CAJ | 학술논문

目的：探讨“健康小屋”互助课堂式干预方法对提高老年失眠症患者健康管理效果的作用。方法将2014年8月—2015年1月门诊连续就诊的慢性失眠症120例患者，随机分对照组和干预组，每组60例。对照组门诊就医后给予常规慢性病管理；干预组在常规管理的基础上，按照全科医生管辖片区分为5个小组，每组12例，每组学员每周到本中心健康小屋参加健康互助课堂教育1次，合计5次。结果“健康小屋”互助课堂教育后，对照组知识掌握合格率为85.00%（51/60），干预组为93.33%（56/60），其中优秀者干预组61.7%（37/60）明显高于对照组的20%（12/60）；在用药管理、饮食控制、有氧运动、自我催眠及健康支持方面的自我健康管理水平，干预组明显高于对照组，2组比较差异具有统计学意义（P<0.05）。结论“健康小屋”互助课堂的开展可使失眠患者疾病知识掌握水平有效提高，并增强了患者的自我健康管理能力。
목적：탐토“건강소옥”호조과당식간예방법대제고노년실면증환자건강관리효과적작용。방법장2014년8월—2015년1월문진련속취진적만성실면증120례환자，수궤분대조조화간예조，매조60례。대조조문진취의후급여상규만성병관리；간예조재상규관리적기출상，안조전과의생관할편구분위5개소조，매조12례，매조학원매주도본중심건강소옥삼가건강호조과당교육1차，합계5차。결과“건강소옥”호조과당교육후，대조조지식장악합격솔위85.00%（51/60），간예조위93.33%（56/60），기중우수자간예조61.7%（37/60）명현고우대조조적20%（12/60）；재용약관리、음식공제、유양운동、자아최면급건강지지방면적자아건강관리수평，간예조명현고우대조조，2조비교차이구유통계학의의（P<0.05）。결론“건강소옥”호조과당적개전가사실면환자질병지식장악수평유효제고，병증강료환자적자아건강관리능력。
Objective To study the influence of"Healthy Room"mutual aid courses mode intervention methods in improving the health management for the elderly patients with insomnia.Methods Select 120 patients come from those patients who were diagnosed with chronic insomnia in the outpatient clinic between August 2014 and the January 2015 . They were randomly divided into control group and experimental group,60 patients in each group. The control group received routine chronic disease management after outpatient. The experimental group,on the basis of conventional management,according to their family doctor jurisdiction area divided into 5 groups, each group of 12 people,every patient should attend mutual aid courses once a week,total five times.Results After the education of"Healthy Room"mutual aid courses,The knowledge qualified rate was 85% (51/60) in the control group,it was 93.33% (56/60)in the experimental group. The excellent person is 61.7% (37/60)in the experimental group, which were significantly more than the control group with 20% (12/60).The self health management level like patients medication management,diet control,exercise,self hypnosis and health support compliance in the experimental group was significantly higher than that in the control group,the difference between two groups has statistically significance (P<0.05).Conclusions "Healthy Room"mutual aid courses can effectively enhance the level that the patients with insomnia master disease knowledge , and enhance the patient's ability of self health management.