睡眠伴侣辅助治疗对慢性失眠患者行为疗法依从性及疗效的影响

发布时间：2018-08-17 14:07

【摘要】：【目的】探讨睡眠伴侣辅助治疗对慢性失眠患者行为疗法依从性及疗效影响。【方法】对象为64例门诊慢性失眠患者,研究组和对照组各32例。两组患者均给予睡眠卫生教育和行为疗法,疗程4周,研究组睡眠伴侣辅助治疗。在基线、2周、4周末采用匹茨堡睡眠质量指数量表(PSQI)评定患者睡眠状况。每天记录睡眠日志,主要指标包括入睡潜伏期(SL)、夜间觉醒时间(WASO)、总睡眠时间(TST)、睡眠效率(SE)。在治疗末评估患者对行为疗法5种主要成分的依从程度。【结果】重复测量的方差分析显示,研究组和对照组PSQI总分、SL、SE、WASO在治疗前后不同时间之间的差异有统计学意义(P0.05),时间因素和分组因素存在交叉效应(P0.05),研究组的改善优于对照组,Cohen d效应量分别为0.76、0.62、0.93、0.70。研究组对"固定起床时间[(82.83±9.87)vs(75.14±11.99)]、限制卧床时间[(79.21±8.80)vs(71.28±7.21)]、不在床上做其他事[(81.03±11.43)vs(74.73±12.43)]"的依从性高于对照组,差异有统计学意义(P0.05)。【结论】睡眠伴侣辅助的行为疗法,不仅可提高患者的依从性,并且有助于获得更好的疗效。
[Abstract]:[objective] to investigate the effect of sleep partner adjuvant therapy on compliance and efficacy of behavioral therapy in patients with chronic insomnia. [methods] 64 patients with chronic insomnia in outpatient department, 32 patients in study group and 32 patients in control group. The patients in both groups were given sleep hygiene education and behavioral therapy for 4 weeks. The patients' sleep status was evaluated by Pittsburgh Sleep quality Index (PSQI) at the end of 2 weeks and 4 weeks after baseline. Daily sleep log was recorded, including sleep latency, (SL), wakefulness, (WASO), total sleep time, (TST), sleep efficiency, (SE). At the end of the treatment, the patient's compliance with the five major components of behavioral therapy was evaluated. [results] repeated measurements of variance analysis showed, The total score of PSQI in study group and control group was significantly different between different time before and after treatment (P0.05). The time factor and group factor had cross effect (P0.05). The improvement of study group was better than that of control group (0.76 卤0.620.903 卤0.70). The compliance of the study group to "fixed wake up time [(82.83 卤9.87) vs (75.14 卤11.99)], confined bed-rest time [(79.21 卤8.80) vs (71.28 卤7.21)] and not doing other things in bed [(81.03 卤11.43) vs (74.73 卤12.43)] was higher than that in the control group. And it helps to get better results.
【作者单位】：中山大学附属第三医院心理科;
【基金】：广东省科技计划项目(2012B031800283)
【分类号】：R749.7

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