摘要
目的探讨认知心理疗法联合右佐匹克隆对老年失眠症患者睡眠质量及负性情绪的影响.方法选取2020年12月—2022年6月我院收治的60例老年失眠症患者,以随机数表法分为两组.对照组(n=30)采用右佐匹克隆治疗,观察组(n=30)采用认知心理疗法联合右佐匹克隆治疗,均持续干预8周.比较两组患者的睡眠质量、负性情绪及生活质量.结果干预前,两组的匹兹堡睡眠质量指数(PSQI)各维度评分及总分比较,组间差异无统计学意义(P>0.05);干预后,观察组PSQI中的睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能评分及总分分别为(0.51±0.21)分、(0.62±0.18)分、(0.57±0.11)分、(0.48±0.09)分、(0.48±0.21)分、(0.28±0.04)分、(0.51±0.07)分、(3.45±0.14)分,均低于对照组的(1.01±0.36)分、(1.05±0.21)分、(1.03±0.41)分、(1.07±0.31)分、(1.07±0.26)分、(0.97±0.15)分、(1.03±0.31)分、(7.21±0.21)分,组间差异有统计学意义(P<0.05).干预前,两组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,组间差异无统计学意义(P>0.05);干预后,观察组的SAS、SDS评分分别为(42.15±1.85)分、(31.27±1.03)分,均低于对照组的(45.23±2.07)分、(33.46±1.18)分,组间差异有统计学意义(P<0.05).干预前,两组的健康调查简表(SF-36)评分比较,差异无统计学意义(P>0.05);干预后,观察组的SF-36评分为(91.37±2.13)分,高于对照组的(80.26±2.11)分,差异有统计学意义(P<0.05).结论老年失眠症患者采用认知心理疗法联合右佐匹克隆治疗,可改善睡眠质量,缓解负性情绪,提高生活质量.
Objective To investigate the effects of cognitive psychotherapy combined with dexzopiclone on sleep quality and negative emotions in senile insomniac patients.Methods 60 senile insomniac patients admitted to our hospital from December 2020 to June 2022 were selected and were divided into two groups by random number table method.The control group(n=30)was treated with dexzopiclone,and the observation group(n=30)was treated with cognitive psychotherapy combined with dexzopiclone.The intervention lasted for 8 weeks in both groups.The sleep quality,negative emotions and quality of life of the two groups were compared.Results Before intervention,there were no significant differences in the each dimension score and total scores of Pittsburgh sleep quality index(PSQI)scores between the two groups(P>0.05);after the intervention,the scores of sleep quality,the time to fall asleep,sleep time,sleep efficiency,sleep disorders,hypnotic drugs,daytime function and total scores of PSQI in the observation group were(0.51±0.21)points,(0.62±0.18)points,(0.57±0.11)points,(0.48±0.09)points,(0.48±0.21)points and(0.28±0.04)points,(0.51±0.07)points,(3.45±0.14)points,respectively,which were lower than(1.01±0.36)points,(1.05±0.21)points,(1.03±0.41)points,(1.07±0.31)points,(1.07±0.26)points,(0.97±0.15)points,(1.03±0.31)points,(7.21±0.21)points in the control group,the differences between the groups were statistically significant(P<0.05).Before intervention,there were no significant differences in the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)between the two groups(P>0.05);after intervention,the SAS and SDS scores of the observation group were(42.15±1.85)points and(31.27±1.03)points,respectively,which were lower than(45.23±2.07)points and(33.46±1.18)points of the control group,and the differences between the groups were statistically significant(P<0.05).Before intervention,there was no significant difference in the MOS item short from health survey(SF-36)scores between the two groups(P>0.05);after intervention,the score of SF-36 in the observation group was(91.37±2.13)points,higher than(80.26±2.11)points in the control group,and the difference was statistically significant(P<0.05).Conclusion Cognitive psychotherapy combined with dexzopiclone can improve sleep quality,relieve negative emotion and improve quality of life in senile insomniac patients.
作者
李文学
李倩
LI Wenxue;LI Qian(Department of Psychiatry,Chengwu County People's Hospital,Heze Shandong,274200,China)
出处
《反射疗法与康复医学》
2023年第1期164-167,共4页
Reflexology And Rehabilitation Medicine
作者简介
李文学(1979-),男,山东菏泽人,本科,主治医师,研究方向:精神科常见病诊治。
