CAJ | 학술논문

目的：探讨中西医结合社区护理干预对城市社区亚健康失眠的影响。方法：将社区健康服务中心下辖社区内符合相关标准的居民100例随机分为观察组和对照组各50例，对照组给予常规社区健康教育，观察组经中医辨证后给予中西医结合护理干预；比较两组睡眠质量指数（ PSQI）、亚健康中医症候测量量表及生活质量等。结果：两组干预后总有效率比较差异有统计学意义（P﹤0.05）；干预后干预组心理领域、生理领域等WHO-QOL-BREF评分明显优于对照组（P﹤0.05），PSQI总分、睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能等评分明显优于对照组（ P﹤0.05）；观察组干预后CD3、CD4/CD8与干预前比较差异有统计学意义（P﹤0.05），且与对照组干预后比较差异有统计学意义（P﹤0.05）；对照组干预后CD3与干预前比较差异有统计学意义（ P﹤0.05）。结论：中西医结合社区护理干预能够有效改善城市社区亚健康失眠患者的临床症状，并能提高患者生活质量及免疫功能，值得临床推广应用。
목적：탐토중서의결합사구호리간예대성시사구아건강실면적영향。방법：장사구건강복무중심하할사구내부합상관표준적거민100례수궤분위관찰조화대조조각50례，대조조급여상규사구건강교육，관찰조경중의변증후급여중서의결합호리간예；비교량조수면질량지수（ PSQI）、아건강중의증후측량량표급생활질량등。결과：량조간예후총유효솔비교차이유통계학의의（P﹤0.05）；간예후간예조심리영역、생리영역등WHO-QOL-BREF평분명현우우대조조（P﹤0.05），PSQI총분、수면질량、입수시간、수면시간、수면효솔、수면장애、일간공능등평분명현우우대조조（ P﹤0.05）；관찰조간예후CD3、CD4/CD8여간예전비교차이유통계학의의（P﹤0.05），차여대조조간예후비교차이유통계학의의（P﹤0.05）；대조조간예후CD3여간예전비교차이유통계학의의（ P﹤0.05）。결론：중서의결합사구호리간예능구유효개선성시사구아건강실면환자적림상증상，병능제고환자생활질량급면역공능，치득림상추엄응용。
Objective:ToexploretheeffectofcommunitynursinginterventionwithtraditionalChineseandWesternmedicineontheres-idents with insomnia due to subhealthy conditions. Methods:100 residents in the community were randomly divided into the observation group and the control group(50 cases in each group). The residents in the control group received routine health education and the patients in the observation group were given targeted nursing intervention after treatment with traditional Chinese and Western medicine. PSQI,sub- health symptoms and quality of life were compared between the two groups. Results:The difference in the comparison of the total effective rate was statistically significant between the two groups after the intervention(P ﹤0. 05);the WHO - QOL - BREF scores in psychological and physical fields were significantly superior in the observation group to the control group after the intervention(P ﹤0. 05);the total score of PSQI,the scores of sleep quality,the time to fall asleep,sleep time,sleep efficiency,sleep disorders and daytime function were significantly superior in the observation group to the control group(P ﹤0. 05);the comparison of CD3 and CD4/ CD8 was significantly different after the intervention with that before the intervention in the observation group(P ﹤0. 05)and the difference between the two groups was also statistically significant after the intervention( P ﹤ 0. 05);the comparison of CD3 was significant different after the intervention with that before the intervention in the control group(P ﹤0. 05). Conclusion:The community nursing intervention with traditional Chinese and Western medicine can effectively relieve the clinical symptoms of insomnia of the residents in subhealthy conditions and improve their life quality and immune function.