社区老年失眠患者自我管理模式分析

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1、-AbstractObjectiveTochangetheerroneouscognitionofelderlywithinsomniaanddecreasemedicationabusethroughinvestigatethemodelofelderlyself-managementforinsomnia，inordertoprovideaguideforimprovethesleepqualityofelderly.Methods94communityelderlywithinsomniaofKaifengwereincludedandrandomlyallocate

2、dtoanexperimentgroup(n=47)andacontrolgroup(n=47)bymeansofrandomnumbertable.BothgroupswereevaluatedwithPittsburghsleepqualityindex(PSQI).Theexperimentgroupcarriedonprogressiveinterventionincludingcognitivebehavioraltherapy，self-acupointmassageandself-medicinemanagement，whilethecontrolgroupm

3、aintainedtheirdailylifeandoriginaltherapywithoutanyintervention.Therawdatawasinputdatabaseafterbeingcollected，checkedandsortedout.SPSS11.5statisticalsoftwarepacketwasusedtoanalyzethedata.Themeasurementdatawasdescribedbyx±sandanalyzedwithttest，analysisofvariance(ANOVA)andrank-sumtestwhileth

4、ecountdatawasanalyzedwithchi-squaretest.Results(1)IntheexperimentgroupsignificantdifferencescouldbefoundinallthefactorsandthetotalscoresofPSQIbeforeandaftertheintervention(P＜0.05)，andaftertheinterventiontherewrersignificantdifferencesbetweenthetwogroupsexceptsleepinglatentperiod(P＜0.01).(2

5、)Aftertheintervention，amongtheexperimentgroup，10cases(22.2%)wereexcellent---improved，31cases(68.9%)wereimproveand4cases(8.9%)wereinefficient，thetotaleffectiveratewas91.1%，whileamongthecontrolgroup，2cases(4.4%)wereimproved，43cases(95.6%)wereinefficient，thetotaleffectiveratewas4.4%.Therewasa

6、significantdifferencebetweenthetwogroups(P＜0.01).(3)26（96.2%）patientsoftheesperimentgroupreducedthedoseofmedicineindifferentdegreesafternon-pharmacologicalself-managementwith13（48.1%）patientsbeingdrugwithdrawal.III---(4)Clinicaleffectsoftheinterventionwasinfluentedbycourseofdiseaseandage.C

7、linicaleffectsofpatientswithdiseasecourseoflessthan2yearsand2~10yearswerebothbetterthanthatofdiseasecourseofmorethan10years(P＜0.01).Clinicaleffectsofpatientsinageoflessthan70yearswerebetterthanthatofageofboth70~80yearsandover80years(P＜0.05，P＜0.01).Therewasnosi