摘要
目的:探讨舒眠胶囊联合心理干预治疗抑郁症睡眠障碍的效果。方法:将118例抑郁症睡眠障碍患者根据随机数字表法分为2组,对照组59例采用地西洋治疗联合常规护理干预,观察组59例采用舒眠胶囊联合心理干预治疗。对比2组干预前后用匹兹堡睡眠质量指数(PSQI)、汉密顿抑郁量表(HAMD)评分、抗抑郁药副反应量表(SERS)评分、中医证候积分、睡眠质量和HAMD睡眠障碍因子。结果:2组干预前后PSQI、HAMD、SERS评分及中医证候积分比较,差异有统计学意义(P<0.05)。干预后,观察组PSQI、HAMD、SERS评分及中医证候积分均较对照组下降,差异有统计学意义(P<0.05)。2组干预前后觉醒次数、总睡眠时间、早醒延迟时间比较,差异有统计学意义(P<0.05)。干预后,观察组觉醒次数、早醒延迟时间较对照组缩短,而总睡眠时间较对照组增加,差异有统计学意义(P<0.05)。2组干预前后早醒、入睡困难、睡眠不深等HAMD睡眠障碍因子比较,差异有统计学意义(P<0.05)。干预后,观察组早醒、入睡困难、睡眠不深等HAMD睡眠障碍因子均较对照组下降,差异有统计学意义(P<0.05)。结论:舒眠胶囊联合心理干预治疗抑郁症睡眠障碍的效果显著,可有效改善患者抑郁症状及睡眠障碍,提高患者睡眠质量,不良反应少。
Objective:To discuss the effect of Shumian capsules combined with psychological intervention for depression and sleep disorders.Methods:A total of 118 cases of patients with depression and sleep disorders were divided into two groups according to the random number table method,59 cases in each group.The control group was given diazepam and routine nursing intervention,and the observation group was treated with Shumian capsules combined with psychological intervention.Before and after intervention,the scores of pittsburgh sleep quality index(PSQI),hamilton depression scale(HAMD) and side effects rating scale(SERS),Chinese medicine syndrome scores,the quality of sleep and HAMD sleep disorder factors in the two groups were compared.Results:Before and after intervention,compared the scores of PSQI,HAMD as well as SERS and Chinese medicine syndrome scores in the two groups,the difference was significant(P <0.05);after intervention,the above scores in the observation group were decreased when compared with those in the control group,the difference being significant(P <0.05).Before and after intervention,compared the number of awakening times,the total sleep time and the delay time of early awakening in the two groups,the difference was significant(P <0.05).After intervention,the number of awakening times and the delay time of early awakening in the observation group were shortened when compared with those in the control group,and the total sleep time was increased when compared with that in the control group,the difference being significant(P <0.05).Before and after intervention,compared the HAMD sleep disorder factors including early awakening,difficulty falling asleep and light sleep in the two groups,the difference was significant(P <0.05);after intervention,the above HAMD sleep disorder factors in the observation group were decreased when compared with those in the control group,the difference was significant(P <0.05).Conclusion:The therapy of Shumian capsules combined with psychological intervention has significan
作者
陈海琴
胡丽英
陈慧琴
CHEN Haiqin;HU Lining;CHEN Huiqin
出处
《新中医》
CAS
2019年第12期268-271,共4页
New Chinese Medicine
关键词
抑郁症
睡眠障碍
舒眠胶囊
心理干预
睡眠质量
Depression
Sleep disorders
Shumian capsules
Psychological intervention
Quality of sleep