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侧向旋转吸痰联合呼吸强化训练改善呼吸衰竭患者睡眠质量研究

Study on Improving Sleep Quality of Patients with Respiratory Failure by Lateral Rotation Sputum Aspiration Combined with Intensive Breathing Training
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摘要 目的:探究在对呼吸衰竭患者护理时开展侧向旋转吸痰联合呼吸强化训练对患者睡眠质量、血气水平的影响。方法:选取2023年3月至2024年3月厦门大学附属第一医院杏林院区收治的呼吸衰竭患者88例作为研究对象,按照随机数字表法分为对照组和观察组,每组44例。对照组实施常规护理支持,观察组开展侧向旋转吸痰联合呼吸强化训练。针对2组睡眠质量、血气水平以及运动耐力对比。结果:睡眠质量匹兹堡睡眠质量指数(PSQI)评分观察组对比对照组,观察组护理后更低,差异有统计学意义(P<0.05)。血气水平观察组对比对照组,观察组血氧分压、血氧饱和度护理后均较对照组高,二氧化碳分压较低,差异有统计学意义(P<0.05)。夜间持续睡眠时间、运动耐力观察组对比对照组,观察组护理后较高,夜间苏醒次数较对照组低,差异有统计学意义(P<0.05)。结论:在对呼吸衰竭患者护理时开展侧向旋转吸痰联合呼吸强化训练,有助于提升患者血气水平,改善患者睡眠质量,增加患者运动耐力。 Objective:To explore the effects of lateral rotation sputum suction combined with respiratory reinforcement training on sleep quality and blood gas levels in nursing patients with respiratory failure.Methods:From March 2023 to March 2024,88 patients with respiratory failure in Xinglin Hospital of the First Affiliated Hospital of Xiamen University were selected as the subjects.They were divided into control group and observation group according to random number table method,44 cases in each group.The control group received routine nursing support,and the observation group received lateral rotation sputum aspiration combined with intensive breathing training.Compare the sleep quality,blood gas levels,and exercise endurance between two groups.Results:The Pittsburgh Sleep Quality Index(PSQI)score in the observation group was lower than that in the control group after nursing the difference was statistically significant(P<0.05).The blood gas level observation group was compared with the control group.After nursing,the blood oxygen partial pressure and blood oxygen saturation in the observation group were higher than those in the control group,while the carbon dioxide partial pressure was lower,the difference was statistically significant(P<0.05).The night continuous sleep time and exercise endurance of the observation group were higher than those of the control group,and the night wake times of the observation group were lower than those of the control group,with statistical significance(P<0.05).Conclusion:Conducting lateral rotation sputum suction combined with respiratory reinforcement training in the care of patients with respiratory failure can help improve their blood gas levels,improve their sleep quality,and increase their exercise endurance.
作者 苏惠凤 SU Huifeng(Department of Pulmonology,Xinglin Hospital,The First Affiliated Hospital of Xiamen University,Xiamen 361100,China)
出处 《世界睡眠医学杂志》 2024年第7期1608-1610,1614,共4页 World Journal of Sleep Medicine
关键词 呼吸衰竭 侧向旋转吸痰 呼吸强化训练 睡眠质量 血气水平 运动耐力 夜间持续睡眠时间 血氧饱和度 Respiratory failure Lateral rotation suction of sputum Respiratory reinforcement training Sleep quality Blood gas level Sports endurance Continuous sleep duration at night Blood oxygen saturation
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