标题：基于 IMB模型的睡眠心理行为护理在慢性失眠患者中的应用

      作者：梁娜 1，郭雪丽 2，赵福涛 1    梁娜 1，郭雪丽 2，赵福涛 1驻马店市第二人民医院睡眠医学中心 1、科研教学管理科 2，河南 驻马店 463000

      卷次： 2024年35卷10期

      【摘要】 目的 探讨基于信息-动机-行为技巧(IMB)模型的睡眠心理行为护理在慢性失眠患者中的应用效果。方法 选择 2022年 1月至 2023年 5月驻马店市第二人民医院收治的 116例慢性失眠患者展开研究，采用随机数表法将患者均分为对照组和观察组，每组 58例。对照组患者接受常规护理，观察组患者接受基于 IMB模型的睡眠心理行为护理，均护理至出院。比较两组患者护理前后的匹兹堡睡眠质量指数量表(PSQI)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分和应对方式(面对、回避、屈服)以及简明生活质量指数(SF-36)变化。结果 护理后，两组患者的PSQI评分均降低，且观察组患者的睡眠质量、入睡时间、睡眠时间、睡眠障碍、睡眠效率评分分别为(0.85±0.12)分、(0.82±0.11)分、(0.79±0.10)分、(0.91±0.21)分、(0.82±0.13)分，明显低于对照组的(1.23±0.25)分、(01.31±0.17)分、(1.08±0.21)分、(1.27±0.14)分、(1.28±0.27)分，差异均有统计学意义(P<0.05)；护理后，两组患者的SAS、SDS评分降低，且观察组患者的 SAS、SDS评分分别为(29.17±5.11)分、(27.98±3.09)分，明显低于对照组的(35.28±4.09)分、(31.28±3.25)分，差异均具有统计学意义(P<0.05)；护理后，两组患者应对方式中的面对评分升高，且观察组为(21.20±3.11)分，明显高于对照组的(18.27±2.84)分，而应对方式中的回避、屈服评分降低，且观察组的回避、屈服评分分别为(7.21±1.23)分、(5.98±0.93)分，明显低于对照组的(9.31±1.08)分、(6.92±1.20)分，差异均具有统计学意义(P<0.05)；护理后，两组患者的生活质量评分升高，且观察组患者的躯体功能、物质生活、情感职能、社会功能评分分别为(72.19±4.28)分、(78.23±5.11)分、(79.17±4.32)分、(78.34±4.09)分，明显高于对照组的(67.12±4.10)分、(70.83±4.82)分、(70.42±4.82)分、(70.91±3.90)分，差异均具有统计学意义(P<0.05)。结论 基于IMB模型的睡眠心理行为护理可减轻患者的负面情绪，改善应对方式，提高患者睡眠质量及生活质量，具有临床应用价值。
      【关键词】 失眠；信息-动机-行为技巧模型；睡眠心理行为护理；睡眠质量；心理状态；应对方式；生活质量
      【中图分类号】 R473.74 【文献标识码】 A 【文章编号】 1003—6350（2024）10—1489—05

Application of sleep psycho-behavioral nursing based on IMB model in patients with chronic insomnia.
LIANG Na 1,GUO Xue-li 2, ZHAO Fu-tao 1. Sleep Medicine Center 1, Department of Research and Teaching Management 2, the SecondPeople's Hospital of Zhumadian City, Zhumadian 463000, Henan, CHINA
【Abstract】 Objective To explore the application effect of sleep psycho-behavioral nursing based on the infor-mation-motivatio-behavior skills (IMB) model in patients with chronic insomnia. Methods A total of 116 patients withchronic insomnia admitted to the Second People's Hospital of Zhumadian City from January 2022 to May 2023 wereevenly divided into a control group and an observation group using a random number table method, with 58 cases ineach group. The control group received routine nursing, while the observation group received sleep psycho-behavioralnursing based on the IMB model. The changes in Pittsburgh Sleep Quality Index (PSQI), Self-rating Anxiety Scale(SAS), Self-rating Depression Scale (SDS) scores, coping styles (face, avoid, surrender), and Short Form Quality ofLife Index (SF-36) before and after nursing were compared between the two groups. Results After nursing, the PSQIscores of both groups decreased; the sleep quality, time of falling asleep, sleep time, sleep disorders, and sleep efficien-cy scores of the observation group were (0.85±0.12) points, (0.82±0.11) points, (0.79±0.10) points, (0.91±0.21) points,(0.82±0.13) points, which were significantly lower than (1.23±0.25) points, (01.31±0.17) points, (1.08±0.21) points,(1.27±0.14) points, (1.28±0.27) points in the control group; the differences were statistically significant (P<0.05). Af-ter treatment, the SAS and SDS scores of the two groups decreased; the scores of the observation group were (29.17±5.11) points, (27.98±3.09) points, which were significantly lower than (35.28±4.09) points, (31.28±3.25) points of thecontrol group; the differences were statistically significant (P<0.05). After nursing, the face scores in the two groupsof patients increased, and the score in the observation group was (21.20±3.11) points, which was significantly higherthan (18.27 ± 2.84) points in the control group; the avoidance and surrender scores in the coping styles of the twogroups decreased, and the scores in the observation group were (7.21±1.23) points and (5.98±0.93) points, which weresignificantly lower than (9.31±1.08) points and (6.92±1.20) points in the control group; the differences were statistical-ly significant (P<0.05). After nursing, the quality of life scores of the two groups increased; the physical function, ma-terial life, emotional function, and social function scores of the observation group were (72.19±4.28) points, (78.23±5.11) points, (79.17±4.32) points, and (78.34±4.09) points, which were significantly higher than (67.12±4.10) points,(70.83±4.82) points, (70.42±4.82) points, and (70.91±3.90) points in the control group; the differences were statistical-ly significant (P<0.05). Conclusion Sleep psycho-behavioral nursing based on the IMB model can alleviate nega-tive emotions in patients, improve coping strategies, and enhance their sleep and quality of life, which has clinical ap-plication value.
      【Key words】 Insomnia; Information-motivation-behavior skill model; Sleep psycho-behavioral nursing; Sleepquality; Psychological state; Response methods; Quality of life