睡眠心理行为模式在中老年慢性失眠患者中的应用效果

Application effect of sleep psychological behavior mode in middle-aged and elderly patients with chronic insomnia

目的探讨睡眠心理行为模式在中老年慢性失眠患者中的应用效果。方法选取2019年4月至2020年12月景德镇市第四人民医院收治的60例中老年慢性失眠患者作为研究对象,采用随机数字表法分为对照组和观察组,每组各30例。对照组实施常规的护理手段,观察组则在此基础上实行睡眠心理行为护理。干预前后采用匹兹堡睡眠质量指数(PSQI)、症状自评量表(SCL-90)比较两组患者的睡眠质量、心理健康情况。结果干预前,两组患者的PSQI量表各因子评分比较,差异无统计学意义(P>0.05);干预4周后,两组的睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍各因子评分及总分均低于干预前,差异有统计学意义(P<0.05);观察组的睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍各因子评分及总分均低于对照组,差异有统计学意义(P<0.05)。干预前,两组患者的SCL-90各因子评分比较,差异无统计学意义(P>0.05)。对照组干预4周后的躯体化、焦虑、抑郁、惊恐4项SCL-90因子评分高于干预前,而强迫、人际关系敏感、敌意、偏执、精神病性、其他6项因子评分低于干预前,差异有统计学意义(P<0.05);对照组干预4周后的SCL-90总评分与干预前比较,差异无统计学意义(P>0.05);观察组干预4周后的躯体化、焦虑、抑郁、惊恐、强迫、人际关系敏感、敌意、偏执、精神病性各项SCL-90因子评分及总分均低于干预前,差异有统计学意义(P<0.05);观察组干预4周后的躯体化、焦虑、抑郁、惊恐、强迫、人际关系敏感、敌意、偏执、精神病性各项SCL-90因子评分及总分均低于对照组,差异有统计学意义(P<0.05)。结论睡眠心理行为干预有助于老年人慢性失眠患者提高睡眠质量,改善心理健康,提高生活质量。

Objective To explore the application effect of sleep psychological behavior mode in middle-aged and elderly patients with chronic insomnia.Methods From April 2019 to December 2020,60 middle-aged and elderly patients with chronic insomnia treated in Jingdezhen Fourth People′s Hospital were selected as the research objects.They were divided into the control group and the observation group according to random number table method,30 cases in each group.The control group was implemented with routine nursing,the observation group was performed with sleep psychological behavior nursing on this basis.Pittsburgh sleep quality index(PSQI)and the self-report symptom inventory,symptom checklist-90(SCL-90)were used to compare the sleep quality and mental health of the two groups before and after the intervention.Results Before intervention,there were no significant differences in the factor scores of PSQI scale between the two groups(P>0.05).After 4 weeks of intervention,the factor scores of sleep quality,sleep time,length of sleep,sleep efficiency,sleep disorder,hypnotic drugs and daytime dysfunction and the total scores in the two groups were lower than those before intervention,the differences were statistically significant(P<0.05).The factor scores of sleep quality,sleep time,length of sleep,sleep efficiency,sleep disorder,hypnotic drugs and daytime dysfunction and the total scores in the observation group after 4 weeks of intervention were lower than those in the control group,the differences were statistically significant(P<0.05).Before intervention,there were no significant differences in SCL-90 factor scores between the two groups(P>0.05).The scores of somatization,anxiety,depression and panic in the control group after 4 weeks of intervention were higher than those before intervention,while the scores of compulsion,interpersonal sensitivity,hostility,paranoia,psychosis of other 6 factors in the control group after 4 weeks of intervention were lower than those before intervention,the differences were statistically significant(P<0.05).There was no significantly difference in the total score of SCL-90 between the control group after 4 weeks of intervention and before intervention(P>0.05).The factor scores of somatization,anxiety,depression,panic,compulsion,interpersonal sensitivity,hostility,paranoia,psychosi of SCL-90 and the total scores of the observation group after 4 weeks of intervention were lower than those before intervention,the differences were statistically significant(P<0.05).The factor scores of somatization,anxiety,depression,panic,compulsion,interpersonal sensitivity,hostility,paranoia and psychosis of SCL-90 and the total scores of in the observation group after 4 weeks of intervention were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion Sleep psychological behavior intervention is helpful to improve sleep quality,mental health and life quality of elderly patients with chronic insomnia.