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目的探讨集束化护理干预应用于心内科住院失眠老年患者的临床效果。方法选择心内科住院且有明确失眠症的老年患者146例,随机分为观察组与对照组,每组73例,均服用一片阿普唑仑助眠。对照组实施常规护理,观察组则在此基础上实施集束化护理干预,对比两组护理前后睡眠进程参数、匹兹堡睡眠质量指数(PSQI)及汉密尔顿焦虑和抑郁量表(HAMA、HAMD)评分和临床疗效。结果观察组的总有效率为94.52%,显著高于对照组的80.82%(P<0.05);干预后观察组的入睡潜伏时间、觉醒次数及觉醒时间均显著低于对照组,实际睡眠时间及睡眠维持率均显著高于对照组(P<0.05);干预后观察组的PSQI量表各维度评分、HAMA及HAMD评分均显著低于对照组(P<0.05)。结论集束化护理干预合并助眠药物能够改善心内科失眠老年患者的精神心理状态及失眠症状,提高其睡眠质量并促进病情康复。
Objective To investigate the clinical effect of cluster nursing intervention on elderly patients with insomnia in department of cardiology. Methods One hundred and sixty-six elderly patients with in-patient hospitalizations and definite insomnia were randomly divided into observation group and control group, with 73 cases in each group taking alprazolam for one month. The control group was given routine nursing care. The observation group then implemented the cluster nursing intervention on the basis of which the sleep quality parameters (PSQI), Hamilton Anxiety and Depression Scale (HAMA) scores and clinical Efficacy. Results The total effective rate of the observation group was 94.52%, which was significantly higher than that of the control group (80.82%, P <0.05). After the intervention, the latency to sleep, the number of wakefulness and the awakening time in the observation group were significantly lower than those in the control group, (P <0.05). After intervention, PSQI scale, HAMA and HAMD scores in the observation group were significantly lower than those in the control group (P <0.05). Conclusion Cluster nursing intervention combined with Hypnotic drugs can improve the mental state and insomnia symptoms of elderly patients with insomnia, improve the quality of their sleep and promote the recovery of their condition.