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1、心内科住院患者睡眠质量分析与护理干预体会哈尔滨市第二社会福利院黑龙江哈尔滨150059【摘要】目的：了解心内科老年住院病人睡眠质量，分析睡眠障碍原因，探讨改善睡眠障碍的有效措施。方法：对我院2015年5月一2015年12月心内科98例住院睡眠障碍患者采取问卷调查及深入访谈相结合的方法进行调查，找出心内科患者睡眠障碍的原因；随后，将98例患者随机分为两组，对照组实行常规护理，干预组实行有针对性的护理，7d后对两组患者睡眠障碍进行测评。结果：心内科住院老年病人睡眠障碍症状主要为早醒(40.2%)、入睡困难(35.1%)、夜醒、醒后入睡困难等。主要原因依
2、次为疾病因素、心理因素、环境因素、其他因素。通过有针对性的护理干预后，干预组患者睡眠障碍改善明显，干预组好于对照组，表明护理干预可有效改善患者的睡眠质量。结论：心内科患者睡眠质量较差，通过其实施合理的睡眠护理干预，能明显改善睡眠，有利于患者康复。【关键词】心内科；睡眠质量；护理干预CardiologyinpatientsleepqualityanalysisandnursinginterventionExperience【Abstract】Objective:Cardiologyelderlypatientssleepquality,sleepdi
3、sordersanalyzethereasons,investigateeffectivemeasurestoimprovesleepdisorders.Methods:ThehospitalinMay2015-December2015DepartmentofCardiology,108casesofhospitalizedpatientstotakesleepdisordersquestionnaireandin-depthinterviewswithacombinationofmethodstoinvestigatetofindoutwhyCa
4、rdiologysleepdisorders;then,108patientspatientswererandomlydividedintotwogroups,theimplementationofroutinecaregroup,theinterventiongrouppracticeofnursing,7daftertwogroupsofpatientswithsleepdisordersevaluation.Results:Cardiologyhospitalizedelderlypatientswithsleepdisordersympto
5、msincludedwaking(40.2%),difficultyfallingasleep(35.1%),nightwaking,wakeupafterfallingasleepdifficulties.Themainreasonwerediseasefactors,psychologicalfactors,environmentalfactors,otherfactors.Carethroughtargetedintervention,thereisawidegapbetweenthetwogroups(P<0.05),sleepdis
6、ordersintheinterventiongroupimprovedsignificantlyintheinterventiongroupthanthecontrolgroup,suggestingthatnursinginterventionscanbeeffectiveinimprovingsleepqualityofpatients.Conclusion:ThepoorqualityofsleepinpatientswithCardiology,throughitsimplementationreasonablesleepnursingi
7、nterventioncansignificantlyimprovesleep,itisconducivetotherehabilitationofpatients.【Keywords】Cardiology;sleepquality;nursinginterventions【中图分类号】R473.5【文献标识码】A【文章编号】2096-0867(2016)13-137-02睡眠是恢复及储存体力的重要过程，虽然睡眠障碍不会直接威胁生命,却可造成焦虑、激动、情绪不稳、烦躁不安、精神疲乏，影响患者病情恢复。心内科住院患者多为老年患者，由于环境的改变、噪声
8、、疾病本身及担忧焦虑等原因导致失眠，失眠可引起心跳呼吸加快、血压上升、心肺脑血流增加，导致心绞痛、心力衰竭、高血压、心律失
