正念减压结合运动训练对老年慢性阻塞性肺疾病稳定期患者睡眠的影响

doi:10.376l/j.issn.0254-1769.2022.11.001

摘要/Abstract

摘要：

目的探讨正念减压结合运动训练对老年慢性阻塞性肺疾病（chronic obstructive pulmonary disease,COPD）稳定期患者睡眠结构及睡眠质量的影响,为改善患者的睡眠提供依据。方法采用自身前后对照设计,便利选取2019年4月—2020年7月在北京市某三级甲等医院门诊就诊的23例老年COPD稳定期患者作为研究对象。对患者实施6周的正念减压结合运动训练干预,使用手环式睡眠监测设备、腕表式血氧仪和匹兹堡睡眠质量指数量表（The Pittsburgh Sleep Quality Index,PSQI）评估干预前后患者的睡眠结构、夜间血氧饱和度和睡眠质量。结果与干预前比较,干预后患者非快速眼动睡眠3期比例由（9.26±2.39）%增加至（13.08±3.33）%、夜间最低血氧饱和度由（84.05±5.40）%升高至（87.45±4.17）%、氧减饱和度指数由（16.14±10.60）次/h下降至（9.95±6.12）次/h、低氧比率由[4.70（0.67,11.60）]%增加至[1.25（0.15,4.02）]%、PSQI得分由（6.65±2.85）分降低至（4.55±2.11）分,差异均具有统计学意义（P<0.05）。结论正念减压结合运动训练可以优化老年COPD稳定期患者的睡眠结构,改善夜间氧合和睡眠质量。

关键词: 老年人, 肺疾病,慢性阻塞性, 正念减压, 运动疗法, 睡眠, 护理

Abstract:

Objective To investigate the effects of Mindfulness-based Stress Reduction（MBSR） combined with exercise training on sleep structure and sleep quality in elderly patients with stable chronic obstructive pulmonary disease（COPD）,and to provide an objective reference for improving the sleep quality of patients with stable COPD in old age. Methods Using the convenient sampling method,23 elderly stable COPD patients who were admitted or re-diagnosed at a tertiary A hospital in Beijing from April 2019 to July 2020 were selected as the study subjects. Through self-control,patients were given a 6-week MBSR combined with exercise training interventions. Bracelet-type sleep monitoring devices,watch-based blood oxygen meters,and the Pittsburgh Sleep Quality Index（PSQI） were used to assess differences in sleep structure,nighttime oxygen saturation parameters,and sleep quality before and after the intervention. Results After intervention,the proportion of NREM 3 stage in patients increased from（9.26±2.39）% to（13.08±3.33）%;the lowest oxygen saturation at night increased from（84.05±5.40）% to （87.45±4.17）%;the Oxygen Desaturation Index decreased from（16.14±10.60） cycles/h to（9.95±6.12） cycles/h;the low oxygen ratio increased from[4.70（0.67,11.60）]% to[1.25（0.15,4.02）]%;the PSQI score reduced from（6.65±2.85） scores to（4.55±2.11） scores;the differences were statistically significant（P<0.05）. Conclusion MBSR combined with exercise training can optimize the sleep structure and improve night oxygenation and sleep quality in patients with elderly stable COPD.

Key words: Aged, Pulmonary Disease,Chronic Obstructive, Mindfulness-Based Stress Reduction, Exercise Therapy, Sleep, Nursing Care

罗政, 张红云, 高艳红, 皮红英. 正念减压结合运动训练对老年慢性阻塞性肺疾病稳定期患者睡眠的影响[J]. 中华护理杂志, 2022, 57(11): 1285-1290.

LUO Zheng, ZHANG Hongyun, GAO Yanhong, PI Hongying. Effect of mindfulness-based stress reduction combined with exercise training on sleep in elderly patients with stable chronic obstructive pulmonary disease[J]. Chinese Journal of Nursing, 2022, 57(11): 1285-1290.

图/表 3

表1 正念减压训练方法

Table 1 Mindfulness-based Stress reduction training methods

表2 干预前后老年慢性阻塞性肺疾病稳定期患者睡眠结构的比较(n=23)

Table 2 Comparison of sleep structures in elderly patients with stable COPD after intervention (n=23)

表3 干预前后老年慢性阻塞性肺疾病稳定期患者夜间血氧饱和度的比较(n=23)

Table 3 Comparison of sleep oxygen saturation in elderly patients with stable COPD after 6 weeks of intervention (n=23)

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