目的 对比观察推拿结合心理干预与单纯药物治疗特勤疗养员失眠的疗效。方法 选取2016-12至2019-12的80例失眠的特勤疗养员,随机分为观察组和对照组,各40例。两组均采用睡眠健康教育后,对照组单纯口服艾司唑仑,观察组给予推拿结合心理干预,2个疗程后进行效果比较。结果 观察组总有效率(95.00%)高于对照组(80.00%),差异有统计学意义(P<0.05);观察组匹兹堡睡眠质量指数量表(PSQI)评分(6.75±3.44)低于对照组(8.90±4.31),差异有统计学意义(P<0.05);观察组睡眠状况自评量表(SRSS)评分(13.83±4.81)低于对照组(16.35±7.13),差异有统计学意义(P<0.05)。结论 采用推拿结合心理干预方法治疗特勤疗养员失眠有较好的疗效,可以延长其睡眠时间,提高睡眠质量,优于单纯药物治疗。
Abstract
Objective To compare the therapeutic effect of massage therapy and medication alone against insomnia of patients.Methods Eighty patients with insomnia were randomly divided into the observation group and control group, with 40 cases in each. Both groups received sleep health education before the control group was treated with zolepam while the observation group was treated with massage combined with psychological intervention. The therapeutic effect was compared between the two groups after two courses of treatment.Results The total effective rate of the observation group was 95.00%, compared to 80.00% in the control group (P<0.05). The Pittsburgh sleep quality index (PSQI) score of the observation group (6.75±3.44) was lower than that of the control group (8.90±4.31), and the difference was statistically significant (P<0.05). The self rating sleep scale (SRSS) score of the observation group (13.83±4.81) was lower than that of the control group (16.35±7.13), and the difference was statistically significant (P<0.05).Conclusions Massage combined with psychological intervention has a good effect on insomnia of special duty convalescents, which can prolong their sleep time and improve their sleep quality, which is more effective than medication alone.
关键词
推拿 /
心理干预 /
特勤疗养员 /
失眠 /
疗效观察
Key words
massage /
psychological intervention /
special duty convalescents /
insomnia /
curative effect observation
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] 余 海,龚建军,陈瑾献,等.新时期改进特勤疗养保障模式的思考[J].西南国防医药,2020,30(2):163-164.
[2] 徐乐乐,李 净,刘晓鹏,等. 军队特勤人员心理健康状况的调查分析[J].西南军医,2020,22 (1):7-9.
[3] 刘晓鹏,马冬梅,徐乐乐.军队特勤人员睡眠质量与心理健康因素的相关性[J].华南国防医学杂志, 2018, 32(5): 328-330.
[4] 中华医学会精神病学分会.中国精神障碍分类与诊断标准第三版(精神障碍分类)[J].中华精神科杂志, 2001, 34(3): 184-188.
[5] Krishnan P, Hawranik P. Diagnosis and management of geriatric insomnia:a guide for nurse practitioners[J].J Am Acad Nurse Pract, 2008, 20(12): 590-599.
[6] Lack L, Wright H. Pittsburgh sleep quality index[M].Berlin : Springer Netherlands, 2014:19-21.
[7] 常向东.大学生睡眠质量与孤独感的相关性[J].中国健康心理学杂志,2019, 27(1):29-33.
[8] 杨鸿恩.中医推拿疗法治疗失眠的效果探讨[J].当代医药论丛,2018,16(2):117-118.
[9] 刘惠锋.中医推拿治疗失眠的疗效分析[J].中外女性健康研究, 2018, 20(6):79-81.
[10] 刘 杨,圣 洁,刘 鹏.推拿治疗失眠的临床研究进展[J].养生保健指南, 2018, 11(36): 47.
[11] Brasure M, Fuchs E,MacDonald R,et al.Psychological and behavioral interventions for managing insomnia disorder: an evidence report for a clinical practice guideline by the American College of Physicians[J].Ann Interm Med, 2016, 165(2): 113-124.
[12] Epstein D R, Sidani S, Bootzin R R, et al.Dismantling multicomponent behavioral treatment for insomnia in older adults:a randomized controlled trial[J]. Sleep, 2012, 35(6): 797-805.
[13] Irwin M R, Olmstead R, Carrillo C, et al.Cognitive behavioral therapy vs. Tai Chi for late life insomnia and inflammatory risk:a randomized controlled comparative efficacy trial[J]. Sleep, 2014, 37(9):1543-1552.
PDF(556 KB)
