钟紫外+++++祝晓萍+++++邱国琴+++++陆华东

[摘要] 目的 分析行為护理干预对阻塞性睡眠呼吸暂停低通气综合征（obstructive sleep apnea hypopnea syndrom，OSAHS）患者生活质量的影响。 方法 选取2016年5月～2017年4月在我院接受治疗的阻塞性睡眠呼吸暂停低通气综合征患者72例，采用随机数字表法将患者分为两组，每组36例，对照组患者给予常规护理干预，观察组患者给予行为护理干预，观察比较两组患者护理干预后生活质量评分、体重指数评分变化，记录并比较两组患者治疗依从率。 结果 护理干预后，两组患者的症状评分、疾病影响评分均有降低，且观察组[（42.02±9.12）分、（34.12±8.56）分]低于对照组[（48.02±8.56）分、（38.02±7.69）分]，两组比较差异有统计学意义（P<0.05）；护理干预后，两组患者的活动能力以及情感功能均提高，且观察组[（58.02±11.78）分、（58.02±6.99）分]高于对照组[（51.78±10.83）分、（53.02±8.89）分]，两组比较差异有统计学意义（P<0.05）；护理前，两组患者的体重指数比较，差异无统计学意义（P>0.05）；治疗后，两组患者的体重指数都有降低，观察组低于对照组，两组比较差异有统计学意义（P<0.05）；护理干预后，观察组患者的依从率为94.44%，高于对照组的69.44%，两组比较差异有统计学意义（P<0.05）。 结论 给予慢性阻塞性睡眠呼吸暂停低通气综合征患者行为护理干预，可提高患者生活质量和治疗依从率，效果显著，值得临床推广使用。

[关键词] 阻塞性睡眠呼吸暂停低通气综合征；行为护理干预；生活质量；影响

[中图分类号] R473.76 [文献标识码] B [文章编号] 1673-9701（2017）31-0157-04

[Abstract] Objective To analyze the effect of behavioral nursing intervention on the quality of life of patients with obstructive sleep apnea hypopnea syndrome（OSAHS）. Methods A total of 72 patients with obstructive sleep apnea hypopnea syndrome who were treated in our hospital from May 2016 to April 2017 were randomly divided into two groups using random number table method， with 36 cases in each group. The patients in the control group were given routine nursing. The patients in the observation group were treated with behavioral nursing intervention. The changes of the quality of life scores and the body mass index（BMI） were compared between the two groups after nursing intervention. The compliance rate of the patients was recorded， analyzed and compared. Results The symptom score and disease impact score of the two groups were reduced after intervention， the scores of the observation group[（42.02±9.12） points and（34.12±8.56）points]were significantly lower than those of the control group[（48.02±8.56） points and（38.02±7.69） points]， and the differences were significant（P<0.05）. After nursing intervention， the activity ability and emotional function of the two groups were improved， the scores in the observation group[（58.02±11.78）points and（58.02±6.99）points] were higher than those in the control group [（51.78±10.83）points， （53.02±8.89）points]， and the differences were significant （P<0.05）. There was no significant difference in body mass index between the two groups before nursing（P>0.05）. After treatment， the body mass index of the two groups were decreased， and the body mass index of observation group was lower than that of the control group， and the difference was statistically significant（P<0.05）. After nursing intervention， the compliance rate of the observation group（94.44%） was higher than that of the control group（69.44%）， and the difference between the two groups was significant（P<0.05）. Conclusion The behavioral nursing intervention in patients with chronic obstructive sleep apnea hypopnea syndrome can improve the quality of life and treatment compliance， with remarkable effect， which is worthy of promotion and use.endprint

[Key words] Obstructive sleep apnea hypopnea syndrome； Behavioral nursing intervention； Quality of life； Effect

阻塞性睡眠呼吸暂停低通气综合征（obstructive sleep apnea hypopnea syndrom，OSAHS）是临床治疗中的常见疾病，主要是指睡眠期间机体上呼吸道塌陷堵塞所导致的，临床特点为反复发作呼吸障碍，导致机体发生血球蛋白血氧饱和度下降而出现的一种疾病[1]。该疾病临床症状包括：白天嗜睡、夜间打鼾、伴有呼吸暂停、夜尿增多等，好发于肥胖群体，严重影响患者的日常生活和工作，已经成为危害人类健康的重要公共卫生问题[2]。据资料[3]表明，该疾病的发生与人们的生活方式有着密切的联系，既往临床治疗中主要采用手术等方法治疗该疾病，对患者生活行为方式的干预不够重视，导致治疗效果不理想。……