正念训练对围绝经期失眠患者睡眠质量及心理状态的影响

Effect of mindfulness training on sleep quality and psychological state of perimenopausal patients with insomnia

  • 摘要:
    目的  探讨正念训练对门诊就诊的围绝经期失眠患者睡眠质量及心理状态的影响。
    方法  选取睡眠门诊首次就诊并诊断为失眠的72例围绝经期患者为研究对象, 将其分为研究组36例和对照组36例。对照组采用传统药物治疗及常规健康宣教,研究组运用正念训练改善睡眠质量及心理状态。采用匹兹堡睡眠质量指数量表(PSQI)评价患者睡眠质量,采用汉密尔顿焦虑量表(HAMA)评价患者焦虑程度,采用汉密尔顿抑郁量表(HAMD)对抑郁情况进行评价。8周后,评价睡眠质量及情绪状态改善情况。
    结果  干预后,研究组PSQI评分低于对照组,差异有统计学意义(P < 0.05)。干预后,研究组HAMA评分和HAMD评分均低于对照组,差异有统计学意义(P < 0.05)。患者睡眠质量与焦虑、抑郁相关(P < 0.01)。
    结论  正念训练能改善围绝经期女性失眠患者的睡眠质量,减轻抑郁及焦虑程度,与药物治疗效果相当。

     

    Abstract:
    Objective  To explore the effect of mindfulness training on sleep quality and psychological state of perimenopausal patients with insomnia in the outpatient department.
    Methods  A total of 72 perimenopausal patients who visited the outpatient department for the first time and were diagnosed as insomnia were selected as the research objects, and were divided into study group (36 patients) and control group (36 patients). The control group was treated with traditional medicine and routine health education, while the study group was treated with mindfulness training to improve their sleep quality and psychological state. Pittsburgh Sleep Quality Index Scale (PSQI) was used to evaluate the patients' sleep quality, Hamilton Anxiety Scale (HAMA) to evaluate the patients' anxiety degree, and Hamilton Depression Scale (HAMD) to evaluate the depression status. After 8 weeks, the improvement of sleep quality and mood state was evaluated.
    Results  After intervention, the PSQI score of the study group was lower than that of the control group (P < 0.05). After intervention, HAMA score and HAMD score of the study group were lower than those of the control group (P < 0.05). Sleep quality was correlated with anxiety and depression (P < 0.01).
    Conclusion  Mindfulness training can improve the sleep quality of perimenopausal women with insomnia, relieve the degree of depression and anxiety, and has the same effect as drug treatment.

     

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