慢性失眠伴抑郁障碍患者采用角调音乐疗法联合心理疏导的疗效观察

Observation on curative effect of melodic intonation therapy combined with psychological counseling in chronic insomnia patients with depression disorder

目的 探讨慢性失眠伴抑郁障碍(DD)患者采取角调音乐疗法联合心理疏导的临床疗效。方法 选择慢性失眠伴DD患者60例进行研究,采用双色球法分为对照组(常规治疗+常规护理)与观察组(常规治疗+常规护理+角调音乐疗法联合心理疏导),每组30例。比较两组干预前后睡眠障碍情况[匹兹堡睡眠质量指数(PSQI)评分],负面情绪[焦虑自评量表(SAS)与抑郁自评量表(SDS)评分],生活质量[世界卫生组织生存质量测定量表(WHOQOL)评分],患者满意度。结果 干预后,两组PSQI评分均下降,且观察组PSQI评分(7.82±0.81)分低于对照组的(9.12±0.96)分,差异有统计学意义(P<0.05)。干预后,两组SAS评分、SDS评分均下降,且观察组SAS评分(39.67±1.84)分、SDS评分(43.07±1.95)分低于对照组的(45.28±2.34)、(48.38±2.63)分,差异有统计学意义(P<0.05)。干预后,两组生理、心理、社会关系、环境评分均升高,且观察组生理、心理、社会关系、环境评分分别为(64.47±3.53)、(63.77±3.62)、(66.37±4.33)、(67.52±2.51)分,高于对照组的(60.83±4.72)、(60.81±4.72)、(62.43±5.49)、(64.27±2.33)分,差异有统计学意义(P<0.05)。观察组患者的满意度96.67%高于对照组的70.00%,差异有统计学意义(P<0.05)。结论 慢性失眠伴DD患者在常规治疗、常规护理基础上增加角调音乐疗法联合心理疏导,不仅可更好地改善患者的睡眠障碍,而且可以更好地缓解患者的负面情绪,促使患者生活质量提高,从而患者对护理服务更满意,有应用价值。

Objective To explore the clinical efficacy of melodic intonation therapy combined with psychological counseling in chronic insomnia patients with depression disorder(DD).Methods 60 patients with chronic insomnia accompanied by DD were selected for the study,and were divided into a control group(conventional treatment+conventional nursing)and an observation group(conventional treatment+conventional nursing+melodic intonation therapy+psychological counseling)by two-color ball method,with 30 cases in each group.Comparison was made on sleep disorder[Pittsburgh Sleep Quality Index(PSQI)score],negative emotions[Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)scores],quality of life[World Health Organization Quality of Life Scale(WHOQOL)score]before and after intervention,and patient satisfaction between the two groups.Results After the intervention,PSQI score in both groups decreased,and the PSQI score of(7.82±0.81)points in the observation group was lower than(9.12±0.96)points in the control group.The difference was statistically significant(P<0.05).After intervention,SAS scores and SDS scores in both groups decreased;the observation group had SAS score of(39.67±1.84)points and SDS score of(43.07±1.95)points,which were lower than(45.28±2.34)and(48.38±2.63)points in the control group;the difference was statistically significant(P<0.05).After intervention,the scores of physiology,psychology,social relation and environment were increased in both groups;the scores of physiology,psychology,social relation and environment were(64.47±3.53),(63.77±3.62),(66.37±4.33)and(67.52±2.51)points in the observation group,which were higher than(60.83±4.72),(60.81±4.72),(62.43±5.49)and(64.27±2.33)points in the control group;the difference was statistically significant(P<0.05).The satisfaction of patients in the observation group was 96.67%,which was higher than 70.00%in control group,and the difference was statistically significant(P<0.05).Conclusion For patients with chronic insomnia accompanied by DD,melodic intonation therapy combined with psychological counseling on the basis of conventional treatment and nursing can not only better improve the patient's sleep disorders,but also better alleviate the patient's negative emotions,promote the improvement of the patient's quality of life,so that the patient is more satisfied with the nursing service,which is of great value for application.