短程结构式游戏对医学生失眠症的疗效研究

Effect of Short-term Structural Play Therapy on Insomnious Medical Students

目的探讨短程结构式游戏对医学生失眠症的治疗效果,并观察对其生活质量和社交与感情孤独等方面的影响。方法从某医学院在校学生中筛选出46名符合入选标准的失眠医学生,用区组随机法分为实验组和对照组各23人。对实验组采用短程结构式游戏治疗,对照组不给予任何干预。采用匹兹堡睡眠指数量表(PSQ I)、生命质量评价量表(SF-36)、感情与社交孤独量表(ESLS)进行疗效评估。结果治疗后,失眠医学生在匹兹堡睡眠指数量表(PSQ I)的主观睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能及总分等7个因子上的得分均显著降低(P<0.01);SF-36量表中的GH(一般状况)(t=-2.56,P<0.01)、RP(生理职能)因子上存在显著差异(t=-2.76,P<0.01)。结论短程结构式游戏治疗能有效地改善失眠医学生的睡眠质量,提高睡眠效率,改善日间功能,是治疗医学生失眠症的一种安全有效的手段。

Objective To explore the effect of short-term team play therapy on insomnious medical students.Methods The 46 insomnious medical students that met the inclusion criteria were broken into two groups,one was experimental group including 23 members and the other was the control group with 23 members.The experimental group was interfered by the structured group psychological therapy.The test scales included Pittsburgh Sleep Quality Index（PSQI）,SF-36 and Emotional and Loneliness Scale.Results After therapy,scores of subjective sleep quality,sleep duration,sleep disturbances,daytime dysfunction and PSQI global scores were meaningful and statistically significantly lower（P0.01）;②scores on GH（t=-2.56,P0.01） and RP（t=-2.76,P0.01） of the experimental group were statistically significantly different after therapy compared with the control group（0.01P0.05）.Conclusion Short-term structural play therapy can improve the sleep quality of the insomnious medical students to a great extent.It is a safe and efficient therapy for the insomnious medical students.