The mediating effect of nursing intervention of sleep hygiene on insomnia in patients with liver cirrhosis_West China Medical Journal

Authors：

 REN Linli

Corresponding?author：

REN Linli, Email: 254962990@qq.com

Keywords：

Sleep hygiene; Nursing intervention; Insomnia; Liver cirrhosis

DOI：

10.7507/1002-0179.201508098

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Objective To investigate the mediating effect of nursing intervention of sleep hygiene on insomnia in patients with liver cirrhosis. Methods One hundred and eighteen cirrhotic patients with grade-A liver function and insomnia treated between June 2012 and January 2015 were divided into control group (n=52) and intervention group (n=66) with random number table method. The control group received conventional nursing only, while the intervention group was given nursing intervention of sleep hygiene. The sleep quality of patients in the two groups on admission and discharge were surveyed and compared based on Pittsburgh sleep quality index (PSQI). The nursing effect was also compared between the two groups on discharge. Results There was no statistically significant difference in total score and scores for each factor of PSQI between the two groups of patients on admission (P>0.05). However, the total score and scores for each factor of PSQI on discharge in both groups were significantly lower than those on admission (P<0.05). Besides, the scores in the intervention group were significantly lower than those in the control group (P<0.05). The effect of nursing in the intervention group was superior to that in the control group (P<0.001). Conclusions Nursing intervention of sleep hygiene can effectively improve sleep quality in cirrhotic patients with grade-A liver function. The role of nursing intervention in the treatment of insomnia should be taken seriously.

Citation： REN Linli. The mediating effect of nursing intervention of sleep hygiene on insomnia in patients with liver cirrhosis. West China Medical Journal, 2017, 32(3): 434-438. doi: 10.7507/1002-0179.201508098 Copy

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2.	徐進. 老年肝硬化病因及臨床特點分析. 華西醫學, 2016, 31(7): 1209-1212.
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6.	Bhat M, Wyse JM, Moodie E,et al. Prevalence and predictors of sleep disturbance among liver diseases in long-term transplant survivors. Can J Gastroenterol Hepatol, 2015, 29(8): 440-444.
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8.	蔣志凌, 陳旭平, 付冰, 等. 肝硬化食管靜脈曲張程度門脾靜脈內徑及 Child-Pugh 分級的關系. 華西醫學, 2011, 26(2): 187-188.
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10.	盧小麗, 陳軍軍, 唐艷燕. 認知行為療法對肝移植術后患者焦慮情緒及睡眠質量的影響. 華西醫學, 2015, 30(4): 750-753.
11.	Gellis LA, Park A, Stotsky MT,et al. Associations between sleep hygiene and insomnia severity in college students: cross-sectional and prospective analyses. Behav Ther, 2014, 45(6): 806-816.
12.	Otte JL, Wu J, Yu M,et al. Evaluating the sleep hygiene awareness and practice scale in midlife women with and without breast cancer. J Nurs Meas, 2016, 24(2): 258-267.
13.	Mansel JK, Carey EC. Nonpharmacologic approach to sleep disorders. Cancer J, 2014, 20(5): 345-351.
14.	Akman T, Yavuzsen T, Sevgen Z,et al. Evaluation of sleep disorders in cancer patients based on Pittsburgh Sleep Quality Index. Eur J Cancer Care (Engl), 2015, 24(4): 553-559.
15.	幸露, 周春芬, 張雅玲, 等. 產前教育對住院安胎孕婦睡眠的干預效果研究. 華西醫學, 2014, 29(7): 1352-1354.
16.	李林濤, 譚奔騰, 李新純, 等. 怡神助眠湯治療失眠癥的療效及對腦內神經遞質的影響. 湖南中醫藥大學學報, 2015, 35(1): 47-49, 63.
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18.	Dietrich SK, Francis-Jimenez CM, Knibbs MD,et al. Effectiveness of sleep education programs to improve sleep hygiene and/or sleep quality in college students: a systematic review. JBI Database System Rev Implement Rep, 2016, 14(9): 108-134.
19.	Rodriguez JC, Dzierzewski JM, Alessi CA. Sleep problems in the elderly. Med Clin North Am, 2015, 99(2): 431-439.
20.	Rosini JM, Dogra P. Pharmacology for insomnia: consider the options. Nursing, 2015, 45(3): 38-45.

