Applied Research Of Integrated Chinese And Western Psychological Nursing Model In The Elderly Suffering From Insomnia With Anxiety Symptom

[Objectives]1. To study the application effect of integrated traditional Chinese and Western psychological nursing model in the elderly suffering from insomnia with anxiety symptom and to explore and innovate above model in order to enrich the content of integrated traditional Chinese and Western nursing.2. To improve the psychological and disease status of the elderly suffering from insomnia with anxiety symptom, raise their quality of life, and promote the development of successful aging.[Methods]Under randomized and parallel control design,60 elderly patients with insomnia were randomly divided into experimental group and control group. There are 30 cases in each group. Experimental group received integrated traditional Chinese and Western psychological nursing, while the control group received routine nursing. Efficacy was evaluated by the Pittsburgh Sleep Quality Index table (PSQI), The Hamilton Anxiety Scale (HAMA), the Mos 36-item Short Form Health Survey(SF-36) and blood pressure. Applied statistical software SPSS 19.0 for statistical analysis of the collected date.[Results]1. Baseline information:the general demographic information, pattern of life, healthy condition, illness status, sleeplessness, bloop pressure values and so on were no statistical significance between the two groups (P> 0.05). The PSQI scores, HAMA scores and SF-36 scores of the two groups had no statistical significance before intervention (P> 0.05), so they had comparability.2. Two groups comparison after intervention:after the two groups implemented different intervention, there were statistical significance of PSQI total scores, HAMA scores, all the dimensions of SF-36 scores (except for PF, RP dimension) and blood pressure values between two groups (P< 0.05). Amomg PSQI scores of each factor, sleep quality, time of going to sleep, sleep time and daytime dysfunction had statistical significance (P< 0.05), while sleep efficiency, sleep disorders, hypnotic drugs had no statistical significance (P> 0.05)3. Within group comparison before and after the intervention:before and after the intervention, the PSQI scores, HAMA scores, all the dimensions of SF-36 scores (except for PF, RP dimension) and blood pressure values of experimental group had statistical significance (P< 0.05); for control group, PSQI total scores, HAMA scores had statistical significance (P< 0.05),while the SF-36 scores and blood pressure values had no statistical significance (P> 0.05)[Conclusions]Integrated traditional Chinese and Western psychological nursing model can play an important role in improving the sleep quality of the elderly with anxiety symptom, relieving anxiety, regulating blood pressure, maintaining physical and mental health and raising the quality of life. With good effect the model is superior to the clinical routine psychological nursing model, and is worth to be popularized and applied.