慢性失眠症患者的睡眠行为与应对方式的护理干预  

Nursing intervention on sleeping behavior and coping style in patients with chronic insomnia

作　　者：黄婷[1] 易妍[1] 

机构地区：[1]南充精神卫生中心,四川南充637000

出　　处：《现代医药卫生》2011年第6期826-827,共2页Journal of Modern Medicine & Health

摘　　要：目的:探讨慢性失眠症患者睡眠行为和应对方式。方法:对82例慢性失眠症患者(干预组)和82例睡眠正常者(对照组)的睡眠行为特征和应对方式进行测评,并对慢性失眠症患者实施护理干预。结果:干预组与对照组相比,干预组有更多对睡眠的不合理信念、非功能性睡眠行为和夜间焦虑情绪以及自责、幻想、退避行为(P<0.01),睡眠效率、解决问题能力、求助能力以及合理化行为明显低于对照组,经过6周的护理干预后,失眠症患者睡眠的不合理信念、非功能性睡眠行为和夜间焦虑情绪明显改善,而自责、幻想、退避行为明显减少,睡眠效率、解决问题能力、求助能力以及合理化行为明显增加,差异有显著意义(P<0.01,P<0.05)。结论:慢性失眠症患者存在对睡眠的不合理信念、非功能性睡眠行为和夜间焦虑情绪,应对方式解决问题能力低,具有不成熟应对方式,护理干预能有效改善患者的睡眠行为和应对方式。Objective：To explore the ways to improve sleep behavior and coping style in the patients with chronic insomnia.Methods：82 patients with insomnia（trial group） and 82 normal sleepers（control group） were evaluated.Nursing intervention was carried out in trial group.Results：The factor scores of irrational belief,dysfunctional sleep behavior,anxiety on evening and self-blame,illusion,avoidance behavior,sleep efficiency,ability of solving problem and seeking help,and rationalized behavior in trial group were obviously higher than those in control group（P0.01）.After 6-week nursing intervention,the significant improvement in irrational belief,dysfunctional sleep behavior and anxiety on evening in insomnia patients was noticed,as well as reduction in self-blame,illusion,avoidance behavior,and reinforcement in sleep efficiency,ability of solving problem and seeking help,and rationalized behavior.There was significant difference in the scores before and after nursing intervention（P0.01,P0.05）.Conclusion：Irrational belief about sleep,dysfunctional sleep behavior,anxiety on evening,low ability of solving problem,and immature coping style exist in the patients with insomnia.Nursing intervention could improve their sleep behavior and coping styles.

关 键 词：失眠症 睡眠行为 应对方式 护理干预 

分 类 号：R47[医药卫生—护理学]