中西医结合社区护理干预对城市社区亚健康失眠居民的影响  

Effect of community nursing intervention with traditional Chinese and Western medicine on the residents with insomnia due to subhealthy conditions

作　　者：刘汉娇[1] 夏西燕 王海燕[1] 盛朝辉[1] 

机构地区：[1]深圳市宝安区中医院,广东深圳518133 [2]济南职业护理学院

出　　处：《齐鲁护理杂志》2014年第11期9-11,共3页Journal of Qilu Nursing

基　　金：深圳市宝安区科技计划项目(20110444)

摘　　要：目的:探讨中西医结合社区护理干预对城市社区亚健康失眠的影响。方法:将社区健康服务中心下辖社区内符合相关标准的居民100例随机分为观察组和对照组各50例,对照组给予常规社区健康教育,观察组经中医辨证后给予中西医结合护理干预;比较两组睡眠质量指数(PSQI)、亚健康中医症候测量量表及生活质量等。结果:两组干预后总有效率比较差异有统计学意义(P<0.05);干预后干预组心理领域、生理领域等WHO-QOL-BREF评分明显优于对照组(P<0.05),PSQI总分、睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能等评分明显优于对照组(P<0.05);观察组干预后CD3、CD4/CD8与干预前比较差异有统计学意义(P<0.05),且与对照组干预后比较差异有统计学意义(P<0.05);对照组干预后CD3与干预前比较差异有统计学意义(P<0.05)。结论:中西医结合社区护理干预能够有效改善城市社区亚健康失眠患者的临床症状,并能提高患者生活质量及免疫功能,值得临床推广应用。Objective：ToexploretheeffectofcommunitynursinginterventionwithtraditionalChineseandWesternmedicineontheres-idents with insomnia due to subhealthy conditions. Methods：100 residents in the community were randomly divided into the observation group and the control group（50 cases in each group）. The residents in the control group received routine health education and the patients in the observation group were given targeted nursing intervention after treatment with traditional Chinese and Western medicine. PSQI,sub- health symptoms and quality of life were compared between the two groups. Results：The difference in the comparison of the total effective rate was statistically significant between the two groups after the intervention（P ﹤0. 05）;the WHO - QOL - BREF scores in psychological and physical fields were significantly superior in the observation group to the control group after the intervention（P ﹤0. 05）;the total score of PSQI,the scores of sleep quality,the time to fall asleep,sleep time,sleep efficiency,sleep disorders and daytime function were significantly superior in the observation group to the control group（P ﹤0. 05）;the comparison of CD3 and CD4/ CD8 was significantly different after the intervention with that before the intervention in the observation group（P ﹤0. 05）and the difference between the two groups was also statistically significant after the intervention（ P ﹤ 0. 05）;the comparison of CD3 was significant different after the intervention with that before the intervention in the control group（P ﹤0. 05）. Conclusion：The community nursing intervention with traditional Chinese and Western medicine can effectively relieve the clinical symptoms of insomnia of the residents in subhealthy conditions and improve their life quality and immune function.

关 键 词：中西医结合 社区护理干预 城市社区 亚健康 失眠 

分 类 号：R473.2[医药卫生—护理学]