主题式干预健康处方延续干预对类风湿关节炎患者睡眠质量的效果研究  

Effect of Thematic Health Intervention on Sleep Quality In Patients with Rheumatoid Arthritis

作　　者：黄秋菊[1] 邹丽梅 HUANG Qiuju;ZOU Limei(The First Affiliated Hospital of Xiamen University,Xiamen 361003,China)

机构地区：[1]厦门大学附属第一医院,厦门361003

出　　处：《世界睡眠医学杂志》2024年第7期1574-1577,共4页World Journal of Sleep Medicine

摘　　要：目的:观察主题式干预健康处方延续干预对类风湿关节炎患者睡眠及健康行为的效果。方法:选取2023年1—12月厦门大学附属第一医院收治的类风湿关节炎患者94例作为研究对象,按照随机数字表法分为对照组和观察组,每组47例。对照组给予常规延续护理干预,观察组在此基础上给予主题式干预健康处方延续干预。采用自我感受负担量表(SPBS)比较2组患者干预前后情感负担、治疗负担、经济负担、照护负担的变化,采用失眠严重程度指数(ISI-C)比较干预前后2组患者失眠症状的改善效果,采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的变化。结果:干预后,观察组自我感受负担量表(SPBS)得分、失眠严重程度指数(ISI-C)、匹兹堡睡眠质量指数(PSQI)评分均显著低于对照组,差异均有统计学意义(均P<0.05)。结论:主题式干预健康处方延续干预可减轻类风湿关节炎患者自我感受负担,减轻失眠症状,促进睡眠质量改善,值得临床推广应用。Objective:To observe the effects of thematic health intervention on sleep and health behavior in patients with rheumatoid arthritis.Methods:A total of 94 patients with rheumatoid arthritis admitted to the First Affiliated Hospital of Xiamen University from January 2023 to December 2023 were selected as research objects and divided into control group and observation group according to random number table method,with 47 cases in each group.The control group was given routine extended nursing intervention,and the observation group was given thematic health intervention prescription extended intervention on this basis.Self-perceived burden Scale(SPBS)was used to compare the changes of emotional burden,treatment burden,economic burden and care burden of the two groups before and after intervention,and insomnia severity index(ISI-C)was used to compare the improvement effect of insomnia symptoms between the two groups before and after intervention.Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes of sleep quality before and after the intervention.Results:After the intervention,the scores of self-perceived Burden Scale(SPBS),insomnia severity index(ISI-C)and Pittsburgh Sleep Quality Index(PSQI)in the observation group were significantly lower than those in the control group,and the differences between the two groups were statistically significant(P<0.05).Conclusion:Thematic health prescription continuation intervention can reduce the perceived burden of patients with rheumatoid arthritis,alleviate insomnia symptoms,and promote the improvement of sleep quality,which is worthy of clinical application.

关 键 词：类风湿关节炎 主题式护理健康处方 延续护理 睡眠质量 睡眠障碍 自我感受负担 健康行为 失眠 

分 类 号：R338.63[医药卫生—人体生理学]