问题导向的教育干预对老年慢性病患者自我管理效能、负性情绪及睡眠质量的影响OA
Effect of problem—oriented education intervention on self—management efficacy,negative emotions,and sleep quality of elderly patients with chronic diseases
目的:结合临床实践经验,探讨基于问题导向的慢性病护理干预行为对提高老年慢性疾病患者自我管理能力、改善负性情绪及睡眠质量的效果.方法:选取某院收治的慢性疾病患者300例,选取时间为2022年3月到2024年3月,根据随机数表法分为试验组和对照组,对照组采用常规护理措施,试验组患者在常规护理基础上给予基于问题导向的干预行为,比较干预前后两组患者自我管理能力、负性情绪、睡眠质量、生活质量,观察两组患者不良反应发生情况.结果:与对照组比较,干预后试验组患者自我管理技能、自我责任感、自我概念和健康知识评分更高(t=7.504,12.012,9.206,19.593;P＜0.05),差异有统计学意义.干预后试验组患者广泛性焦虑筛查量表评分和老年抑郁评估量表评分均低于对照组(t=-40.408,-40.081;P＜0.05),差异有统计学意义.与对照组比较,干预后试验组患者躯体功能、心理功能、健康状况和社会功能评分更高(t=13.687,16.024,8.187,7.326;P＜0.05),差异有统计学意义.与对照组比较,干预后试验组患者入睡时间、睡眠时间、睡眠效率和睡眠质量评分更低(t=-50.617,-31.065,-32.216,-28.471;P＜0.05),差异有统计学意义.试验组患者不良反应发生率(19.33％)明显低于对照组(31.33％)(x2=5.093,P＜0.05),差异有统计学意义.结论:基于问题导向的慢性病护理干预行为可提高老年慢性疾病患者自我管理能力,缓解负性情绪,提高睡眠质量,减少不良反应.
Objective:Based on clinical experience,the effect of problem—oriented chronic care intervention on im-proving self-management ability,negative emotions,and quality of life of elderly patients with chronic diseases was discussed.Methods:A total of 300 patients with chronic diseases admitted to our hospital from March 2022 to March 2024 were selected and divided into the experimental group and the control group according to the random number table method.The reference group was given routine nursing measures,and the experimental group was given prob-lem-oriented chronic disease nursing intervention behavior.The self-management ability,negative emotions,quali-ty of life,sleep quality and nutritional status of the two groups were compared before and after the intervention,and the occurrence of adverse reactions in the two groups were observed.Results:Compared with the control group,the scores of self-management skills,self-responsibility,self-concept and health knowledge of patients in the experi-mental group were higher after the intervention(t=7.504,12.012,9.206,19.593;P＜0.05).After the intervention,the scores of the Generalized Anxiety Screening Scale and the Geriatric Depression Assessment Scale in the experi-mental group were both lower than those in the control group(t=-40.408,-40.081;P＜0.05).Compared with the control group,the scores of physical function,psychological function,health status and social function of the patients in the experimental group were higher after the intervention(t=13.687,16.024,8.187,7.326;P＜0.05).Compared with the control group,the sleep onset time,sleep duration,sleep efficiency and sleep quality scores of the patients in the experimental group were lower after the intervention(t=-50.617,-31.065,-32.216,-28.471;P＜0.05).The inci-dence of adverse reactions in test group(19.33％)was significantly lower than that in control group(31.33％)(x2=5.093,P＜0.05).Conclusion:Problem-oriented chronic care intervention behavior can improve the self-manage-ment ability of elderly patients with chronic diseases,reduce negative emotions,improve quality of life,improve sleep quality,and reduce adverse reactions,which is worthy of further promotion and application.
肖然;张玉红;姜艳丽
河南省郑州市第一人民医院老年医学科 450000河南省郑州市第一人民医院老年医学科 450000河南省郑州市第一人民医院老年医学科 450000
医药卫生
问题导向老年慢性疾病自我管理能力负性情绪睡眠质量
Problem—orientedChronic diseases of the elderlySelf-management abilityNegative emotionsSleep quality
《中国健康心理学杂志》 2026 (9)
1297-1302,6
2023年度河南省医学科技攻关计划项目(编号:LHG20230751)
评论