中医综合干预对失眠症患者睡眠质量与社会功能的影响
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摘要
目的:探讨中医综合干预对失眠症患者匹兹堡睡眠质量指数(PSQI)评分、心理状态及社会功能的影响。方法:选取114例失眠症患者,随机分成对照组、观察组,每组57例。对照组施以常规护理干预,观察组在对照组基础上采取中医综合干预。对比两组PSQI评分、心理状态及社会功能。结果:干预后,两组PSQI各因子评分及总分均低于干预前(P<0.05),且观察组均低于对照组(P<0.05);干预后,两组症状自评量表SCL-90各因子评分及社会功能缺陷筛选量表(SDSS)评分均低于干预前(P<0.05),且观察组均低于对照组(P<0.05)。结论:对失眠症患者实施中医综合干预,能够明显改善患者睡眠及心理状况,有效提升其社会功能。
Objective: To explore the effects of TCM comprehensive intervention on Pittsburgh sleep quality index(PSQI) score, mental state and social function of insomnia patients. Methods: The 114 patients with insomnia were randomly divided into control group and observation group, with 57 cases in each group. The control group was given routine nursing intervention, while the observation group was given TCM comprehensive intervention on the basis of the control group. The PSQI score, psychological status and social function of the two groups were compared. Results: After the intervention, the scores of PSQI factors and total score of the two groups were lower than those before the intervention(P <0.05), and those of the observation group were lower than those of the control group(P<0.05). The scores of SCL-90 and Social Disability Screening Schedule(SDSS)in the two groups were lower than those before intervention(P<0.05), and those in the observation group were lower than those in the control group(P<0.05). Conclusion: The TCM comprehensive intervention for insomnia patients can significantly improve the sleeping and psychological status of patients, and effectively enhance their social functions.
Objective: To explore the effects of TCM comprehensive intervention on Pittsburgh sleep quality index(PSQI) score, mental state and social function of insomnia patients. Methods: The 114 patients with insomnia were randomly divided into control group and observation group, with 57 cases in each group. The control group was given routine nursing intervention, while the observation group was given TCM comprehensive intervention on the basis of the control group. The PSQI score, psychological status and social function of the two groups were compared. Results: After the intervention, the scores of PSQI factors and total score of the two groups were lower than those before the intervention(P <0.05), and those of the observation group were lower than those of the control group(P<0.05). The scores of SCL-90 and Social Disability Screening Schedule(SDSS)in the two groups were lower than those before intervention(P<0.05), and those in the observation group were lower than those in the control group(P<0.05). Conclusion: The TCM comprehensive intervention for insomnia patients can significantly improve the sleeping and psychological status of patients, and effectively enhance their social functions.
引文
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[11]赵燕,曹迎凤,马小允.穴位按摩结合五行音乐疗法治疗肝火亢盛型高血压失眠效果分析[J].河北中医药学报,2018,33(2):40-43.
[12]金颖,陈凤娜,江秋丹,等.五行音乐配合耳穴贴压王不留行籽治疗失眠37例临床疗效观察[J].中国现代医生,2017,55(32):124-127.
[13]顾非,吉登军,张俊,等.背部经穴手法治疗失眠的临床效果[J].中国医药导报,2017,14(10):117-119.
[14]郑书传,韦璇,赖鹏,等.慢性失眠患者失眠严重程度、抑郁症状与生活质量的相关性研究[J].中国临床实用医学,2016,7(6):49-51.
[2]刘红侠,马萍,刘军华,等.认知行为治疗对失眠症患者睡眠质量的影响[J].哈尔滨医科大学学报,2016,50(6):545-547.
[3]周雯睿,孙艳,朱晨菲,等.“升降理论”指导下针灸治疗失眠的临床疗效观察[J].针灸临床杂志,2017,33(11):31-34.
[4]中华医学会精神科分会.中国精神病分类及诊断标准(CCMD-3)[M].3版.济南:山东科学技术出版社,2001:118-119.
[5]国家中医药管理局.中医病症诊断疗效标准[M].南京:南京大学出版社,1994:19-20.
[6]路桃影,李艳,夏萍,等.匹兹堡睡眠质量指数的信度及效度分析[J].重庆医学,2014,43(3):260-263.
[7]王金道.SCL-90量表使用的现状及检测心理健康的异议[J].中国心理卫生杂志,2004,18(1):51-52.
[8]刘久香.健康宣教对首发抑郁症患者生活质量和社会功能的影响[J].中国临床护理,2013,5(5):427-429.
[9] Qaseem A,Kansagara D,Forciea M A,et al. Management of Chronic Insomnia Disorder in Adults:A Clinical Practice Guideline From the American College of Physicians[J].Ann Intern Med,2016,165(12):892.
[10]胡艳艳,徐红,杨少山.杨少山运用膏方调治失眠症[J].长春中医药大学学报,2017,33(2):235-236.
[11]赵燕,曹迎凤,马小允.穴位按摩结合五行音乐疗法治疗肝火亢盛型高血压失眠效果分析[J].河北中医药学报,2018,33(2):40-43.
[12]金颖,陈凤娜,江秋丹,等.五行音乐配合耳穴贴压王不留行籽治疗失眠37例临床疗效观察[J].中国现代医生,2017,55(32):124-127.
[13]顾非,吉登军,张俊,等.背部经穴手法治疗失眠的临床效果[J].中国医药导报,2017,14(10):117-119.
[14]郑书传,韦璇,赖鹏,等.慢性失眠患者失眠严重程度、抑郁症状与生活质量的相关性研究[J].中国临床实用医学,2016,7(6):49-51.