【摘要】 目的构建慢性失眠症患者网络管理平台,并探讨使用该管理平台对慢性失眠症患者睡眠质量、患者治疗完成率、患者满意度的改善效果。方法选择2014年1月—2015年6月门诊就诊的慢性失眠症患者160例,将患者随机分为实验组与对照组,各80例。实验组采用网络管理平台进行药物认知行为序贯治疗的管理。通过在网络管理平台上建立患者档案,评估病情,推送治疗方案,远程实施8周的药物认知行为序贯治疗管理及12个月的网络远程动态管理及疗效评估。对照组采用8周的面对面药物认知行为序贯治疗管理及12个月的门诊随访管理。结果两组治疗2个月后,睡眠质量的比较,差异无统计学意义;治疗12个月后,睡眠潜伏期、入睡后觉醒时间、总睡眠时间、睡眠效率方面的比较,差异具有统计学意义(P<0.05)。治疗12个月后,两组匹茨堡睡眠质量指数、睡眠个人信念与态度量表评分的比较,差异具有统计学意义(P<0.05)。两组治疗完成率和患者满意度的比较,差异具有统计学意义(P<0.05)。结论慢性失眠症患者网络管理平台的建立能提高患者的睡眠质量,提高患者的治疗完成率和满意度。更多还原

【Abstract】 Objective To construct the sequential management model of networked drug-cognitive behavior in patients with chronic insomnia,and to explore the effects of this model on treatment and management of patients with chronic insomnia. Methods A total of 160 patients with chronic insomnia treated from January 2014 to June 2015 were randomly divided into the experimental group and the control group. The experimental group was treated with networked drug-cognitive behavior sequential therapy and management. Through the establishment of patient management files in the network management system,the disease was assessed,treatment programs were developed,remote implementation of 8 weeks of drug-cognitive behavior sequential treatment was conducted,12 months of network remote dynamic management and efficacy evaluation was performed. The control group received 8 weeks of traditional medical care with face-to-face drug-cognitive behavior sequential treatment and 12 months outpatient follow-up management. Results Comparison of management core indicators:there were significant differences between two groups in number of visiting hospital,exit status,treatment completion and documentation,sleep diary completion,sleep scale completion and patient satisfaction. Comparison of sleep quality :after 2 months of treatment,there was no difference in quality of sleep between two groups; after 12 months of treatment,there were significant differences in sleep latency,awakening time after sleep,total sleep time and sleep efficiency between two groups.Scale score:after 12 months of treatment,there were significant differences in Pittsburgh sleep quality index,sleep personal beliefs and attitude scale score between two groups. Conclusion Network-based management improves the compliance of patients with chronic insomnia,reduces the loss of follow-up rate,improves sleep cognition,increases sleep quality,saves patients’ time and cost,increases patient satisfaction,which is worth promoting in clinical application.更多还原