【摘要】 目的改变老年失眠患者的认知,探讨失眠自我管理模式,提高睡眠质量,减少药物滥用。方法以某市94例社区老年失眠患者为研究对象,采用单双数法单数为试验组,双数为对照组,各47例,以匹斯堡睡眠质量指数(PSQI)为评价工具,试验组进行认知行为指导,自我穴位按摩,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。结果干预结束后试验组PSQI各因子及总分差异均有统计学意义(P<0.05),两组比较除入睡时间外,差异均有统计学意义(P<0.01),试验组有服用催眠药物史者27例中,有26例(96.2%)患者通过非药物自我管理不同程度地减少了药物的使用,其中13例(48.1%)完全停药。结论实施自我管理模式对社区老年失眠患者睡眠质量管理是可行、经济、安全有效。更多还原

【Abstract】 Objective To explore the self-management model for elderly persons with insomnia,so as to change their erroneous cognition,improve sleep quality and decrease medication abuse.Methods Ninety-four elderly patients with insomnia in community were recruited and divided into two groups by means of random number table.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 total score and factor scores of PSQI were significantly decreased after the intervention(P<0.05) in the experimental group.Except the factor score of latent period,there were significant differences on the total score and other factor scores of PSQI between the two groups after the intervention(P<0.01).Among the patients in the experimental group,26 cases(96.2%)reduced the dose of medicine in different extent through non-pharmacological self-management,of which 13 cases(48.1%)completely withdrew from medicine.Conclusion The self-management model is proved to be feasible,economic,safe and effective for elderly patients with insomnia.更多还原