缩唇腹式呼吸训练联合睡眠干预对慢阻肺患者睡眠质量的影响

A Study on the Improvement of Sleep Quality in Patients with Chronic Obstructive Pulmonary Disease by Combining Lip and Abdominal Breathing Training with Sleep Intervention

陈碧真 ¹黄春梅²

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作者信息

1. 厦门大学附属第一医院思明分院,厦门,361001
2. 厦门市中医院,厦门,361009
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摘要

目的:探究对慢阻肺患者护理时开展缩唇腹式呼吸训练联合睡眠护理对患者睡眠质量改善的作用.方法:选取2023年1月至2023年12月厦门大学附属第一医院思明分院收治的慢阻肺患者76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38例.对照组采用常规护理支持,观察组采用缩唇腹式呼吸训练联合睡眠护理.针对患者睡眠质量、肺功能以及生命质量改善情况对比.结果:对比患者睡眠质量,护理前匹兹堡睡眠质量指数(PSQI)量表各维度评分无差异,护理后观察组评分低于对照组,差异有统计学意义(P＜0.05).针对患者在恢复期间生命质量对比,观察组高于对照组,差异有统计学意义(P＜0.05).针对患者血氧饱和度以及每日排痰量对比,护理前无差异,护理后观察组较对照组高,差异有统计学意义(P＜0.05).针对2组总睡眠时间、觉醒时间统计,护理后观察组总睡眠时间长于对照组,觉醒时间低于对照组,差异有统计学意义(P＜0.05).结论:对慢阻肺患者护理时开展缩唇腹式呼吸训练联合睡眠护理,可以提升患者睡眠质量以及生命质量,促进排痰,提升血氧饱和度水平,有助于患者恢复.

Abstract

Objective:To explore the effect of lip and abdominal breathing training combined with sleep care on improving sleep quality in patients with chronic obstructive pulmonary disease(COPD).Methods:From January 2023 to December 2023,76 pa-tients with chronic obstructive pulmonary disease(COPD)in our hospital were selected as the subjects.They were randomly ranked from 0 to 76 using a numerical table.Odd sequences were selected for routine nursing support(control group),while even sequences were used for lip and abdominal breathing training combined with sleep care(observation group).Comparison of im-provements in sleep quality,lung function,and quality of life for patients.Results:Regarding the comparison ofthe sleep quality of patients,there was no difference in the scores of each dimension of the PSQI scale before nursing,and the scores of the observation group were lower than those of the control group after nursing(P＜0.05).Regarding the comparison of the quality of life of pa-tients during the recovery period,the observation group was higher than the control group(P＜0.05).Regarding the comparison of patient blood oxygen saturation and daily sputum output,there was no difference before nursing,but after nursing,the observation group was higher than the control group(P＜0.05).According to the statistics of total sleep time and awakening time for the two groups,the observation group had a longer total sleep time and a lower awakening time than the control group after nursing(P＜0.05).Conclusion:Carrying out lip and abdominal breathing training combined with machine sleep care in the care of patients with chronic obstructive pulmonary disease can improve their sleep quality and quality of life,promote sputum excretion,increase blood oxygen saturation levels,and help patients recover.

关键词

缩唇腹式呼吸训练/机械振动排痰/慢阻肺/睡眠质量/睡眠护理/生命质量/睡眠时间/觉醒时间

Key words

Lip and abdominal breathing training/Mechanical vibration sputum expulsion/Chronic obstructive pulmonary dis-ease/Sleep quality/Sleep care/Quality of life/Sleep time/Awakening time

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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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