延续性人文护理与健康教育对社区失能老人睡眠质量的影响

Effect of Continuous Humanistic Nursing and Health Education on Sleep Quality of Disabled Elderly in Community

目的探讨延续性人文关怀与健康教育对社区失能老人睡眠质量的影响。方法选取大同市平城区106例失能老人且存在睡眠障碍者作为研究对象,根据护理方法不同分为试验组和对照组,其中试验组给予常规延续性护理的基础上强化人文护理与健康教育,对照组仅给予常规延续性护理,3月后对2组研究对象进行再次测评。结果身体状况、居住环境、情绪状况、社会支持、作息时间均为导致失能老人睡眠障碍的影响因素(P<0.05),其中身体状况、情绪状况和作息时间对失能老人的睡眠质量影响较大。干预前,试验组和对照组睡眠质量、入睡时间、总睡眠时间、睡眠效率、睡眠紊乱、催眠药的使用、日间功能障碍7个指标的PSQI评分和PSQI总分差别无统计学意义;强化人文护理和健康教育后,试验组7个指标的PSQI评分和PSQI总分均明显低于对照组,差别有统计学意义。结论延续性人文护理与健康教育可改善社区失能老人睡眠质量。

Objective To explore the effect of continuous humanistic care and health education on sleep quality of disabled elderly in community.Methods 106 cases of disabled old people with sleep disorder in Pingcheng District of Datong City were selected as the research object.According to the different nursing methods,they were divided into experimental group and control group.Among them,the experimental group was given strengthening humanistic nursing and health education,which was based on routine continuous nursing.The control group was only given routine continuous nursing.Three months later,the two groups were reevaluated.Results Physical condition,living environment,emotional condition,social support and work and rest time were all the influencing factors(P<0.05).Among them,physical condition,emotional condition and work and rest time have great influence on the sleep quality of the disabled elderly.Before the intervention,there was no significant difference in PSQI score and PSQI total score between the experimental group and the control group in terms of sleep quality,sleep time,total sleep time,sleep efficiency,sleep disorder,the use of hypnotics and daytime dysfunction.After strengthening the humanistic nursing and health education,the PSQI score and the total PSQI score of the seven indexes in the experimental group were significantly lower than those in the control group.Conclusion Continuous humanistic nursing and health education can improve the sleep quality of disabled elderly in community.