摘要
目的构建基于微信平台失眠患者的中医居家护理方案,并评价其实际应用效果。方法选取2024年2—6月于医院脑病门诊就诊的76例失眠患者作为研究对象,按照组间基线资料均衡可比的原则分为观察组与对照组,每组38例。对照组失眠患者进行常规居家照护方案;观察组在对照组的基础上实施微信平台支持下的中医护理方案,并督促患者在移动平台上打卡及护理宣教材料学习。两组患者干预周期均为4周,结束干预后随访4周,总试验周期为8周。评估并比较两组患者干预前、干预2周、干预4周以及干预8周睡眠质量、负性情绪以及生活质量情况。结果两组患者在干预前、干预2周、干预4周以及干预8周4个时点,匹兹堡睡眠质量指数得分呈递减的趋势(P时间<0.05);整体分析观察组睡眠质量与对照组比较差异无统计学意义(P组间>0.05),但随着干预时间的延长,观察组睡眠质量改善优于对照组(P交互<0.05)。两组患者在干预前、干预2周、干预4周以及干预8周4个时点,焦虑自评量表得分呈递减的趋势(P时间<0.05);整体分析观察组得分低于对照组,差异有统计学意义(P组间<0.05);并且随着观察时间延长,组间差异逐渐增大(P交互<0.05)。两组患者在干预前、干预2周、干预4周以及干预8周4个时点,生活质量得分呈逐渐增加的趋势(P时间<0.05);整体分析显示除生理机能与躯体疼痛外,均观察组高于对照组,差异有统计学意义(P组间<0.05);并且随着观察时间延长,组间差异逐渐增大(P交互<0.05)。结论微信平台支持下的中医居家护理方案可改善失眠患者的睡眠质量,缓解负性情绪,提升患者对失眠疾病的自我管理和应对能力。
Objective To develop a traditional Chinese medicine(TCM)home care program for insomnia patients based on the WeChat platform and evaluate its practical application effectiveness.Methods A total of 76 insomnia patients who visited the hospital's encephalopathy clinic between February and June 2024 were selected as the study subjects.They were divided into an observation group and a control group according to the principle of balanced and comparable baseline data between the groups,with 38 patients in each group.The control group received routine home care program,while the observation group,in addition to the routine home care,received a TCM nursing program supported by the WeChat platform.The insomnia patients in the observation group were also required to check in on the mobile platform and study nursing education materials.The intervention period for both groups of patients was 4 weeks,followed by a 4-week follow-up period after the intervention ended,resulting in a total trial period of 8 weeks.The sleep quality,negative emotions,and quality of life were assessed and compared between the two groups before intervention,2 weeks after intervention,4 weeks after intervention,and 8 weeks after intervention.Results The Pittsburgh Sleep Quality Index scores of both groups showed a decreasing trend at the four time points:before intervention,2 weeks after intervention,4 weeks after intervention,and 8 weeks after intervention(P<0.05).Overall analysis showed that there was no statistically significant difference in sleep quality between the observation group and the control group(P>0.05).However,with the extension of intervention period,the improvement in sleep quality in the observation group was better than that in the control group(P<0.05).The Self-rating Anxiety Scale scores of both groups showed a decreasing trend at the four time points:before intervention,2 weeks after intervention,4 weeks after intervention,and 8 weeks after intervention(P<0.05).Overall analysis showed that the scores in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).As the observation period extended,the inter-group differences gradually increased(P<0.05).The quality of life scores for both groups showed a gradually increasing trend at the four time points:before intervention,2 weeks after intervention,4 weeks after intervention,and 8 weeks after intervention(P<0.05).Overall analysis revealed that,except for physical function and bodily pain,the scores in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).As the observation period extended,the inter-group differences gradually increased(P<0.05).Conclusion The TCM home care program supported by the WeChat platform can improve sleep quality in insomnia patients,alleviate negative emotions,and enhance patients'self-management and coping abilities for insomnia.
作者
藉淑晶
杨海侠
刘莎
高雪妮
张佳
白娇
党红
杨洁
JI Shujing;YANG Haixia;LIU Sha;GAO Xueni;ZHANG Jia;BAI Jiao;DANG Hong;YANG Jie(Shanxi University of Traditional Chinese Medicine,Xianyang 712046,China;Shanxi Provincial Hospital of Traditional Chinese Medicine,Xi'an 710003,China;General Hospital of Hancheng Mining Bureau,Weinan 715499,China;The First Affiliated Hospital of Xi'an Jiao Tong University,Xi'an 710061,China)
出处
《护理实践与研究》
2025年第12期1751-1757,共7页
Nursing Practice and Research
基金
陕西省中医药管理局项目(编号:SZY-KJCYC-2023-017)。
关键词
失眠症
中医护理技术
移动管理平台
居家护理
睡眠质量
移动医疗
Insomnia
Traditional Chinese medicine nursing techniques
Mobile management platform
Home care
Sleep quality
Mobile health
