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目的:探讨加强心血管内科老年患者失眠的护理管理对策,为临床专科护理开展提供参考。方法:对2015年1月~2016年2月舟山医院心血管内科收治的的74例老年患者的临床资料进行回顾性分析,探讨老年心血管疾病患者失眠状况和原因,同时提出相应的护理管理对策。结果:老年心血管疾病患者失眠原因主要是:环境因素、心理因素、药物因素、疾病因素,分别是31例(41.9%),24例(32.4%),8例(10.8%),11例(14.9%);比较本组患者干预前后失眠率,差异显著(P<0.05)。结论:针对心血管内科老年患者的特点,分析失眠原因,开展有计划性、有目的性的专科护理管理干预,能有效缓解患者状况,加快患者病情康复,提高患者满意度和生活质量。
Objective: To explore nursing management strategies to strengthen insomnia in elderly patients with cardiovascular internal medicine and to provide reference for the development of clinical specialist nursing. Methods: The clinical data of 74 elderly patients admitted to the Department of Cardiology, Zhoushan Hospital from January 2015 to February 2016 were retrospectively analyzed to investigate the insomnia status and causes in elderly patients with cardiovascular diseases and corresponding nursing management strategies . Results: The main causes of insomnia in elderly patients with cardiovascular disease were environmental factors, psychological factors, drug factors and disease factors, which were 31 cases (41.9%), 24 cases (32.4%), 8 cases 14.9%). The difference of insomnia between the two groups before and after intervention was significant (P <0.05). CONCLUSION: According to the characteristics of elderly patients with cardiovascular medicine, the causes of insomnia are analyzed, and planned and purposeful nursing interventions are carried out. It can effectively relieve the condition of patients, accelerate the rehabilitation of patients and improve the patients’ satisfaction and quality of life.