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| 综合干预对骨质疏松老年人疼痛及睡眠质量的影响 |
| The effect of comprehensive intervention on pain and sleep quality among the elderly with osteoporosis |
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| DOI：10.3969/j.issn.1006.7108.2016.12.011 |
| 中文关键词: 骨质疏松 疼痛 睡眠质量 疼痛管理 |
| 英文关键词:Osteoporosis Pain Sleep quality Pain management |
| 基金项目: |
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| 中文摘要: |
| 目的 观察睡眠规范管理、疼痛管理联合脉冲电磁场治疗对骨质疏松老年人疼痛及睡眠质量的干预效果。方法 于2015年1月至7月期间，选取在华北理工大学附属医院骨质疏松门诊就诊的存在睡眠障碍的骨质疏松老年患者80例，遵循不平衡指数最小原则将研究对象分为干预组和对照组，对照组给予常规睡眠健康教育配合抗骨质疏松基础治疗，干预组在对照组的基础上，根据课题组前期研究结果，设计实施规范睡眠管理方案、疼痛管理联合脉冲磁场治疗的综合干预。收集患者的一般资料，并分别于干预前和干预5周后，评测患者疼痛程度（NRS)和睡眠质量（PSQI)，观察疗效。结果 干预后干预组患者NRS评分 (3.89±2. 894)较对照组（5. 80 ±2. 785)有所降低，干预组患者PSQ1评分除睡眠时间这一维度外，总分及其余各维度明显低于对照组，差异有统计学意义（P <0.05)。结论 综合干预能有效缓解骨质疏松老年人的疼痛程度，提高睡眠质量。 |
| 英文摘要: |
| Objective To study the effect of normative sleep management and pain management combined with pulsed electromagnetic fields treatment on pain and sleep quality among the elderly with osteoporosis. Methods From January to July 2015，80 patients with sleep disorders in the elderly with osteoporosis (OP) treated in North China University of Science and Technology Affiliated Hospital were selected. They were divided into intervention group and control group according to the principle of minimum unbalance index. The patients in control group received basic anti-osteoporosis treatment and sleep health education. The patients in intervention group received comprehensive intervention including normative sleep management and pain management combined with pulsed electromagnetic fields treatment according to preliminary investigation results. The general information and degree of pain (NRS) and sleep quality score (PSQI) before and 5 weeks after intervention were collected and evaluated. Results After the intervention, NRS scores of patients in the intervention group (3. 89 ± 2. 894) decreased compared to those in control group (5. 80 ±2. 785). The scores of sleep quality in intervention group were less than that in control group in total scores and the remaining dimensions scores, except the sleep time dimension after intervention. The difference was statistically significant (P<0. 05). Conclusion Comprehensive intervention can relieve the pain effectively and improve the quality of sleep. |
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