1. ?Heeren M, Sojref F, Schuppner R,et al. Active at night, sleepy all day - Sleep disturbances in patients with hepatitis C virus infection. J Hepatol, 2014, 60(4): 732-740.
2. 徐進. 老年肝硬化病因及臨床特點分析. 華西醫學, 2016, 31(7): 1209-1212.
3. De Cruz S, Espiritu JR, Zeidler M,et al. Sleep disorders in chronic liver disease. Semin Respir Crit Care Med, 2012, 33(1): 26-35.
4. Montagnese S, De Pittà C, De Rui M,et al. Sleep-Wake abnormalities in patients with cirrhosis. Hepatology, 2014, 59(2): 705-712.
5. Parthasarathy S, Vasquez MM, Halonen M,et al. Persistent insomnia is associated with mortality risk. Am J Medi, 2015, 128(3): 268-275.
6. Bhat M, Wyse JM, Moodie E,et al. Prevalence and predictors of sleep disturbance among liver diseases in long-term transplant survivors. Can J Gastroenterol Hepatol, 2015, 29(8): 440-444.
7. Chehri A, Kiamanesh A, Ahadi H,et al. Psychometric properties of the Persian version of sleep hygiene index in the general population. Iran J Psychiatry Behav Sci, 2016, 10(3): e5268.
8. 蔣志凌, 陳旭平, 付冰, 等. 肝硬化食管靜脈曲張程度門脾靜脈內徑及 Child-Pugh 分級的關系. 華西醫學, 2011, 26(2): 187-188.
9. Voinescu BI, Szentagotai-Tatar A. Sleep hygiene awareness: its relation to sleep quality and diurnal preference. J Mol Psychiatry, 2015, 3(1): 1.
10. 盧小麗, 陳軍軍, 唐艷燕. 認知行為療法對肝移植術后患者焦慮情緒及睡眠質量的影響. 華西醫學, 2015, 30(4): 750-753.
11. Gellis LA, Park A, Stotsky MT,et al. Associations between sleep hygiene and insomnia severity in college students: cross-sectional and prospective analyses. Behav Ther, 2014, 45(6): 806-816.
12. Otte JL, Wu J, Yu M,et al. Evaluating the sleep hygiene awareness and practice scale in midlife women with and without breast cancer. J Nurs Meas, 2016, 24(2): 258-267.
13. Mansel JK, Carey EC. Nonpharmacologic approach to sleep disorders. Cancer J, 2014, 20(5): 345-351.
14. Akman T, Yavuzsen T, Sevgen Z,et al. Evaluation of sleep disorders in cancer patients based on Pittsburgh Sleep Quality Index. Eur J Cancer Care (Engl), 2015, 24(4): 553-559.
15. 幸露, 周春芬, 張雅玲, 等. 產前教育對住院安胎孕婦睡眠的干預效果研究. 華西醫學, 2014, 29(7): 1352-1354.
16. 李林濤, 譚奔騰, 李新純, 等. 怡神助眠湯治療失眠癥的療效及對腦內神經遞質的影響. 湖南中醫藥大學學報, 2015, 35(1): 47-49, 63.
17. Nardelli S, Pentassuglio I, Pasquale CA,et al. Depression, anxiety and alexithymia symptoms are major determinants of health related quality of Life (HRQoL) in cirrhotic patients. Metab Brain Dis, 2013, 28(2, SI): 239-243.
18. Dietrich SK, Francis-Jimenez CM, Knibbs MD,et al. Effectiveness of sleep education programs to improve sleep hygiene and/or sleep quality in college students: a systematic review. JBI Database System Rev Implement Rep, 2016, 14(9): 108-134.
19. Rodriguez JC, Dzierzewski JM, Alessi CA. Sleep problems in the elderly. Med Clin North Am, 2015, 99(2): 431-439.
20. Rosini JM, Dogra P. Pharmacology for insomnia: consider the options. Nursing, 2015, 45(3): 38-45.

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