TIP睡眠调控技术在脑外伤康复期并发失眠患者中的应用.doc

TIP睡眠调控技术在脑外伤康复期并发失眠患者中的应用 【摘要】目的：探讨TIP睡眠调控技术（Low Resistance Thought Induction Sleep-regulating Technique)在脑外伤康复期并发失眠患者中的应用效果。方法：将84例脑外伤康复期并发失眠患者随机分为实验组42例和对照组42例。对照组予以常规护理措施，实验组在对照组的基础上，加用TIP睡眠调控技术。结果：实验组患者PSQI评分的睡眠质量维度和日间功能障碍维度评分均优于对照组（P＜0.01），实验组患者焦虑、抑郁评分均优于对照组（P＜0.01）。结论：TIP睡眠调控技术可以改善脑外伤康复期并发失眠患者的睡眠状况，减轻负性情绪，有助于提高患者的生活质量，改善预后，值得在临床推广应用。 【关键词】TIP睡眠调控技术；脑外伤；康复期；失眠 The effect of TIP sleep regulating techniques on convalescent patients with traumatic brain injury suffering insomnia 【Abstract】Objective: To explore the effect of TIP sleep regulating techniques on convalescent patients with traumatic brain injury suffering insomnia. Methods: There were 84 convalescent patients with traumatic brain injury suffering insomnia randomly divided into intervention group(n=42) and control group(n=42). The patients in the control group were served with routine nursing care, while the patients in the intervention group received TIP sleep regulating techniques besides routine nursing care. Results: “Subjective sleep quality” and “daytime dysfunction” dimension of the PSQI scale showed statistically significant difference between these 2 groups(P＜0.05). The anxiety and depression conditions of the intervention group were better than the control group(P＜0.05). Conclusion: The TIP sleep regulating techniques could improve the sleep condition of convalescent patients with traumatic brain injury suffering insomnia, relieve their anxiety and depression, helpful to improve patients’ quality of life and the recovery, worthy of clinical application. 【Keywords】TIP sleep regulating techniques; Traumatic brain injury; Convalescent; Insomnia 失眠指人对睡眠质量和(或) 时间不满意且影响到日常社会功能的主观体验[1, 2]。本研究经医院伦理委员会批准，患者及家属知情同意书后，对脑外伤康复期并发失眠患者脑外伤康复期并发失眠患者[3]。随机分为实验组42例，对照组42例。实验组中男25例，女17例；平均年龄（33.7±11.3）岁。对照组中男24例，女18例；平均年龄（34.4±12.1）岁。两组患者一般资料比较差异无统计学意义（P0.05），具有可比性。干预前两组匹兹堡睡眠质量指数量表PSQI评分比较，见表1。 表1 预前两组匹兹堡睡眠质量指数量表PSQI评分比较 （，±s） 项目 对照组（n=42） 实验组（n=42） t值 P值 睡眠质量 1.81±1.26 1.75±0.83 0.2577 0.7973 入睡时间 1.52±0.