八段锦对改善轻中度抑郁障碍患者抑郁情绪和睡眠质量的临床疗效研究
发布时间：2018-08-31 11:43
【摘要】：目的:本研究以轻中度抑郁障碍患者作为研究对象,采用随机对照研究设计,系统的观察及测量习练八段锦对轻中度抑郁障碍患者抑郁情绪和睡眠质量的改善效果,探讨八段锦对改善睡眠质量和抑郁情绪的临床疗效,从而为治疗抑郁障碍患者提供新的治疗方法。方法:本研究采用随机对照实验,收集山医大二院精神卫生科门诊患者中存在睡眠问题的轻中度抑郁障碍患者135例,随机分为三组:实验组、对照组与空白组,每组45例。实验组进行常规药物治疗+八段锦练习,对照组进行常规药物治疗+快步走运动,空白组进行单纯药物治疗。干预时间为8周,基线调查研究采用汉密尔顿抑郁量表(HAMD)和匹兹堡睡眠质量量表(PSQI)于第0、4、8周周末对三组患者进行评估。最后对实验组、对照组及空白组患者的评分情况进行收集整理,用统计学方法对数据进行统计分析,得出结论。结果:1.一般资料描述统计结果,实验组、对照组及空白组研究对象的性别和年龄无统计学差异(p0.05),三组对象均衡可比;2.基线调查结果,三组研究对象治疗前的HAMD总分和PSQI总分无统计学差异(p0.05),说明三组具有可比性;3.干预结果,3组在治疗前后HAMD量表评分具有显著性差异(p0.05),说明3组治疗均有效。从第4周开始,实验组与空白组、对照组与空白组之间具有显著性差异(p0.05),说明在治疗4周后,实验组和对照组疗效均优于空白组。4.干预结果,3组在治疗前后PSQI量表评分具有显著性差异(p0.05),说明3组治疗均有效。从第4周开始,实验组与空白组、对照组与空白组之间具有显著性差异(p0.05),说明在治疗4周后,实验组和对照组疗效均优于空白组。治疗8周后,实验组量表评分低于对照组,且具有显著性差异(p0.05),说明治疗8周后实验组疗效优于对照组。结论:1、习练八段锦对于患者的抑郁情绪及睡眠质量的改善均有肯定疗效。2、药物治疗配合八段锦锻炼对患者抑郁情绪的改善作用优于单纯药物治疗。3、药物治疗配合八段锦锻炼对患者睡眠质量的改善作用优于药物治疗配合快步走运动和单纯药物治疗。4、使用八段锦辅助治疗对于改善患者抑郁情绪和睡眠质量具有起效时间短,疗效佳的特点。
[Abstract]:Objective: to observe and measure the improvement of depression mood and sleep quality in patients with mild and moderate depressive disorder by using randomized controlled study design, and to observe and measure the effect of practicing Banduanjin on depressive mood and sleep quality of patients with mild and moderate depressive disorder. To explore the clinical efficacy of Banduanjin in improving sleep quality and depression, thus providing a new method for the treatment of depressive disorders. Methods: in this study, 135 patients with sleep problems were randomly divided into three groups: experimental group, control group and blank group, 45 cases in each group. The experimental group was treated with routine drug therapy, the control group with routine drug therapy and the blank group with simple drug therapy. The intervention time was 8 weeks. The baseline study used Hamilton Depression scale (HAMD) and Pittsburgh Sleep quality scale (PSQI) to evaluate the three groups at the end of the 8th week. Finally, the scores of the patients in the experimental group, control group and blank group were collected and sorted, and the data were statistically analyzed and concluded. The result is 1: 1. General data description statistical results, experimental group, control group and blank group study subjects gender and age no statistical difference (p0.05), the three groups of subjects balanced than 2. The results of baseline survey showed that there was no statistical difference in total score of HAMD and total score of PSQI between the three groups before treatment (p0. 05), which indicated that the three groups were comparable. The results showed that the scores of HAMD scale before and after treatment were significantly different among the three groups (p0. 05), indicating that all the three groups were effective. From the 4th week, there was significant difference between the experimental group and the blank group, the control group and the blank group (p0.05), which indicated that the curative effect of the experimental group and the control group was better than that of the blank group after 4 weeks of treatment. The results showed that the scores of PSQI scale before and after treatment were significantly different among the three groups (p0. 05), indicating that all the three groups were effective. From the 4th week, there was significant difference between the experimental group and the blank group, the control group and the blank group (p0.05), which indicated that the curative effect of the experimental group and the control group was better than that of the blank group after 4 weeks of treatment. After 8 weeks of treatment, the score of the experimental group was lower than that of the control group, and the difference was significant (p0.05), which indicated that the experimental group was better than the control group after 8 weeks of treatment. Conclusion: 1, practicing Buduanjin has a positive effect on depression and sleep quality of patients. The effect of drug therapy combined with Buduanjin exercise is better than that of drug therapy alone, and the effect of drug therapy combined with Buduanjin exercise is better than that of drug therapy alone. The effect of Baduanjin exercise on patients' sleep quality was better than that of drug therapy combined with brisk walking exercise and drug therapy alone. The adjuvant therapy with Baduanjin had a short time to improve patients' depression and sleep quality. The characteristic of good curative effect.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R749.4
