综合心理干预对睡眠呼吸暂停综合征患者自我管理及生活质量的影响研究

doi:10.3969/j.issn.1006-5253.2016.05.008

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Abstract Objective To analyze the changes of self-management ability and quality of life of patients with sleep apnea syndrome after comprehensive psychological intervention, and to provide reference for clinical work. Methods From May 2013 to Jan 2014 in our hospital, 80 cases of sleep apnea syndrome patients were randomly divided into the observation group and the control group. Both groups of patients were treated with routine nursing intervention program including quitting smoking and drinking, reducing the impact of risk factors, keeping the lateral position during sleep. Besides, patients in the observation group received comprehensive psychological intervention. On the first hospitalized day and 9 months after treatment, self-management ability and the quality of life of patients were assessed with the use of self-management behavior questionnaire of patients with sleep apnea syndrome, Calgary quality of life questionnaire and Epworth Sleeping Scale (ESS). Polysomnography monitor was used to monitor the lowest nocturnal arterial oxygen saturation, the apnea hypopnea index, and the time proportion of oxygen saturation less than 90% of the total sleep time. Results After comprehensive psychological intervention, the increase values of total score values of treatment management, life management, management, knowledge management, and muscle self behavior management of the observation group were significantly higher than those of the control group (P<0.05). During the return visit, the increase values of total score values of patients′social situation, the daily life, the symptoms, and mood the observation group were significantly higher than those of the control group (P<0.05). After comprehensive psychological intervention, ESS score, AHI and decrease values of blood oxygen saturation < 90% of the observation group were higher than those of the control group (P<0.05), while the increase value of the lowest SpO₂ at night of the observation group was higher than that of the control group (P>0.05), with no statistical significance. Conclusion The comprehensive psychological intervention can significantly improve the self-management ability and the quality of life of patients with sleep apnea syndrome.

Key words： comprehensive psychological intervention sleep apnea syndrome self-management quality of life

Received: 18 May 2016

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Liu Zhimei. Effect of comprehensive psychological intervention on self-management and quality of life in patients with sleep apnea syndrome[J]. journal1, 2016, 23(5): 345-348.

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http://manu58.magtech.com.cn/Jwk_zgyytj/EN/10.3969/j.issn.1006-5253.2016.05.008 OR http://manu58.magtech.com.cn/Jwk_zgyytj/EN/Y2016/V23/I5/345

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