20

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