2016年Moewardi医生病房IMA患者的睡眠质量与血液动力学状态的关系

Syifa Mutia Desiani
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引用次数: 2

摘要

背景。急性心肌梗死在个体患者中可有独特的表现,如呼吸短促、面色苍白、头痛、恶心、呕吐,最常见的心肌梗死表现为胸痛。急性心肌梗死(AMI)患者的临床症状会引起护理问题和基本的人类问题。例如,胸痛会导致睡眠问题。睡眠问题会影响病人的血液动力学。本研究的目的是发现睡眠质量与AMI患者血流动力学状态之间的相关性。方法。本研究采用横断面方法进行描述性分析。调查对象共30人,采用问卷法评估睡眠质量,采用观察表测量血流动力学。相关数据分析采用Spearman检验。结果。研究结果表明,43.3%的人有轻度睡眠问题,50%的人有中度睡眠问题,6.7%的人有严重睡眠问题。Spearman检验分析统计结果显示,睡眠质量与MAP之间的关系获得显著性(p值)0.003,睡眠质量与心率之间的关系获得显著性(p值)0.0001,睡眠质量与呼吸频率之间的关系获得显著性(p值)0.0001。急性心肌梗死(AMI)患者睡眠质量与血流动力学状态(MAP、心率、呼吸频率)存在显著性相关。结论。ICVCU Dr.Moewardi医院急性心肌梗死(AMI)患者的睡眠质量与血流动力学状态(MAP、心率和呼吸频率)之间存在相关性。
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Hubungan Kualitas Tidur Dengan Status Hemodinamik Pada Pasien IMA Di Ruang ICVCU RSUD Dr. Moewardi Tahun 2016
Background. Acute Myocardial Infraction can have unique manifestations in individual patients, such as shortness of breath, pale, headache, nausea, vomiting, and the most common presenting symptoms of myocardial infarction is chest pain. The clinical symptoms of a patient with Acute Myocardial Infarction (AMI) can cause a nursing problem and basic human problem. For example, chest pain can cause sleep problems. Sleep problems can influence the hemodynamics of a patient. The goal of this research is to find of correlation between sleep quality with a hemodynamic status of a patient with AMI. Methods. The research used descriptive analytic with the cross-sectional approach. The total sample is 30 respondents, assessing the quality of sleep using questioners sheet and to measure hemodynamic by observation sheet. Analysis of correlation data used a Spearman test. The Results. The result of research obtained 43,3% had mild sleep problems, 50% had moderate sleep problems, 6,7% had severe sleep problems. The result of analysis statistic with Spearman test shows that relationship between sleep quality with MAP obtained significance (p-value) 0,003, the relationship between sleep quality with heart rate obtained significance (p-value) 0,0001, and the relationship between sleep quality with respiratory rate obtained significance (p-value) 0,0001. Based on significance value there is a correlation between sleep quality with hemodynamic status (MAP, heart rate, respiratory rate) of patients with Acute Myocardial Infarction (AMI). Conclusion. There is a correlation between sleep quality with hemodynamic status (MAP, heart rate, and respiratory rate) of patients with Acute Myocardial Infarction (AMI) in ICVCU Dr.Moewardi Hospital.
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