闸北区某社区精神病患者失眠原因分析

目的：分析导致社区精神病患者失眠的相关因素，制定相应的管理措施，为社区精神病患者失眠的防治和护理提供参考依据。方法：在本社区居家康复的精神病患者中选取200例失眠症患者，对患者进行电话随访与上门随访，通过与患者及其亲友深入交流和沟通，了解总体情况、病情状况、药剂用量。并为患者建立个人信息档案，细致登记随访结果信息表格，对随访结果资料进行全面梳理与总结，并分析影响睡眠的相关因素。结果：难以入睡70例（35％），早醒64例（32％），时睡时醒9例（4．5％），彻夜不眠15例（7．5％）；失眠症与精神状况、社会因素、环境因素、心理因素、身体情况、药物不良反应等因素相关。结论：控制精神症状，消除疼痛和药物不良反应，加强心理疏导，创造良好的睡眠环境，培养良好的睡眠习惯是控制失眠的有效措施。做好社区精神病患者的睡眠状况监测，可防止意外的发生，保证治疗的顺利进行。

Analysis the Cause of Insomnia Patients with Mental Illness in a Community, Shanghai

Objective： To analyze the causes of insomnia patients with mental illness in a community, to de- velop appropriate management measures for the prevention and treatment of insomnia patient with mental illness in the community and provide a reference. Method：Select 200 home rehabilitation cases of insomnia patients with mental illness in this community, contact with the patients and their families by home follow - up for patients or telephone follow- up to understand the general situation, the condition changes, drug use, and to establish indi- vidual patients files, fill out a follow - up service record sheet for follow - up data to collect and summarize, ana-lyzefactors that affect sleep. Results： Difficulty in falling asleep 70 cases （35%）, early awakening 64 cases （32 % ）, sometime awake and sometime sleeping 9 cases （4.5 % ）, overnight awake 15 cases （ 7.5 % ） ; insomnia factors： psychiatric symptoms, social, environmental, psychological, physical condition, adverse drug reactions and other factors relevant. Conclusion： Control psychotic symptoms, eliminate pain and adverse drug reactions, strengthen psychological counseling, to create a good sleep environment, develop good sleep habits is an effective measure to control insomnia. Build up good community psychiatric patient＇s sleep condition monitoring, to pre- vent accidents and ensure the smooth progress of the treatment.