中国健康心理学杂志2026，Vol.34Issue(9)：1297-1302,6.DOI:10.13342/j.cnki.cjhp.2026.09.004
问题导向的教育干预对老年慢性病患者自我管理效能、负性情绪及睡眠质量的影响
Effect of problem—oriented education intervention on self—management efficacy,negative emotions,and sleep quality of elderly patients with chronic diseases
摘要
Abstract
Objective:Based on clinical experience,the effect of problem—oriented chronic care intervention on im-proving self-management ability,negative emotions,and quality of life of elderly patients with chronic diseases was discussed.Methods:A total of 300 patients with chronic diseases admitted to our hospital from March 2022 to March 2024 were selected and divided into the experimental group and the control group according to the random number table method.The reference group was given routine nursing measures,and the experimental group was given prob-lem-oriented chronic disease nursing intervention behavior.The self-management ability,negative emotions,quali-ty of life,sleep quality and nutritional status of the two groups were compared before and after the intervention,and the occurrence of adverse reactions in the two groups were observed.Results:Compared with the control group,the scores of self-management skills,self-responsibility,self-concept and health knowledge of patients in the experi-mental group were higher after the intervention(t=7.504,12.012,9.206,19.593;P＜0.05).After the intervention,the scores of the Generalized Anxiety Screening Scale and the Geriatric Depression Assessment Scale in the experi-mental group were both lower than those in the control group(t=-40.408,-40.081;P＜0.05).Compared with the control group,the scores of physical function,psychological function,health status and social function of the patients in the experimental group were higher after the intervention(t=13.687,16.024,8.187,7.326;P＜0.05).Compared with the control group,the sleep onset time,sleep duration,sleep efficiency and sleep quality scores of the patients in the experimental group were lower after the intervention(t=-50.617,-31.065,-32.216,-28.471;P＜0.05).The inci-dence of adverse reactions in test group(19.33％)was significantly lower than that in control group(31.33％)(x2=5.093,P＜0.05).Conclusion:Problem-oriented chronic care intervention behavior can improve the self-manage-ment ability of elderly patients with chronic diseases,reduce negative emotions,improve quality of life,improve sleep quality,and reduce adverse reactions,which is worthy of further promotion and application.关键词
问题导向/老年慢性疾病/自我管理能力/负性情绪/睡眠质量Key words
Problem—oriented/Chronic diseases of the elderly/Self-management ability/Negative emotions/Sleep quality分类
医药卫生引用本文复制引用
肖然,张玉红,姜艳丽..问题导向的教育干预对老年慢性病患者自我管理效能、负性情绪及睡眠质量的影响[J].中国健康心理学杂志,2026,34(9):1297-1302,6.基金项目
2023年度河南省医学科技攻关计划项目(编号:LHG20230751) （编号:LHG20230751）
