心理干预对老年失眠症患者生活质量的影响

The influence of psychological intervention on the quality of life of elderly patients with insomnia

目的：探讨心理干预对老年失眠症患者生活质量的影响。方法：将94例老年失眠症患者随机分为两组。研究组除常规给予小剂量苯二氮革类药物治疗外，并用心理治疗；对照组仅常规给于小剂量苯二氮革类药物治疗，疗程2个月。两组在入组前后均给予生活质量综合评定问卷（GQOLI-74）测评及疗效对比，并随访1年。结果：研究组临床痊愈率74．4％，总有效率95．3％，与对照组间差异有统计学意义（P〈0．05），治疗后研究组的生活质量在身体功能、心理功能、社会功能三个维度与对照组相比差异有统计学意义（P〈0．05）。结论：采用心身兼治的综合治疗方法，能够提高老年失眠症患者的整体生活质量。

Objective： To study the influence of psychological intervention on the quality of life of aged patients with insomnia. Methods： 94 patients with aged Patients with insomnia were randomly assigned to two group： The study group with integrated therapy and routine treatment for aged patients with insomnia,control group with routine treatment for aged patients with insomnia only. Two groups were treated for two months, the life quality was assessed by GQOLI - 74（general quality of life inventory） and the curative effect was compared before and after therapy. All of them were followed for 1 year. Results： In the study group, the curative rate was 68.09%, the whole effective rate was 95.74%. There was significant difference between the study group and the control group （ P 〈 0.05）. In the study group, quality of life in physical function, metal health and social function had evident significance after treatment compared with the control group （ P 〈 0.05 ）. Conclusion： Psychological intervention could improve the whole the quality of life for aged patients with insomnia with the integrated mental and body treating method.