Objective To explore the effects of insomnia clinic of traditional Chinese medicine (TCM) on community management of elderly patients with insomnia.
Methods Total 90 elderly patients with insomnia admitted in TCM insomnia clinic of community health service centers of Qingtian TCM Hospital and Hangzhou Xiaohehushu Street from January,2015 to January,2016 were selected as the observation group,while 100 elderly patients with insomnia admitted in normal outpatient of Lishui TCM and Jiaxing First Hospital in the same period were selected as the control group.The control group of the normal outpatient in tertiary hospitals was given regular anti-insomnia treatment,while the observation group of the community TCM insomnia clinic was given comprehensive treatments including TCM,acupuncture,physical therapy and psychological support,etc.,and healthy document was also set for unified management.The clinical curative effects and satisfaction were compared one month later between the two groups.
Results The efficiency of sleep improvement was superior in the observation group than that in the control group after the treatment,with statistically significant differences (
u=-2.93,
P=0.042).SRSS score was 35.11±6.18 in the observation group while 34.93±7.07 in the control group before the treatment,and there were no statistically significant differences (
t=2.37,
P>0.05);and after the treatment,SRSS score was 17.24±5.01 in the observation group,which was lower than that (23.44±7.52) of control group,and the differences were statistical significance (
t=6.91,
P<0.05).The observation group had higher satisfaction scores in 6 items including therapeutic effect,treatment experiences,doctors'attitude,diagnosis and treatment technology,schedule,and disease knowledge education than the control group,with statistically significant differences (
t:14.73,11.67,7.02,6.39,16.88 and 21.49;
P<0.05 or <0.01).
Conclusion Setting insomnia clinic of traditional Chinese medicine in community can effectively manage elderly patients with insomnia in community,fully improve the sleep quality of these patients,and improve their satisfaction with treatment.
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