社区老年失眠患者的自我管理模式探讨  

Exploring on self-management model for elderly patients with insomnia in community

作　　者：陈亚蓓 陈炎[1] 陶荣芳 

机构地区：[1]安徽省明光市中医院内科 [2]安徽省明光市医院感染科,安徽明光239400

出　　处：《世界感染杂志》2011年第2期134-136,共3页World Journal of Infection

摘　　要：目的探讨改善老年失眠患者的自我管理模式。方法106例社区老年失眠患者，按随机数字编号被分配到试验组和对照组各53例。试验组给予认知行为治疗，自我穴位按摩以及自我药物管理递进式干预。对照组维持其原有生活状态和治疗措施不施加干预。所有病人在试验前后均进行匹斯堡睡眠质量指数（PSQI）评价。结果试验组在改善PSQI所有指标及总分方面均有显著或非常显著性差异（P=0．002-0．049），对照组仅在改善PsQI的部分指标及总分方面有显著性差异（P=0．041～0．049）。两组间比较试验组均有不同程度的优于对照组（P〈0．01）。试验组总有效率92．2％，对照组31．4％（P〈0．01）。无明显的不良反应发生。结论自我管理模式对社区老年失眠者的治疗是经济，安全，实用，有效的。Objective To explore the self-management model for elderly patients with insomnia. Methods One hundred and six elderly patients with insomnia in community were recruited and divided into two groups by means of random digital table. Each group were fifty-three patients. The patients in the experimental group received progressive intervention including cognitive behavioral therapy, self acupoint massage and self-medicine management. All the patients were investigated with Pittsburgh Sleep Quality Index （PSQI） before and after the intervention. Results The factor scores and total score of PSQI were signifcantly decreased after the intervention （P=0.002-0.049）. No adverse reaction was found. Conclusions The self-management model is proved to be economic, safe, feasible and effective for elderly patients with insomnia.

关 键 词：老年人 入睡和睡眠障碍 自我护理 

分 类 号：R378.99[医药卫生—病原生物学]