An Investigation On Sleep States Of Patients With Chronic Hepatopathy Disease And A Comparative Study On Improving Sleep Disorders With Different Nursing Interventions

OBJECTIVES:The aim is to investigate the sleep states and the influencing factors of patents with chronic hepatopathy disease (CHD), to compare the clinical effects of the different nursing interventions on CHD patients with sleep disorders, and to find a simple, effective and appropriate clinic sleep nursing way.METHODS:Studying and assessing the sleep states, influencing factors and anxiety states of 200 CHD patients using a self-designed sleep state questionnaire. Selecting randomly 120 CHD patients with sleep disorders and dividing them into four groups: the hot-bathing and foot-soaking with lavender (HBL) group (n=29), the progressive relaxation training under nurse-guiding (PR) group (n=29), the union group (n=31) and the control group (n=31). Observing and evaluating the changes of the sleep states, influencing factors and anxiety states without the intervention, one-week intervention and two weeks intervention. Comparing the consequences and effects of these different intervention ways.RESULTS:1. The SRSS (self-rating scale of sleep) total scores of CHD patients were significantly higher than those of the normal model and medical inpatients. The probability of the moderate and serious sleep disorders in CHD patients was 3 to 15 times of the normal model patients. The scores of 10 factors in CHD patientswere much higher than those in the normal model patients, and compared with medical inpatients, they had different focal points. Four major factors effect CHD patients' sleep states are sleeping time, difficulty to fall asleep, instable sleep and waking-up early.2. Gender, course, education and occupation had no relation to the sleep states of CHD patients, while ages had relation to the sleep stages. The sleep of the teenagers was the best;the sleep time of the aged was the shortest and the sleep quality of the middle-aged was the worst.3. Three major factors influencing the sleep of CHD patients were the influences of disease symptoms (44.67%), the disturbance of outside (37.06%) and the mentality (34.01%). The main disease symptoms are diuresis, abdominal distention and pruritus. The more factors affecting the sleep, the more complicated the symptoms were, and the worse the quality of the sleep was.4. Comparative analysis indicated that the scores of intervention groups were lower than that of the control group. The speeds of improving sleep were different with these three intervention ways: the HBL group was the fastest, PR group was the second and the union was the slowest, which had a trend to get close to the first two groups.5. Among the three interventions, the best way to prolong the sleep time was the HBL group, the best way to improve sleep was the PR group.The union group had these two effects, but needed a longer time.6. Gender, course, age, education and occupation had few relations to sleep.7. The standard anxiety score of CHD patients was 31.69+6.67, lower than that of the normal model. The score of patients with sleep disorders was much higher than that of the normal model. The score was decreased after interventions. The HBL intervention is the fastest way to improve the anxiety score. The improved anxiety score may be due to the three interventions together with the self-adjustments of the patients.CONCLUSIONS:1. The probabilities of sleep disorders in CHD patients were high. The degree of sleep disorders in CHD patients was serious.2. The three interventions could improve the sleep of CHD patients efficiently and decrease the SASS values. The speeds and the focal points of these three interventions were different.