钦玲玲+陆华东

[摘要] 目的 观察阻塞性睡眠呼吸暂停低通气综合征行多导睡眠检测仪监测的舒适护理干预效果。 方法 选择2011年1月～2014年1月在我院治疗的阻塞性睡眠呼吸暂停低通 气综合征患者60例，随机分为对照组30例和干预组30例，对照组给予常规对症护理，干预组于监测前、监测中及监测后行舒适护理干预，比较两组的焦虑心理SAS评分、两组监测成功率及监测失败原因、两组护理工作满意度。 结果 监测结束后，干预组与对照组SAS评分分别较入院时显著降低，且干预组的SAS评分[（35.49±6.22）分]显著低于对照组（41.35±7.39）分，组间比较，差异均具有统计学意义（P<0.05）。干预组监测成功28例，监测失败2例，干预组监测成功率达93.3%（28/30）。对照组监测成功26例，监测失败4例，干预组监测成功率达86.7%（26/30），两组监测成功率比较，差异均具有统计学意义（P<0.05）。干预组的护理满意度达96.7%，显著高于对照组的护理满意度70.0%，组间比较，差异有统计学意义（P<0.05）。 结论 在阻塞性睡眠呼吸暂停低通气综合征行多导睡眠检测仪监测的过程中实施舒适护理干预，可以缓解患者的焦虑心理、提高监测成功率及护理满意度。

[关键词] 阻塞性睡眠呼吸暂停低通气综合征；多导睡眠检测仪；舒适护理；护理满意度

[中图分类号] R766 [文献标识码] B [文章编号] 1673-9701（2015）26-0147-04

The effect of comfort nursing intervention for obstructive sleep apnea hypopnea syndrome by multi-sleep monitoring

QIN Lingling LU Huadong

Department of Respiratory Internal Medicine， Huzhou City Central Hospital， Huzhou 313000， China

[Abstract] Objective To observe the effect of comfort nursing intervention for obstructive sleep apnea hypopnea syndrome by multi-sleep monitoring. Methods From January 2011 to January 2014 in our hospital，60 cases of patients with obstructive sleep apnea suspended low ventilation syndrome were randomly divided into the control group（n=30） and the intervention group（n=30）， the control group was given routine symptomatic care， the intervention group was performed on the comfortable nursing intervention，the anxiety scores of SAS，monitoring success rate and monitoring failure reason， nursing work satisfaction were compared between two groups. Results After monitoring， the scores of SAS in the intervention group and control group were significantly decreased and SAS scores in the intervention group were （35.49±6.22） ，were significantly lower than that of the control group （41.35±7.39）， the differences were statistically significant between two groups （P<0.05）. 28 cases made a success of monitoring in the intervention group 2 cases were failure， the success rate of the intervention group was 93.3%（28/30）. 26 cases made a success in the control group， 4 cases were failure， the monitoring success rate of control group reached 86.7%（26/30）， there were statistically significant differences between two groups （P<0.05）. The nursing satisfaction of the observation group was 96.7%，was significantly higher than the control groups nursing satisfaction 70%， the difference was statistically significant between two groups（P<0.05）. 28 cases made a success of monitoring in the intervention group， 2 cases were failure，the success rate of the intervention group was 93.3%（28/30）. 26 cases made a success in the control group， 4 cases were failure， the monitoring success rate of control group reached 86.7% （26/30）， there were statistically significant differences between two groups（P<0.05）. The nursing satisfaction of the observation group was 96.7%， was significantly higher than the control groups nursing satisfaction 70%， the difference was statistically significant between two groups （P<0.05）. Conclusion Comfortable nursing intervention for obstructive sleep apnea hypopnea syndrome by multichannel sleep monitoring instrument monitoring can alleviate the anxiety of patients， improve the success rate of monitoring and nursing satisfaction.

[Key words] Obstructive sleep apnea hypopnea syndrome； Multi guide sleep detector； Comfort nursing； Nursing satisfaction

阻塞性睡眠呼吸暂停低通气综合征（obstructive sleep apnea hypopnea syndrome，OSAHS）是以反复发作的夜间缺氧为特征的一种临床综合征，主要表现为睡眠时打鼾并伴有呼吸中断、低氧血症和睡眠结构紊乱，导致白天嗜睡，认知功能损害[1]。多导睡眠监测仪（polysomnogtaphy，PSG）监测是诊断OSAHS的金标准，可以明确疾病的类型、程度，为其治疗方案的选择和疗效的评估提供指导依据[2]。但监测过程中易受患者的依从性、睡眠质量、电极导电不良或脱落等因素影响，从而导致所获睡眠参数失真甚至监测失败，因此，在阻塞性睡眠呼吸暂停低通气综合征行多导睡眠检测仪监测过程中，进行充分的准备工作、熟练监测仪的操作流程，有利于保证监测结果的准确性，提高监测的成功率以及提高患者的满意度[3-4]，本文旨在观察阻塞性睡眠呼吸暂停低通气综合征行多导睡眠检测仪监测的舒适护理干预效果，现报道如下。……