综合放松训练联合运动疗法治疗抑郁症失眠的效果观察

Application of Comprehensive Relaxation Training Combined with Exercise Therapy in Patients with Depression and Insomnia

目的:探讨综合放松训练联合运动疗法对抑郁症伴失眠患者焦虑抑郁程度、睡眠质量及生命质量的影响。方法:选择2017年10月至2019年9月淄博市精神卫生中心收治的76例抑郁症伴失眠患者作为研究对象,按照随机数字表法分为观察组与对照组,每组38例。对照组给予精神疾病常规护理,观察组在对照组护理的基础上增加综合放松训练联合运动疗法。干预4周后,比较2组患者焦虑抑郁状态、睡眠质量及生命质量。结果:观察组汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)、汉密尔顿抑郁量表24项(Hamilton Depression Scale-24 Items,HAMD-24)评分明显低于对照组,差异有统计学意义(均P<0.05);匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)各维度评分及总分均明显低于对照组,差异均有统计学意义(均P<0.05);SF-36各维度评分均明显高于对照组,差异均有统计学意义(均P<0.05)。结论:综合放松训练联合运动疗法有助于缓解抑郁症伴失眠患者的焦虑抑郁状态,改善睡眠质量,提高生命质量。

Objective:To investigate the effect of comprehensive relaxation training combined with exercise therapy on anxiety and depression,sleep quality and quality of life of patients with depression and insomnia.Methods:From October 2017 to September 2019,76 patients with depression and insomnia were selected as subjects.According to the method of random number table,it was divided into observation group and control group,with 38 cases in each group.The control group was given routine nursing care for mental illness,and the observation group was added comprehensive relaxation training combined with exercise therapy.After 4 weeks of intervention,anxiety and depression,sleep quality and quality of life were compared between the two groups.Results:The Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale-24 Items(HAMD-24)score of the observation group was significantly lower than that of the control group(Ps<0.05);the score and total score of each Pittsburgh Sleep Quality Index(PSQI)dimension were significantly lower than that of the control group(Ps<0.05);and the score of each SF-36 dimension was significantly lower than that of the control group(Ps<0.05).Conclusion:Comprehensive relaxation training combined with exercise therapy is helpful to relieve the anxiety and depression of patients with depression insomnia,improve insomnia and improve quality of life.