认知行为干预对强迫症伴失眠患者强迫症状及睡眠质量的影响

Effect of Cognitive Behavioral Intervention on Obsessive-compulsive Symptoms and Sleeping Quality in Patients with Obsessive-compulsive Disorder and Insomnia

目的:探讨认知行为干预对强迫症伴失眠患者强迫症状及睡眠质量的影响。方法:选取2017年7月至2019年7月淄博市精神卫生中心收治的强迫症伴失眠患者80例作为研究对象,随机分为对照组与观察组,每组40例。对照组给予精神病常规护理,观察组联合认知行为干预。干预8周后,采用耶鲁-布朗OCD量表(Y-BOCS)测评2组患者强迫状态,采用匹茨堡睡眠指数量表(PSQI)评价2组患者的睡眠质量。结果:观察组Y-BOCS评分(15.28±6.35)分,明显低于对照组(10.53±7.41)分(P<0.05);观察组主观睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠药物及日间功能障碍评分分别为(1.36±0.29)分、(1.34±0.27)分、(0.87±0.27)分、(0.63±0.21)分、(0.11±0.06)分、(1.29±0.32)分,明显低于对照组(1.57±0.31)分、(1.59±0.29)分、(1.13±0.29)分、(0.87±0.14)、(0.23±0.10)分、(1.55±0.25)分(P<0.05)。结论:认知行为干预有助于缓解强迫症伴失眠患者的强迫症状,提高睡眠质量,值得推广应用。

Objective:To investigate the effect of cognitive behavior intervention on obsessive-compulsive symptoms and sleep quality in patients with obsessive-compulsive disorder(OCD)and insomnia.Methods:A total of 80 patients with obsessive-compulsive disorder and insomnia hospitalized in Zibo Mental Health Center from July 2017 to July 2019 were divided into observation group(n=40)and control group(n=40)according to the principle of randomization.The control group was given routine nursing care for psychosis,and the observation group was treated with cognitive behavior intervention.After 8 weeks of intervention,Yale Brown OCD scale(Y-BOCS)was used to evaluate the obsessive-compulsive state of the two groups,and the patients in the two groups were evaluated by Pittsburgh sleep index scale(PSQI)the quality of sleep.Results:The Y-BOCS score in the observation group(15.28±6.35)was significantly lower than that in the control group(10.53±7.41).The scores of subjective sleep quality,sleep time,sleep time,sleep efficiency,sleep drugs and daytime dysfunction in the observation group were(1.36±0.29),(1.34±0.27),(0.87±0.27),(0.63±0.21),(0.11±0.06),(1.29±0.32),The score was significantly lower than that of the control group(1.57±0.31),(1.59±0.29),(1.13±0.29),(0.87±0.14),(0.23±0.10),(1.55±0.25).Conclusion:Cognitive behavior intervention is helpful to alleviate obsessive-compulsive symptoms and improve sleep quality in patients with obsessive-compulsive disorder and insomnia,which is worth popularizing and applying.