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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 被引量:4

Effects of cluster nursing intervention combined with alprazolam on the psychosocial state,insomnia symptoms and sleep quality of elderly patients with insomnia
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摘要 目的:探究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。方法:2016年1月-2018年12月收治老年失眠患者52例,随机分为两组,各26例,均给予口服阿普唑仑治疗。对照组实施常规护理;试验组实施集束化护理干预。比较两组临床疗效、失眠进程参数、匹兹堡睡眠质量指数及汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)评分。结果:试验组治疗总有效率显著高于对照组,差异有统计学意义(P<0.05);试验组治疗后入睡潜伏期、觉醒次数、觉醒时间及匹兹堡睡眠质量指数均显著低于对照组,试验组实际睡眠时间、睡觉维持率均显著高于对照组,差异有统计学意义(P<0.05);试验组治疗后HAMA和HAMD评分均显著低于对照组,差异有统计学意义(P<0.05)。结论:集束化护理干预联合阿普唑仑助眠疗效更好,能显著改善患者失眠症状和负面情绪,提高睡眠质量。 Objective:To explore the effect of cluster nursing intervention combined with alprazolam on psychologic state,insomnia symptoms and sleep quality in elderly patients with insomnia.Methods:From January 2016 to December 2018,52 elderly patients with insomnia were selected,they were randomly divided into the two groups with 26 cases in each group.All patients were treated with oral alprazolam.The control group received routine nursing care.The experimental group received intensive nursing care.The clinical efficacy,insomnia process parameters,Pittsburgh sleep quality index,Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)scores were compared between the two groups.Results:The total effective rate of the experimental group was significantly higher than that of the control group,the difference was statistically significant(P<0.05).After treatment,the sleep latency,awakening times,awakening time and Pittsburgh sleep quality index in the experimental group were significantly lower than those in the control group,while the actual sleep time and sleep maintenance rate in the experimental group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).The scores of HAMA and HAMD in the experimental group were significantly lower than those in the control group,the difference was statistically significant(P<0.05).Conclusion:Cluster nursing intervention combined with alprazolam is more effective,which can significantly improve the insomnia symptoms and negative emotions,and improve the quality of sleep.
作者 朱龙红 Zhu Longhong(South Hospital of the People's Hospital of Ganzhou City,Jiangxi Ganzhou 341000)
出处 《中国社区医师》 2020年第26期167-168,共2页 Chinese Community Doctors
关键词 集束化护理干预 阿普唑仑 老年失眠患者 精神心理状态 失眠症状 Cluster nursing intervention Alprazolam Elderly patients with insomnia Mental state Insomnia symptoms
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