摘要
目的 观察分析加速康复外科护理模式对睡眠呼吸暂停综合征患者睡眠质量的影响效果。方法选取54例医院收治的睡眠呼吸暂停综合征患者,均选自2025年1月-2026年5月期间,随机数字表法均分。常规护理的27例为对照组,实施加速康复外科护理模式的27例为观察组。对比两组睡眠质量、焦虑、抑郁情绪及依从率。结果 较对照组,干预前睡眠质量差异不显著,干预后观察组睡眠质量评分更低,夜间最低血氧饱和度更高,差异显著(P<0.05);较对照组,观察组焦虑、抑郁情绪干预后更低,有显著差异(P<0.05);观察组依从率干预后更高,较对照组差异显著(P<0.05)。结论 针对睡眠呼吸暂停综合征患者采用加速康复外科护理模式,可提升患者机体夜间血氧饱和度,降低睡眠障碍改善质量,缓解焦虑抑郁负面情绪,提升患者康复方案整体依从性,值得推广应用。
关键词: 加速康复外科护理;睡眠呼吸暂停综合征;睡眠质量;负面情绪;依从率
Abstract
Objective To observe and analyze the effect of the enhanced recovery after surgery nursing model on the sleep quality of patients with sleep apnea syndrome. Methods 54 patients with sleep apnea syndrome admitted to the hospital from January 2025 to May 2026 were selected. They were randomly divided using the random number table method. 27 cases in the control group received routine care, and 27 cases in the observation group received the enhanced recovery after surgery nursing model. The sleep quality, anxiety, depression, and compliance rates of the two groups were compared. Results Compared with the control group, there was no significant difference in sleep quality before the intervention. After the intervention, the sleep quality score of the observation group was lower, and the lowest nocturnal blood oxygen saturation was higher, with significant differences (P < 0.05); Compared with the control group, the anxiety and depression of the observation group were lower after the intervention, with significant differences (P < 0.05); The compliance rate of the observation group after the intervention was higher than that of the control group, with significant differences (P < 0.05). Conclusion For patients with sleep apnea syndrome, adopting the enhanced recovery after surgery nursing model can improve the nocturnal blood oxygen saturation of the patients’ bodies, reduce sleep disorders and improve sleep quality, alleviate negative emotions such as anxiety and depression, and improve the overall compliance of the rehabilitation plan. It is worthy of promotion and application.
Key words: Enhanced recovery after surgery nursing; Sleep apnea syndrome; Sleep quality; Negative emotions; Compliance rate
参考文献 References
[1] 孙东艳,李林,尤甜. 加速康复外科护理对阻塞性睡眠呼吸暂停低通气综合征患者睡眠质量的影响[J]. 中西医结合护理(中英文),2024,10(8):106-108. =-2
[2] 刘桂林,刘艳,蒋海英,等. 基于加速康复外科理念护理干预阻塞性睡眠呼吸暂停低通气综合征患者及对睡眠的影响[J]. 世界睡眠医学杂志,2021,18(5):859-861.
[3] 毛文瑾. 加速康复外科护理干预对阻塞性睡眠呼吸暂停低通气综合征患者的影响分析[J]. 婚育与健康,2022, 28(24):67-69.
[4] 刘娇,徐艳丽,井松梅,等. 加速康复外科理念在阻塞性睡眠呼吸暂停低通气综合征围手术期护理中的应用[J]. 实用临床护理学电子杂志,2023,8(49):33-35,20.
[5] 刘礼英,郭巧玲,洪志聪. 加速康复外科理念对OSAHS患者围手术期护理效果的影响[J]. 中国卫生标准管理,2023,14(16):154-158.
[6] 马玉花,马焱,白洁,等.5E康复模式对阻塞性睡眠呼吸暂停低通气综合征患者睡眠质量及血液学的影响[J].世界睡眠医学杂志,2023,10(3):664-666+670.
[7] 靳业辉,冯彩红,李素贤,等. 加速康复外科理念护理干预在OSAHS伴高血压患者围手术期中的应用效果[J]. 河北医药,2022,44(19):3024-3027.
[8] 雷浩,王芳,孙丽.系统康复锻炼对睡眠呼吸暂停低通气综合征患者心肺功能及呼吸紊乱指数的影响[J].齐鲁护理杂志,2021,27(15):115-118.