光照疗法对老年冠心病合并心理障碍患者心理应激和睡眠质量的影响

Effect of light therapy on psychological stress and sleep quality in elderly patients with coronary heart disease combine with dsychological barriers

目的探讨光照疗法对老年冠心病合并心理障碍患者的应用效果。方法选择新疆医科大学附属中医医院2018年10月至2019年12月收治的112例冠心病合并心理障碍患者, 按照随机数字表法分为试验组和对照组, 每组56例。对照组接受常规护理, 试验组在此基础上实施为期4周的光照疗法。干预前和干预4周后, 采用90项症状自评量表(SCL-90)和匹兹堡睡眠质量指数量表(PSQI)评价疗效。结果干预后, 试验组躯体化、强迫症状、抑郁、焦虑、恐怖等因子得分及SCL-90总分分别为(1.26 ± 0.13)、(1.43 ± 0.08)、(1.17 ± 0.13)、(1.14 ± 0.10)、(1.34 ± 0.07)、(120.55 ± 11.87)分, 明显低于对照组的(1.83 ± 0.53)、(1.66 ± 0.59)、(1.71 ± 0.12)、(1.76 ± 0.13)、(1.41 ± 0.12)、(130.69 ± 14.16)分, 差异有统计学意义(t值为2.88~27.79, 均P<0.05);干预后, 试验组睡眠质量、睡眠时间、日间功能和PSQI总分分别为(0.96 ± 0.19)、(1.74 ± 0.36)、(1.12 ± 0.22)、(10.22 ± 0.60)分, 明显低于对照组的(1.12 ± 0.20)、(1.89 ± 0.25)、(1.33 ± 0.32)、(10.81 ± 0.73)分, 差异有统计学意义(t值为2.44~4.54, 均P<0.05)。结论光照疗法可有效缓解老年冠心病合并心理障碍患者心理应激反应, 改善其睡眠质量。

Objective To investigate application effect of light therapy in elderly patients with coronary heart disease combine with dsychological barriers.Methods Totally,112 coronary heart desease patients combine with dsychological barriers treated in Affiliated Hospital of Traditional Chinese Medicine of Xinjiang Medical University from October 2018 to December 2019 were selected,and they were divided into experimental group and control group according to random number table method,each group including 56 patients.The control group received routine care.On the basis of this,the experimental group received light therapy for 4 weeks.Before and after intervention,the effects were assessed by Symptom Checklist 90(SCL-90)and Pittsburgh Sleep Quality Index(PSQI),respectively.Results After intervention,the scores of somatization,compulsion,depression,anxiety,fear and total scores of SCL-90 in the experimental group were(1.26±0.13),(1.43±0.08),(1.17±0.13),(1.14±0.10),(1.34±0.07),(120.55±11.87)points,significantly lower than(1.83±0.53),(1.66±0.59),(1.71±0.12),(1.76±0.13),(1.41±0.12),(130.69±14.16)points in the control group,the differences were statistically significant(t values were 2.88-27.79,all P<0.05);and the scores of subjective sleep quality,sleep duration,daytime dysfunction and total scores of PSQI in the experimental group were(0.96±0.19),(1.74±0.36),(1.12±0.22),(10.22±0.60)points,significantly lower than(1.12±0.20),(1.89±0.25),(1.33±0.32),(10.81±0.73)points in the control group,the differences were statistically significant(t values were 2.44-4.54,all P<0.05).Conclusions Light therapy can effectively alleviate the psychological stress response in elderly patients with coronary heart disease combine with dsychological barriers,and improve sleep quality.