太极拳对失眠合并抑郁症患者睡眠、情绪和生活质量的改善作用

Effects of Taijiquan on the Improvement of Sleep,Mood and Quality of Life in Patients with Insomnia Combined with Depression

目的:探讨太极拳对失眠合并抑郁症患者睡眠、情绪和生存质量的改善作用。方法:以福建中医药大学附属康复医院2018年7月-2019年6月收治的30例失眠合并抑郁症患者为研究对象,随机分为两组,各15例。对照组予曲唑酮治疗,连续8周;试验组练习简化二十四式太极拳,5次/周,1次/d,连续8周。干预前后对两组睡眠、情绪状况及生活质量进行评定。结果:干预后两组PSQI、ISI、HAMD评分均低于干预前,且试验组PSQI、HAMD评分均低于对照组,差异均有统计学意义(P<0.05),两组治疗后ISI评分比较差异无统计学意义(P>0.05)。干预前两组SF-36各维度评分比较差异均无统计学意义(P>0.05),干预后试验组各维度评分均高于对照组,差异均有统计学意义(P<0.05)。结论:练习太极拳能提高失眠合并抑郁症患者的睡眠质量,改善负面情绪,对习练者生理、心理、社会功能起到正面影响。

Objective:To explore the effect of Taijiquan on the improvement of sleep,mood and quality of life in patients with insomnia combined with depression.Method:A total of 30 patients with insomnia complicated with depression admitted to the Rehabilitation Hospital Affiliated to Fujian University of Chinese Medicine from July 2018 to June 2019 were selected as the research subjects,and randomly divided into two groups with 15 patients in each group.The control group was treated with Trazodone for 8 weeks,the experimental group practiced simplified 24 forms of Taijiquan,5 times a week,once a day,for consecutive 8 weeks.Sleep,mood and quality of life of the two groups were evaluated before and after intervention.Result:After intervention,PSQI,ISI and HAMD scores in the two groups were lower than those before intervention,and PSQI and HAMD scores in the experimental group were lower than those in the control group,the differences were statistically significant(P<0.05),but there was no statistically significant difference in ISI score between the two groups after treatment(P>0.05).Before intervention,there was no significant difference in the scores of SF-36 dimensions between the two groups(P>0.05),after intervention,scores of SF-36 dimensions in the experimental group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Practicing Taijiquan can improve the sleep quality and negative emotions of patients with insomnia and depression,and has a positive impact on the physical,psychological and social functions of the practitioner.