Nursing care of patients with hypothyroidism and obstructive sleep apnea hypopnea syndrome
10.3760/cma.j.issn.1672-7088.2016.26.003
- VernacularTitle:甲状腺功能减退合并阻塞性睡眠呼吸暂停低通气综合征的护理
- Author:
Xueling CUI
- Publication Type:Journal Article
- Keywords:
Hypothyroidism;
Respiratory;
Sleep;
Nursing care;
Obstructive sleep apnea hypopnea syndrome
- From:
Chinese Journal of Practical Nursing
2016;32(26):2009-2012
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect of comprehensive nursing intervention on patients with hypothyroidism combined with obstructive sleep apnea hypopnea syndrome (OSAHS). Methods A total of 116 patients with hypothyroidism combined with OSAHS in our hospital from September 2014 to September 2015 were enrolled, and all patients were randomly divided into two groups according to the order of admission. Among the 116 patients, 58 patients treated with routine nursing were set as the control group, and the other 58 patients treated with comprehensive nursing intervention were named as the observation group. The mental status the parameters of sleep apnea, the clinical symptoms and the satisfaction of family members of the two groups before and after nursing care were observed. Results After nursing, Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) in the observation group scored 42.7 ± 4.5, 48.2 ± 5.4, which were significantly lower than those of control group, 51.4 ± 5.2, 56.3 ± 6.6(t=9.635, 7.234,all P<0.01).The average oxygen saturation, the lowest oxygen saturation at night, the longest respiratory pause time in the observation group were (0.94 ± 0.04) s,(0.86 ± 0.04) s, (31.4 ± 2.8)s, better than (0.88 ± 0.06) s, (0.78 ± 0.04) s,(40.5 ± 6.7)s in the control group, the difference was statistically significant(t=6.580, 11.423, 9.544,all P<0.05). The satisfaction degree in the observation group was 96.55%(56/58), significantly higher than 86.21%(50/58) of the control group of, the difference was statistically significant(χ2=6.787, P<0.01). Conclusions Comprehensive nursing intervention on the patients with hypothyroidism combined with OSAHS has significant effect. It can significantly improve the clinical symptoms, psychological quality of patients and patient′ s sleep breathing. It meet the needs of patients better and is worthy of clinical application and promotion.
