森田疗法联合正念减压放松训练对潜艇官兵疗养期间心理应激反应及睡眠质量的影响

Effect of Morita therapy combined with mindfulness decompression and relaxation training on psychological stress reaction and sleep quality of submarine officers and soldiers during convalescence

目的 了解森田疗法联合正念减压放松训练对潜艇官兵在疗养期间心理应激反应及睡眠状况的影响。方法 选取2020年4-10月来天津康复疗养中心疗养的潜艇官兵128例,按照时间法划分为观察组与对照组,每组64例。对照组使用常规特勤疗养护理的干预措施,观察组在此基础上开展森田疗法联合正念减压放松训练,为期4周。采用90项症状自评量表(symptom check list 90,SCL-90)及匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)量表评价两组官兵的心理应激反应及睡眠情况。结果 干预前,两组SCL-90得分与PSQI得分差异均无统计学意义(均P>0.05)。干预后,观察组对照组SCL-90得分分别为(7.29±2.61)分和(12.85±1.64)分,PSQI得分分别为(6.20±1.69)和(12.65±2.57)分,差异均有统计学意义(均P<0.05);观察组自身干预前后比较,SCL-90得分由(15.72±2.11)分降至(7.29±2.61)分,PSQI得分由(14.20±1.69)分降至(6.20±1.69)分,差异均有统计学意义(均P<0.05)。干预后,两组潜艇官兵心理状况效果比较,对照组总有效率为75.00%,观察组总有效率为92.19%;两组潜艇官兵睡眠质量效果比较,对照组总有效率为73.44%,观察组总有效率为90.63%,差异有统计学意义(P<0.05)。结论 森田疗法联合正念减压放松训练能有效缓解潜艇官兵心理应激反应,进一步改善睡眠质量。

Objective To explore the effect of Morita therapy combined with mindfulness decompression relaxation training on the mental stress response and sleep status of submarine officers and soldiers during convalescence. Methods 128 submarine officers and soldiers who recuperated in Tianjin Convalescent Center from April 2020 to October 2020 were divided into observation group and control group according to time method,64 cases in each group. The control group was given the intervention measures of routine special care,the observation group received the Morita therapy combined with mindfulness decompression relaxation training on this basis,and the duration was four weeks. The psychological stress reaction and sleep quality of the two groups were evaluated by the Symptom check list 90(SCL-90) and the Pittsburgh sleep quality index(PSQI). Results Before intervention,there were no statistically significant differences in SCL-90 score and PSQI score between the two groups(all P>0.05). After intervention,the SCL-90 score in the observation group and the control group was(7.29±2.61) and(12.85±1.64)points respectively,the PSQI score was(6.20±1.69) and(12.65±2.57) points respectively,and the differences were statistically significant(all P<0.05). In the observation group,the SCL-90 score decreased from(15.72±2.11)points before intervention to(7.29±2.61)points after intervention,the PSQI score decreased from(14.20 ±1.69)points to(6.20 ±1.69)points,and the differences were statistically significant(all P <0.05). After intervention,the total effective rate of psychological status in the control group and the observation group was 75.00% and 92.19%respectively,the total effective rate of sleep quality was 73.44% and 90.63%,and the differences were statistically significant(P <0.05). Conclusion Morita therapy combined with mindfulness decompression relaxation training can effectively alleviate the psychological stress response of submarine officers and soldiers,and further improve the sleep quality.