负性心理暗示联合镇静剂对慢性失眠患者的睡眠质量影响效果

The effect of Negative Psychological Suggestion Combined with Sedative on the Sleep Quality of Patients with Chronic Insomnia

目的:观察负性心理暗示联合镇静剂对慢性失眠患者的睡眠影响效果。方法:选取2017年3月至2018年12月张家港澳洋医院中西医结合科收治的慢性失眠患者63例作为研究对象,随机分为观察组与对照组,其中观察组33例,对照组30例。对照组睡前30 min口服艾司唑仑1片,1次/d;观察组在对照组方法的基础上,加用负性心理暗示疗法,由床位护士给患者进行辅导,每周2次,患者每夜睡时按流程要求自行实施,2组疗程均为2周。观察治疗前后匹兹堡睡眠质量量表(Pittsburgh Sleep Quality Scale,PSQI)指数的变化。结果:观察组与对照组的总有效率分别为93.9%、73.3%,2组比较差异有统计学意义(P<0.05)。PSQI量表入睡时间、睡眠效率、睡眠质量、睡眠时间、睡眠障碍、催眠药物、日间功能障碍等七项积分及总积分,治疗前后2组组内自身比较,各项积分均明显改善,差异有统计学意义(P<0.01);2组组间比较,除了睡眠效率以外,各项积分的改善均为观察组优于对照组,差异有统计学意义(P<0.05或P<0.01)。结论:负性心理暗示联合镇静剂(艾司唑仑)治疗较之单纯镇静剂治疗,能明显延长慢性失眠患者睡眠时间,提高睡眠质量,改善日间功能障碍。

Objective:To observe the effect of negative psychological suggestion combined with tranquilizer on the sleep of patients with chronic insomnia.Methods:A total of 63 patients with chronic insomnia admitted to the department of integrative Chinese and western medicine,zhangjiagang aoyang hospital,from Mar 2017 to Dec 2018,were randomly divided into observation group and control group,including 33 cases in the observation group and 30 cases in the control group.The control group was given one estazolam tablet orally at 30 min before bedtime,once per day.On the basis of the control group method,the observation group was supplemented with negative psychological suggestion therapy,which was given to the patients by the bed nurse twice a week,and implemented by the patients themselves in accordance with the procedure every night when they slept.The course of treatment in both groups was 2 weeks.Changes in the Pittsburgh Sleep Quality Scale(PSQI)before and after treatment were observed.Results:The total effective rate of the observation group and the control group were 93.9%and 73.3%,respectively.The difference between the two groups was statistically significant(P<0.05).Seven points and total points in the PSQI scale,including sleep time,sleep efficiency,sleep quality,sleep time,sleep disorders,hypnotic drugs,and daytime dysfunction,were significantly improved by comparison between the two groups before and after treatment,with statistically significant differences(P<0.01).In comparison between the two groups,except for the sleep efficiency,the improvement of each score in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05 or P<0.01).Conclusion:The combination of negative psychological suggestion and sedative agent(estazolam)can significantly prolong the sleep time,improve the sleep quality and improve the daytime dysfunction of patients with chronic insomnia compared with the single sedative agent.