青少年抑郁症患者睡眠质量的影响研究

Study on the effect of sleep quality of depressed adolescent patients

目的探讨综合干预对青少年抑郁症患者睡眠质量的影响。方法采用方便抽样的方法,选取2019年1—12月在绍兴市第七人民医院心理卫生中心住院及就诊的青少年抑郁症患者为研究对象。按照性别、年龄相匹配的原则分为干预组与对照组,采用相关量表测量干预前两组患者的基线情况,并用多导睡眠图测量干预后两组患者的睡眠情况。结果抑郁症患者的多导睡眠图评分显著低于正常值,差异有统计学意义(P<0.001)。干预组的睡眠进程指标总睡眠时间(TST)、睡眠效率(SE)、潜伏期(RL)均显著高于对照组,快速眼动相睡眠(Rapid eye movement phase sleep,REM)睡眠潜伏期(SL)、醒觉次数(NW)、醒觉时间(AT)均显著低于对照组,差异有统计学意义(P<0.05)。结论干预后睡眠障碍、睡眠进程紊乱情况有所缓解,睡眠时间明显增加,睡眠效率提高,睡眠质量有所提升。综合干预可以明显改善抑郁症患者的睡眠质量。

Objective To investigate the effect of comprehensive intervention on the sleep quality of depressed patients.Methods Using a convenience sampling method,adolescent depression patients who came to the Mental Health Center of Shaoxing Seventh People’s Hospital from January to December,2019 were selected for the study.They were divided into intervention group and control group according to the principle of matching gender and age.And the baseline conditions of patients in both groups before the intervention were measured through using relevant scales,and the sleep conditions of patients in both groups after the intervention were measured using polysomnography.Results The polysomnogram scores of depressed patients were significantly lower than normal values,with statistically significant difference(P<0.001).The sleep process indicators of total sleep time(TST),sleep efficiency(SE) and latency(RL)were significantly higher in the intervention group than in the control group;and the REM sleep latency(SL),number of wakefulness(NW) and wakefulness time(AT) were significantly lower than in the control group,with statistically significant difference(P<0.05).Conclusion Sleep disorders and sleep process disorders were alleviated after intervention,sleep time was significantly increased,sleep efficiency was increased,and sleep quality was improved.The comprehensive intervention can significantly improve the sleep quality of depressed patients.