老年失眠患者的社区干预效果评价

Community intervention in elderly patients with insomnia

对2016年10—12月于首都医科大学附属复兴医院月坛社区卫生服务中心三里河一区社区卫生服务站就诊的60例老年失眠患者进行社区干预。社区干预策略主要包括家医签约及预约就诊、健康讲座(专科医生)、生活方式干预、药物干预、心理干预、个体化干预、定期出诊及随诊、自我管理及专科转诊等。1年后进行自身前后比较,睡眠质量自评量表得分[干预前(29.77±7.20)分,干预后(28.62±6.79)分;t=7.48,P<0.01]和社区人群功能状态量表(COOP/WONCA)得分[干预前(17.38±3.35)分,干预后(16.00±3.09)分;t=8.69,P<0.01],干预前后差异均有统计学意义。提示,社区干预对改善老年失眠患者的睡眠质量和生命质量有一定帮助。

Community intervention was conducted for 60 elderly patients with insomnia who attended the clinic of Sanlihe NO.1 Community Health Service Station of Yuetan Community Health Service Center from October 2016 to December 2016.Community intervention strategies included appointed visit to contracted family doctors,health counseling by specialists,lifestyle interventions,drug interventions,psychological interventions,individualized interventions,regular home visits and follow-up,self-management and referral to specialist service.After 1 year of community intervention,the differences of sleep quality self-assessment score[(29.77±7.20)vs.(28.62±6.79);t=7.48,P<0.01]and COOP/WONCA score[(17.38±3.35]vs.(16.00±3.09);t=8.69,P<0.01]before and after the intervention were statistically significant.Community intervention is helpful to improve the quality of sleep and life of the elderly insomnia patients.