睡眠心理行为模式在中老年慢性失眠患者中的应用效果

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Abstract Objective To explore the application effect of sleep psychological behavior mode in middle-aged and elderly patients with chronic insomnia.Methods From April 2019 to December 2020,60 middle-aged and elderly patients with chronic insomnia treated in Jingdezhen Fourth People′s Hospital were selected as the research objects.They were divided into the control group and the observation group according to random number table method,30 cases in each group.The control group was implemented with routine nursing,the observation group was performed with sleep psychological behavior nursing on this basis.Pittsburgh sleep quality index (PSQI) and the self-report symptom inventory,symptom checklist-90 (SCL-90) were used to compare the sleep quality and mental health of the two groups before and after the intervention.Results Before intervention,there were no significant differences in the factor scores of PSQI scale between the two groups (P＞0.05).After 4 weeks of intervention,the factor scores of sleep quality,sleep time,length of sleep,sleep efficiency,sleep disorder,hypnotic drugs and daytime dysfunction and the total scores in the two groups were lower than those before intervention,the differences were statistically significant (P＜0.05).The factor scores of sleep quality,sleep time,length of sleep,sleep efficiency,sleep disorder,hypnotic drugs and daytime dysfunction and the total scores in the observation group after 4 weeks of intervention were lower than those in the control group,the differences were statistically significant (P＜0.05).Before intervention,there were no significant differences in SCL-90 factor scores between the two groups (P＞0.05).The scores of somatization,anxiety,depression and panic in the control group after 4 weeks of intervention were higher than those before intervention,while the scores of compulsion,interpersonal sensitivity,hostility,paranoia,psychosis of other 6 factors in the control group after 4 weeks of intervention were lower than those before intervention,the differences were statistically significant (P＜0.05).There was no significantly difference in the total score of SCL-90 between the control group after 4 weeks of intervention and before intervention (P＞0.05).The factor scores of somatization,anxiety,depression,panic,compulsion,interpersonal sensitivity,hostility,paranoia,psychosi of SCL-90 and the total scores of the observation group after 4 weeks of intervention were lower than those before intervention,the differences were statistically significant (P＜0.05).The factor scores of somatization,anxiety,depression,panic,compulsion,interpersonal sensitivity,hostility,paranoia and psychosis of SCL-90 and the total scores of in the observation group after 4 weeks of intervention were lower than those in the control group,the differences were statistically significant (P＜0.05).Conclusion Sleep psychological behavior intervention is helpful to improve sleep quality,mental health and life quality of elderly patients with chronic insomnia.

Key words： Middle aged and old people Chronic insomnia Nurse Sleep psychological behavior mode Sleep quality

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	Articles by authors
	JIANG Qing
	HUANG Helong
	ZHANG Sairong

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JIANG Qing,HUANG Helong,ZHANG Sairong. Application effect of sleep psychological behavior mode in middle-aged and elderly patients with chronic insomnia[J]. 中国当代医药, 2022, 29(17): 189-192转196.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2022/V29/I17/189

[1]	马长林，张云飞，王湖.失眠症患者睡眠质量与焦虑程度及交感神经皮肤反应的关系[J].中国健康心理学杂志，2020，28（7）：983-986.
[2]	丁凤娇，吴晓泓.精神分裂症合并失眠症患者的心理弹性支持及认知护理干预研究[J].河北医药，2021，43（18）：2867-2869，2873.
[3]	张果，田园.睡眠行为干预联合心理护理干预对老年失眠患者负性情绪及睡眠质量的影响[J].临床医学工程，2021，28（10）：1415-1416.
[4]	Cirignotta F，Mondini S，Zucconi M，et al.Insomnia：an epidemiological survey[J].Clin Neuropharmacol，1985，8 Suppl 1：S49-S54.
[5]	赵丽丽.认知行为疗法对焦虑型失眠症状改善的效果[J].深圳中西医结合杂志，2020，30（21）：176-177.
[6]	井军君，李丽霞.睡眠心理行为护理在焦虑症伴睡眠障碍患者中的应用研究[J].中外医学研究，2020，18（15）：101-102.
[7]	涂晓华，唐毅，刘雪银，等.社区家庭医生心理干预对老年失眠症患者疗效的影响研究[J].中国社区医师，2021，37（8）：47-48.
[8]	廖波，李彦，高镕，等.药物联合心理干预对焦虑症失眠患者的疗效观察[J].中国医学创新，2019，16（8）：165-168.
[9]	American Academy of Sleep Medicine.International classifi-cation of sleep disorders[M].3rd ed.Darien：American Academy of Sleep Medicine，2014：19-47.
[10]	Buysse DJ，Reynolds CF 3rd，Monk TH，et al.The Pittsburgh Sleep Quality Index：a new instrument for psychiatric practice and research[J].Psychiatry Res，1989，28（2）：193-213.
[11]	王征宇.症状自评量表SCL-90[J].上海精神医学，1984，6（2）：68-70.
[12]	李鹏辉.改善焦虑症患者睡眠质量的心理护理方式分析[J].世界最新医学信息文摘（连续型电子期刊），2020，20（28）：251，253.
[13]	何静文，屠志浩，苏彤，等.失眠症患者认知功能损害的特点及其机制[J].第二军医大学学报，2019，40（9）：1015-1019.
[14]	陈爱珍，汪亚男，顾艳荭，等.老年失眠症患者中医护理适宜技术干预方案的构建[J].上海护理，2021，21（8）：10-14.
[15]	李钦辉，刘可可，张贤.基于家庭医生团队综合管理失眠症的模式研究[J].中医学报，2020，24（S01）：323-324.
[16]	李琰，白春杰，陈丽霞.临床失眠患者应对方式与焦虑，抑郁的相关性[J].中国临床研究，2020，33（1）：102-105.
[17]	朱龙红.集束化护理干预联合阿普唑仑助眠对老年失眠患者精神心理状态、失眠症状及睡眠质量的影响[J].中国社区医师，2020，36（26）：167-168.
[18]	张轶美，白鹰，王怡.睡眠行为干预对脑小血管病患者睡眠质量改善的临床效果[J].中国实用医药，2021，16（5）：172-174.
[19]	王月梅.睡眠心理行为护理在中老年慢性失眠住院患者中的护理探讨[J].临床医药文献电子杂志，2019，6（37）：150.