Application of rehabilitation program in elderly patients with obstructive sleep apnea hypopnea syndrome
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摘要: 目的 本研究自制康复计划,将其应用于老年阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrome,OSAHS)患者中,并对应用结果进行分析,以期提高患者治疗依从性,改善患者预后。 方法 选择2016年9月—2018年8月在浙江省立同德医院就诊的106例老年OSAHS患者为研究对象,按随机数字表法将患者分成观察组和对照组,每组各53例,对照组患者实施常规护理,观察组患者实施康复计划,比较2组睡眠质量、日间嗜睡情况及患者满意度。 结果 实施前,2组患者睡眠质量评分比较差异无统计学意义(P>0.05);实施1个月后,观察组的睡眠质量评分为(6.68±2.31)分,对照组为(12.65±3.57)分,2组患者睡眠质量评分均明显低于实施前(均P<0.05),观察组睡眠质量指数明显低于对照组(P<0.05)。实施前,2组患者日间嗜睡评分比较差异无统计学意义(P>0.05),实施1个月后,观察组的嗜睡评分为(8.56±2.12)分,对照组为(15.74±2.54)分,2组患者日间嗜睡评分均明显低于实施前(均P<0.05),观察组日间嗜睡评分明显低于对照组(P<0.05)。观察组患者满意度为94.34%(50例),对照组为73.58%(39例),观察组患者满意度明显高于对照组(P<0.05)。 结论 康复计划在老年OSAHS患者的应用中具有较好的成果,其可有效改善患者睡眠质量,减少日间嗜睡情况,并且提高患者满意度,该计划有助于提高患者治疗依从性,改善患者预后。
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关键词:
- 阻塞性睡眠呼吸暂停低通气综合征 /
- 老年患者 /
- 康复计划 /
- 睡眠质量 /
- 日间嗜睡情况
Abstract: Objective In this study, a self-made rehabilitation program was used in elderly patients with obstructive sleep apnea hypopnea syndrome (OSAHS), and analyzed the results of application, in order to improve the treatment compliance and prognosis of patients. Methods A total of 106 patients with OSAHS who were treated in our hospital were selected from September 2016 to August 2018, and they were randomly divided into observation group (n=53) and control group (n=53) according to the random number table method. The patients in the control group received routine nursing, while the patients in the observation group received rehabilitation program. The sleep quality, daytime sleepiness and patient satisfaction were compared between the two groups. Results Before implementation, there was no significant difference in sleep quality index between the two groups (P>0.05), one month after implementation, the sleep quality score of the observation group was 6.68±2.31, and the sleep quality score of the control group was 12.65±3.57, the sleep quality indices of the two groups were significantly lower than those before implementation (P<0.05), and the sleep quality index of the observation group was significantly lower than that of the control group (P<0.05). Before implementation, there was no significant difference in daytime sleepiness score between the two groups (P>0.05), one month after implementation, the sleepiness score of the observation group was 8.56±2.12, and that of the control group was 15.74±2.54, the daytime sleepiness scores of the two groups were significantly lower than those before the implementation (all P<0.05), and the daytime sleepiness score of the observation group was significantly lower than that of the control group (P<0.05). The patient satisfaction of the observation group was 94.34% (n=50), while that of the control group was 73.58% (n=39), the patient satisfaction of the observation group was significantly higher than that of the control group (P<0.05). Conclusion Rehabilitation program has achieved good results in the application of elderly patients with OSAHS, it can effectively improve the sleep quality, reduce daytime sleepiness, and improve patient satisfaction, the program helped to improve patients' treatment compliance and prognosis.
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