基于保护动机理论的细节护理对双水平无创正压通气治疗的打鼾患者睡眠质量影响

打开文本图片集

AbstractObjective：Toanalyzetheefectof detailednursingbasedonprotective motivationtheoryonthesleepqualityinsno ring patientstreatedwithbilevelpositiveairwaypressure（BiPAP）.Methods：Atotalof106hospitalized patientswithobstructive sleepapnea hypopnea syndrome（OSAHS，also knownas snoring）treatedfrom July2O22 to November 2024 wereselectedand dividedinto two groupsbyrandomnumber table.Amongthem，53caseswere intheconventional group，treatedwithbilevel positive airway presureandroutinenursingcare，whiletherest53cases wereintheobservation group，andaditionallreceiveddetailed nursing care basedon protective motivation theorycompared totheconventional group.Thecomplianceofthetwo groups，and the Pitsburgh Slee Quality Index（PSQI）scores，polysomnographyindicators，and Slp Apnea QualityofLife Index（SAQLI）scores adaybeforedischargefromthehospital werecomparedbeforeandaftertheinterventionResults：Theexcelentateofcompliance of patients intheobservationgroupafterinterventionwassignificantlyhigherthanthatintheconventionalgroup，withasignificant difference （ P<0.05 ）；after intervention，the total score of PSQIand related items inboth groups decreased，and scores the observation group were lower than those of the conventional group（ P<0.05 ）. After the intervention，both groups showed'an increase in slepeffciencyandtotalsleeptime withbetterresultsintheobservationgroup，andadecreaseinsleeplatencywithlowerscores in the observation group，indicating a statistically significant difference （ P<0.05 ）. Both groups showed an increase in SAQLI scoresialldimensionsaftertheintervention，ndscoresinthedetailednursinggroupwere higherthanthoseintheconvetional group，showing a statistically significant difference（ P<0.05 ）. Conclusion： The application of detailed nursing based on protectivemotivation theoryinthe treatmentofBiPAPforOSAHScanenhancepatientcompliance，improvesleepquality，srengthen sleep efficiencyand slep hours，reduce sleep latency，and be more beneficial for improving patients’qualityof life.

KeywordsProtection motivation theory；Detailed caring；Bilevel positiveairwaypressure；Snoring；Obstructive sleepapnea hypopnea syndrome（OSAHS）

中图分类号：R338.63；R56 文献标识码：A doi：10.3969/j. issn. 2095 -7130.2025.04.028

阻塞性睡眠呼吸暂停低通气综合征（ObstructiveSleep Apnea Hypopnea Syndrome， OSAHS）是指人在睡眠状态下出现的一种气道阻塞、塌陷现象，导致通气不足，出现睡眠暂停并伴打鼾情况，影响患者正常生活，也对患者生命安全构成威胁[1]。（剩余6389字）