森田疗法联合运动对失眠患者的临床疗效

Clinical Efficacy of Morita Therapy Combined with Exercise Therapy in Patients with Insomnia

目的:探讨森田疗法联合运动治疗失眠患者的效果,为临床失眠患者治疗方案的选择提供参考。方法:选取2015年1月-2016年1月在成都市第四人民医院就诊的100例失眠患者为研究对象,按随机数字表法分为对照组和观察组各50例。观察组给予森田疗法联合运动治疗,对照组给予运动治疗。2组均治疗8周。治疗结束后,采用匹兹堡睡眠质量指数(PSQI)量表评估2组疗效。结果:治疗前2组PSQI总评分及各维度评分比较差异均无统计学意义(P<0.05);治疗8周后,观察组PSQI及自评睡眠质量、入睡时间、睡眠障碍、睡眠效率、睡眠障碍、日间功能评分分别为:(6.65±1.56)分、(1.13±0.10)分、(1.52±0.16)分、(0.22±0.08)分、(0.24±0.08)分、(1.06±0.05)分、(0.64±0.09)分,均低于对照组,差异均有统计学意义(P均<0.05)。治疗8周后,观察组总有效率高于对照组(100.00%vs.76.00%,P<0.05)。结论:相比单纯的运动治疗,森田疗法联合运动治疗在改善失眠患者睡眠质量上效果更为显著,值得临床推广应用。

Objective： To explore the effect of Morita therapy combined with exercise therapy in the treatment of insomnia,so as to provide reference for the treatment of insomnia. Methods： From January 2015 and January 2016,100 cases of insomnia patients in the Fourth People＇s Hospital of Chengdu as the research object,randomly divided into control group and observation group and 50 cases in each group. 50 cases in each group. The observation group was treated with Morita therapy combined with exercise therapy,while the control group was treated with exercise therapy. Two groups were treated for 8 weeks. After treatment,the Pittsburgh sleep quality index（ PSQI） scale was used to evaluate the efficacy of the two groups. Results： The difference between the two groups before treatment PSQI total score and each dimension scores were not statistically significant（ P〈 0. 05）; after 8 weeks of treatment,the observation group the total score of quality of sleep and subjective sleep quality,sleep latency,sleep duration,sleep efficiency,sleep sleep disorder,daytime dysfunction score（ respectively：（ 6. 65 ± 1. 56）,（ 1. 13 ± 0. 10）,（ 1. 52 ± 0. 16）,（ 0. 22 ± 0. 08）,（ 0. 24 ± 0. 08）,（ 1. 06 ± 0. 05）,（ 0. 64 ± 0. 09）,were lower than the control group,the difference was statistically significant（ P〈 0. 05）. After 8 weeks of treatment,the total effective rate of the observation group was higher than that of the control group（ 100. 00% vs. 76. 00%,P〈 0. 05）. Conclusion： Morita therapy combined with exercise therapy can effectively improve the sleep quality of patients with insomnia.