心理社会支持系统对广泛性焦虑障碍患者焦虑症状、睡眠质量的影响

Effects of psychosocial support system on anxiety symptoms and sleep quality in patients with generalized anxiety disorder

目的:探讨心理社会支持系统对广泛性焦虑障碍(GAD)患者焦虑症状、睡眠质量的影响。方法:选取2016年2月至2019年2月在医院接受治疗的GAD患者100例为研究对象,采用随机数表法分为观察组和对照组各50例,对照组在常规药物治疗基础上给予传统干预,观察组在此基础上给予心理社会支持系统干预,比较两组干预效果,分析对患者焦虑状态、睡眠质量、心理状态、生活质量的影响。结果:干预后两组HAMA评分、HAMD评分均显著降低,且对照组以上评分均明显高于观察组(t=9.210,5.144;P<0.05);干预后两组PSQI评分均显著降低,PPQ评分显著升高,且干预后对照组PSQI评分明显高于观察组(t=6.402,P<0.05),PPQ评分明显低于观察组(t=17.229,P<0.05);干预后对照组在支持利用度(t=-4.822,P<0.05)、主观支持(t=-35.508,P<0.05)、客观支持(t=-8.489,P<0.05)、支持总分(t=-12.792,P<0.05)、积极应对(t=-11.231,P<0.05)方面得分显著低于观察组,在消极应对方面得分显著高于观察组(t=24.164,P<0.05);干预后两组社会关系领域、生理领域、心理领域、环境领域评分均显著升高,且对照组以上得分均明显低于观察组(t=8.889,6.293,3.251,4.349;P<0.05)。结论:心理社会支持系统在GAD中应用较佳,可显著改善患者的生活质量、焦虑状态、心理状态,提高睡眠质量,促进患者积极应对疾病。

Objective:To explore effects of psychosocial support system on anxiety symptoms and sleep quality in patients with generalized anxiety disorder(GAD).Methods:A total of 100 GAD patients who underwent treatment in the hospital from February 2016 to February 2019 were enrolled as study objects.They were divided into observation group and control group by random number table method, 50 cases in each group.The control group was given traditional intervention on the basis of routine drug therapy.On this basis, observation group was given psychosocial support system for intervention.The intervention effect was compared between the two groups.The effects on anxiety status, sleep quality, psychological status and quality of life were analyzed.Results:After intervention, scores of HAMA and HAMD in both groups were significantly decreased.The above scores in control group were significantly higher than those in observation group(t=9.210,5.144;P<0.05).After intervention, PSQI scores in both two groups were significantly decreased, while PPQ scores were significantly increased.PSQI score of control group was significantly higher than that of observation group(t=6.402,P<0.05),while PPQ score was significantly lower than that of observation group(t=17.229,P<0.05).After intervention, scores of support utilization(t=-4.822,P<0.05),subjective support(t=-35.508,P<0.05)and objective support(t=-8.489,P<0.05),total score of support(t=-12.792,P<0.05)and score of positive copying(t=14.581,P<0.05)in control group were significantly lower than those in observation group, while score of negative copying was significantly higher than that in observation group(t=t=-11.231,P<0.05).After intervention, scores of social relationship field, physiological field, psychological field and environment field in both groups were significantly increased.The above scores in control group were significantly lower than those in observation group(t=8.889,6.293,3.251,4.349;P<0.05).Conclusion:The application of psychosocial support system is better in GAD,which can significantly improve patients’ quality of life, anxiety status, psychological status, improve sleep quality, and promote their active copying with diseases.