失眠症患者53例社会心理状况分析及护理对策

Analysis of social and psychological state of 53 patients with insomnia and nursing tactics

目的:探讨社会心理因素对失眠的影响及护理对策。方法:采用艾森克个性问卷(成人版)、Zung抑郁自评量表(SDS)、焦虑自评量表(SAS)、生活事件量表(LES)和社会支持评定量表对53例失眠症患者(失眠组)及45例无失眠者(对照组)进行评分比较。结果:失眠组患者内外向分值、对支持的利用度低于对照组(P<0.01),而神经质、抑郁、焦虑、负性生活事件、主观支持的分值明显高于对照组(P<0.01)。结论:失眠症患者具有明显的内向和神经质、抑郁、焦虑个性,且与负性生活事件有关,在药物治疗失眠症的同时,应注重心理社会因素干预,有利于患者的全面康复。

Objective ： To study the impact of social and psychological factors on the patients with insomnia and corresponding nursing measures. Methods ： Eysenck Personality Questionnaire （ adult version ） , Zung Self - rating Depression Scale （SDS）, Self-Rating Anxiety Scale （ SAS） , Life Event Scale （LES） and the Social Support Rating Scale were used to grade the 53 patients with insomnia （ insomnia group） and 45 patients without insomnia （ control group） and compare the results between the two groups. Results ： The scores of introversion and extroversion of the patients and the utilization of support in insomnia group were lower than that in control group （ P 〈 0. 01 ）; the scores of nervousness, depression, anxiety, negative life events and subjective support were significantly higher in insomnia group than that in control group （ P 〈 0.01）. Conclusion ： The patients with insomnia have a distinct personality of introversion, nervousness, depression and anxiety, and the formativeness of the personality has something to do with the negative life events. Therefore intervention should focus on psychosocial and social factors while the medication is given to the patients. The proper intervention is conducive to the comprehensive rehabilitation of the patients.