全程护理干预改善OSAHS患者持续正压通气治疗依从性和睡眠质量的效果分析

[摘要] Abstract：Objective To investigate the effect of whole process nursing intervention on treatment adherence of continuous positive airway pressure (CPAP) and sleeping quality of patients with obstructive sleep apneahypopnea syndrome (OSAHS). Methods A total of 172 OSAHS patients undergoing CPAP treatment were assigned to the study group (n=86) and the control group (n=86) according to the random numbers table method. The control group was given conventional treatment and the study group was applied with whole process nursing intervention. The treatment adherence and satisfaction to nursing were assessed, and sleepiness degree and sleep respiratory parameters before and after intervention were compared between two groups. Results The daily and weekly time of CPAP use were longer in the study than those in the controls (P＜0.05). There were 45 (52.3%) and 23 (267%) patients with good treatment adherence to CPAP in the study group and the control group respectively, with a significant difference (P＜0.05). The Epworth sleepiness score (ESS) and sleepiness degree were significant lower in the study group than those in the control group 6 months after intervention (P＜0.05). The apnea hypopnea index(AHI), the percent of total sleep time below an arterial oxyhemoglobin saturation of 90% were decreased, and the lowest arterial oxygen saturation were increased in both of two groups 6 month after intervention (P＜0.05). The study group received a better improvement on sleep respiratory parameters above compared with the controls (P＜0.01). the overall satisfaction rate was 81.4% in the study group and was 69.8% in the control group, with a significant difference (P＜0.05). Conclusion Whole process nursing intervention is effective to improve the adherence of CPAP and sleeping quality of OSAHS patients.

[学科分类] 护理学

[关键词] 阻塞性睡眠呼吸暂停综合征;持续气道正压通气;全程护理;依从性