慢性失眠症患者网络管理平台的建立与应用效果研究

发布时间：2018-01-04 11:32

本文关键词：慢性失眠症患者网络管理平台的建立与应用效果研究　出处：《中华护理杂志》2017年06期 　论文类型：期刊论文

【摘要】：目的构建慢性失眠症患者网络管理平台,并探讨使用该管理平台对慢性失眠症患者睡眠质量、患者治疗完成率、患者满意度的改善效果。方法选择2014年1月—2015年6月门诊就诊的慢性失眠症患者160例,将患者随机分为实验组与对照组,各80例。实验组采用网络管理平台进行药物认知行为序贯治疗的管理。通过在网络管理平台上建立患者档案,评估病情,推送治疗方案,远程实施8周的药物认知行为序贯治疗管理及12个月的网络远程动态管理及疗效评估。对照组采用8周的面对面药物认知行为序贯治疗管理及12个月的门诊随访管理。结果两组治疗2个月后,睡眠质量的比较,差异无统计学意义;治疗12个月后,睡眠潜伏期、入睡后觉醒时间、总睡眠时间、睡眠效率方面的比较,差异具有统计学意义(P0.05)。治疗12个月后,两组匹茨堡睡眠质量指数、睡眠个人信念与态度量表评分的比较,差异具有统计学意义(P0.05)。两组治疗完成率和患者满意度的比较,差异具有统计学意义(P0.05)。结论慢性失眠症患者网络管理平台的建立能提高患者的睡眠质量,提高患者的治疗完成率和满意度。
[Abstract]:Objective to construct the chronic insomnia patients network management platform, and Study on sleep quality of insomnia patients using the management platform, the completion rate of patients, improve patient satisfaction effect. Methods 160 patients with chronic insomnia in January 2014 June 2015 outpatient cases, the patients were randomly divided into experimental group and control group, 80 cases in each experimental group. The network management platform for drug cognitive behavior sequential therapy management. Through the establishment of patient files, in the network management platform to assess the condition, push treatment, remote implementation of drug 8 week cognitive assessment network remote dynamic management and behavior management and efficacy of sequential therapy for 12 months. The control group was treated by 8 weeks in clinic follow up management drug management and cognitive behavior of sequential therapy for 12 months. Results of the two groups after 2 months of treatment, compare the sleep quality, the difference was not statistically significant; After 12 months of treatment, sleep latency, wake time after sleep, total sleep time, sleep efficiency, the difference was statistically significant (P0.05). After 12 months of treatment, two groups of Pittsburgh sleep quality index, personal beliefs and attitudes about sleep scale score comparison, the difference was statistically significant (P0.05). Two groups of treatment and patient satisfaction rate comparison, the difference was statistically significant (P0.05). Conclusion the establishment of chronic insomnia patients with the network management platform can improve the sleep quality of patients, improve patient satisfaction and completion rate.

【作者单位】：第三军医大学第三附属医院神经内科;
【基金】：第三军医大学学校基金转化课题(2014XZH10)
【分类号】：R473.74
【正文快照】： 全球约25%的成年人对自身睡眠状况不满意,其中6%~10%达到慢性失眠症的诊断标准,表现为入睡、睡眠维持困难和(或)早醒症状每周3次且病程6个月[1]。目前对于慢性失眠症的治疗方法主要包括药物治疗与认知行为治疗,研究[2-3]提出,药物治疗可取得短期疗效,在逐渐减少药物用量直至

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