心理疏导在神经性失眠患者治疗中的作用

目的了解心理疏导法在神经性失眠患者治疗中所起的作用。方法将神经性失眠患者随机分成疏导组与对照组各98例,2组均采用医生既定的治疗方案,对照组除按时完成治疗外,按常规进行入院介绍、疾病相关知识指导等护理;疏导组在完成治疗的同时,根据住院患者不同时期的心理需求,及时进行正确的心理疏导。观察2组治疗、护理效果。结果治疗前2组PSQI、SAS分数间比较无显著性差异,经过联合治疗及适时施护,2组PSQI各因子评分及总评分、SAS评分显著减低(P<0.01),说明治疗护理的有效性,护理后疏导组与对照组PSQI各因子评分及总评分比较均有显著性差异(P<0.05),SAS评分比较有显著性差异(P<0.01),可认为疏导组的护理方法优于对照组。结论心理疏导法纠正了患者对疾病不正确的认识,帮助患者找到并消除了造成神经性失眠的心理应激源,教会患者正确的睡眠卫生知识和配合治疗的方法,对患者康复后如何维持健康做了深入指导,使患者得到全面康复。

Role of psychological direction therapy in the treatment for patients with psychophysiologic insomnia

Objective To determine the effect of psychological direction therapy in the treatment of patients with psychophysiologic insomnia. Methods The psychophysiologic insomnia patients were randomly divided into two groups, with 98 cases for each, respectively. One was the psychological direction therapy group, and the other was the control group. Patients of the two groups were treated using the therapy project selected by the doctor. Besides completing the therapy on time, the patients in the control group were provided with the introduction of admission to hospital and the direction of the knowledge correlated with the diseases. At the same time of completing the therapy, the patients of the psychological direction group were treated using the psychological direction therapy according to the patient's mentality requirement in different phases. The therapy and nursing effects of the two groups were observed. Results There was no significant difference on the PSQI and SAS between the two groups before the therapy. After the treatment, the SAS score, as well as the scores of every factor in PSQI and the total PSQI score, was decreased significantly (P<0.01) through the combination therapy and timely nursing. PSQI and SAS of the psychological direction therapy group ameliorated more than those of the control group. This indicated that the nursing was effective, the scores of every factor and the total score in PSQI between the psychological direction group and the control group had significant differences (P<0.05), and the SAS score had a significant difference (P<0.01). So we could consider that the nursing method in the psychological direction group was superior to that of the control group. Conclusions The psychological direction corrects the patients' untrue conception of insomnia, help them to seek and eliminate the psychological stressor induced by the insomnia, give them the accurate sleep knowledge and the method of cooperating therapy, master the therapy measurement, instruct the patients how to maintain healthiness, and make the patients heal from insomnia completely.