董艳红　彭薇薇　闫　芳青岛市中心医院保健科，山东青岛　266300

慢性肝病患者睡眠状况调查及不同护理方法改善睡眠障碍的比较研究

董艳红彭薇薇闫芳▲
青岛市中心医院保健科，山东青岛266300

目的探讨慢性肝病患者睡眠状况调查及不同护理方法改善睡眠障碍的疗效。 方法选取2014年10月～2015年10月来我院就诊的慢性肝病患者95例，随机分为观察组48例及对照组47例。对照组施以临床常规护理；观察组在对照组基础上进行人文关怀护理。对引起患者睡眠障碍的主要因素进行观察，并对两组患者的睡眠质量及生存质量进行比较。结果引起患者睡眠障碍的主要因素主要为心理社会因素、环境因素及生理病理因素。观察组患者的主观睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、安眠药应用和日间功能得分均显著低于对照组，两组比较差异有统计学意义（P＜0.05）。观察组患者的心理领域、环境领域以及社会关系领域等方面均较对照组患者有较大改善，差异有统计学意义（P＜0.05）。结论对慢性肝病患者睡眠状况进行人文关怀护理，可明显改善其睡眠质量，提高其生存质量，值得临床推广应用。

慢性肝病；睡眠状况；护理方法；睡眠障碍

［Abstract］Objective To exp1ore the s1eep status in patients with chronic 1iver disease and the comparative study of different nursing methods on improving s1eep disorders.Methods From October 2014 to October 2015，a tota1 of 95 patients with chronic 1iver disease in our hospita1 were co11ected and were random1y divided into observation group and contro1 group，47 cases and 48 cases.Patients in contro1 group were treated with routine nursing care，and the observation group was treated with humanistic care based on the contro1 group.The main factors of s1eep disorders，the qua1ity of s1eep and the qua1ity of 1ife were a11 observed and compared.Results The main factors that caused the patient's s1eep disorder were psycho1ogica1 and socia1 factors，environmenta1 factors and physio1ogica1 and patho1ogica1 factors. Observation group patients with subjective s1eep qua1ity，s1eep time，s1eep time，s1eep efficiency，s1eep disorders，s1eeping pi11s，app1ication and daytime function score were significant1y 1ower than those in the contro1 group（P＜0.05）.In the fie1d of psycho1ogy，environment and socia1 re1ations and other aspects，The observation group patients were significant1y improved than the contro1 group，the difference was significant（P＜0.05）.Conclusion The humanistic care of patients with chronic 1iver disease，can significant1y improve the s1eep qua1ity，improve the qua1ity of 1ife，it is worthy of c1inica1 popu1arization and app1ication.

［Key words］Chronic 1iver disease；S1eep condition；Nursing method；S1eep disorder

慢性肝病的发病率很高，而睡眠障碍会直接影响预后。慢性肝病患者导致睡眠障碍发生的原因主要包括：内毒素的增加、激素水平的改变、心理精神因素的刺激等。慢性肝病患者的睡眠障碍问题在临床上会延长肝病的病程，从而增加了患者的经济负担及身心痛苦［1-3］。……