本文编号：2214885
[Abstract]:Objective: to observe and measure the improvement of depression mood and sleep quality in patients with mild and moderate depressive disorder by using randomized controlled study design, and to observe and measure the effect of practicing Banduanjin on depressive mood and sleep quality of patients with mild and moderate depressive disorder. To explore the clinical efficacy of Banduanjin in improving sleep quality and depression, thus providing a new method for the treatment of depressive disorders. Methods: in this study, 135 patients with sleep problems were randomly divided into three groups: experimental group, control group and blank group, 45 cases in each group. The experimental group was treated with routine drug therapy, the control group with routine drug therapy and the blank group with simple drug therapy. The intervention time was 8 weeks. The baseline study used Hamilton Depression scale (HAMD) and Pittsburgh Sleep quality scale (PSQI) to evaluate the three groups at the end of the 8th week. Finally, the scores of the patients in the experimental group, control group and blank group were collected and sorted, and the data were statistically analyzed and concluded. The result is 1: 1. General data description statistical results, experimental group, control group and blank group study subjects gender and age no statistical difference (p0.05), the three groups of subjects balanced than 2. The results of baseline survey showed that there was no statistical difference in total score of HAMD and total score of PSQI between the three groups before treatment (p0. 05), which indicated that the three groups were comparable. The results showed that the scores of HAMD scale before and after treatment were significantly different among the three groups (p0. 05), indicating that all the three groups were effective. From the 4th week, there was significant difference between the experimental group and the blank group, the control group and the blank group (p0.05), which indicated that the curative effect of the experimental group and the control group was better than that of the blank group after 4 weeks of treatment. The results showed that the scores of PSQI scale before and after treatment were significantly different among the three groups (p0. 05), indicating that all the three groups were effective. From the 4th week, there was significant difference between the experimental group and the blank group, the control group and the blank group (p0.05), which indicated that the curative effect of the experimental group and the control group was better than that of the blank group after 4 weeks of treatment. After 8 weeks of treatment, the score of the experimental group was lower than that of the control group, and the difference was significant (p0.05), which indicated that the experimental group was better than the control group after 8 weeks of treatment. Conclusion: 1, practicing Buduanjin has a positive effect on depression and sleep quality of patients. The effect of drug therapy combined with Buduanjin exercise is better than that of drug therapy alone, and the effect of drug therapy combined with Buduanjin exercise is better than that of drug therapy alone. The effect of Baduanjin exercise on patients' sleep quality was better than that of drug therapy combined with brisk walking exercise and drug therapy alone. The adjuvant therapy with Baduanjin had a short time to improve patients' depression and sleep quality. The characteristic of good curative effect.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R749.4
【参考文献】
相关期刊论文 前10条
1 杨红光;魏真;;立式八段锦发展演变历程探究[J];西安体育学院学报;2013年03期
2 柳爱莲;陆碧琼;郑英英;;八段锦对大学生睡眠和体质干预的探讨[J];河南大学学报(医学版);2012年04期
3 季向东;王群松;方春霞;;运动疗法对糖尿病患者焦虑抑郁的影响[J];实用老年医学;2012年04期
4 刘宇;霍然;来毅;姚秋丽;陈彩云;陈岩;;健身气功·八段锦对社区2型糖尿病伴抑郁患者抑郁症状及生活质量的影响[J];中国运动医学杂志;2012年03期
5 杨红光;魏真;;八段锦文化内涵探析[J];少林与太极(中州体育);2012年01期
6 杨军;;导引健身气功“八段锦”的内在经络养生解析[J];中华武术(研究);2011年04期
7 康佳迅;曾慧;王平;;社区老年人睡眠质量与认知功能的相关性研究[J];中国全科医学;2011年04期
8 王国军;;太极拳运动对老年人心肺功能的影响[J];中国老年学杂志;2010年24期
9 金丽菊;支梅芬;庞少波;;心理干预对骨肉瘤患者术后睡眠的影响[J];护理实践与研究;2010年12期
10 李献云;张艳萍;王志青;杨少杰;费立鹏;;北京地区综合医院患者抑郁障碍的患病率[J];中国神经精神疾病杂志;2010年02期
相关硕士学位论文 前3条
1 刘文举;八周健身气功·八段锦练习对人体脑电及心率变异性的影响[D];北京体育大学;2012年
2 钟爽川;健身气功八段锦对亚健康的调节作用研究[D];北京体育大学;2009年
3 张林;八段锦对2型糖尿病患者生理与心理作用的临床观察[D];中国中医科学院;2006年
，本文编号：2214885
本文链接：https://www.wllwen.com/yixuelunwen/jsb/2214885.html
最近更新
教材专著
