失眠人群的心理健康状况与中医体质的相关性研究
发布时间：2018-07-16 19:11
【摘要】：目的:探讨失眠患者心理健康状况与中医体质的相关性,为临床诊疗失眠提供参考数据。方法:将符合入选标准的失眠患者纳入本研究,填写个人信息调查表采集失眠患者的个人信息,使用匹兹堡睡眠指数量表(PSQI)、王琦九种体质测评量表、中文SCL-90量表、焦虑自测量表(SAS)以及抑郁自测量表(SDS)等测评工具对失眠患者的睡眠质量、中医体质、心理状况等情况进行测评,评价采用双人独立评价,取平均分为最终得分,使用Epidata3.1软件建立数据库,采用SPSS 21.0进行统计学分析处理。使用的统计方法涉及正态性检验(Kruskal-Wallis H检验)、描述性统计、频数分布统计、非参数检验等统计学方法,相关显著性检验以P0.05为标准。结果:1.本研究共收集301例失眠患者。其中年龄最小20岁,最大75岁,平均年龄45.70±17.26岁。5种职业分布情况为知识分子124人,占41.1%,所占比例最高;其次是工人89例,占29.5%;农民15人,占4.9%;行政工作者6例,占5.3%,服务行业57人,占18.9%。显示受教育程度较高的知识分子失眠比例最高,说明失眠有易发于教育程度较高人群的倾向性。量表调查患者兴趣爱好倾向,结果显示兴趣广泛为19人,占6.3%,较广泛为89人,所占比例为28.2%,兴趣一般为151人,所占比例较高,为50.1%,兴趣较少者为46人,所占比例为15.2%。表明兴趣广泛与否对失眠患者的睡眠质量具有一定影响。匹兹堡睡眠质量量表结果显示气虚质、痰湿质、瘀血质、气郁质分数较高,显示这四种体质睡眠质量较其他体质较差。2.本次调查结果收集301名失眠患者体质信息,其中气虚体质90人,占29.9%;阴虚体质47人,占15.6%;阳虚体质43人,占14.3%;瘀血体质22人,占7.3%;痰湿体质32人,占10.6%;平和体质29人,占9.2%;气郁体质17人,占5.7%;湿热体质17人,占5.7%,特禀体质4人,占1.3%。显示失眠患者易出现的体质为气虚体质,阴虚体质及阳虚体质、痰湿体质。3.SAS及SDS量表调查结果显示,九种体质都具有焦虑情绪,平和体质所占比例最少,气郁体质超过半数人具有焦虑的情绪存在。由SDS分布表可见,九种体质同样都有抑郁状态,气郁质抑郁人数所占比例仍为最高。焦虑与抑郁共存患者在九种体质也占有一定比例,气郁质仍为焦虑与抑郁共存患者所占有最多的体质。4.将失眠患者的睡眠各项指标与与SCL-90阳性因子进行Pearson分析,由结果可知,失眠患者入睡时间与躯体化症状呈相关性,睡眠时间与强迫、焦虑项呈正相关,睡眠障碍与焦虑、抑郁呈正相关,睡眠效率与偏执呈正相关,日间功能障碍与焦虑呈正相关(p0.05)。结论:1.失眠患者出现最多为气虚质、阴虚质、阳虚质和痰湿质。2.失眠患者常见的不良情绪为抑郁、焦虑及强迫。气郁质、气虚质、痰湿质及瘀血质失眠患者更容易发生焦虑抑郁情绪。3.失眠患者入睡时间延长可出现躯体化症状,睡眠时间缩短与强迫、焦虑有关,焦虑、抑郁情绪可加重睡眠日间功能障碍,偏执症状可影响睡眠效率。
[Abstract]:Objective: to explore the correlation between mental health status and TCM constitution of insomnia patients, and to provide reference data for clinical diagnosis and treatment of insomnia. Methods: Insomnia patients who met the inclusion criteria were included in the study. The personal information was collected by filling out personal information questionnaire. Pittsburgh Sleep Index scale (PSQI), Wang Qi Nine physical Fitness Assessment scale and Chinese SCL-90 scale were used. Self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to evaluate sleep quality, TCM physique and psychological status of insomnia patients. Epidata 3.1 software was used to establish database and SPSS 21.0 was used for statistical analysis. The statistical methods used included normal test (Kruskal-Wallis H test), descriptive statistics, frequency distribution statistics, non-parametric test and so on. The result is 1: 1. This study collected 301 patients with insomnia. Among them, the youngest 20 years old, the oldest 75 years old, the average age of 45.70 卤17.26 years old was 124 intellectuals, accounting for 41.1%, accounting for the highest proportion, followed by 89 workers (29.555%), 15 peasants (4.9%), and 6 administrative workers. Accounting for 5.3%, 57 people in the service industry, accounted for 18.9. It showed that the intellectuals with higher education had the highest proportion of insomnia, which indicated that insomnia was prone to higher education. The results showed that there were 19 patients with wide interest, accounting for 6.3, 89 more widely, the proportion was 28.2and the interest was 151, the proportion was higher (50.1), and the interest was 46 (15.2b). It shows that broad interest has a certain effect on sleep quality of insomnia patients. The Pittsburgh Sleep quality scale showed that qi deficiency, phlegm dampness, blood stasis and qi stagnation were higher, indicating that the sleep quality of these four physiques was worse than that of other physiques. 2. The results of this survey collected information on the constitution of 301 insomnia patients, of whom 90 were qi deficiency, accounting for 29.9; 47 were yin deficiency, accounting for 15.6; 43 were Yang deficiency, accounting for 14.3; 22 were blood stasis, accounting for 7.3; 32 were phlegm dampness, accounting for 10.6B; and 29 were calm, There were 17 cases of qi depression, 17 cases of dampness and heat, and 4 cases of special constitution, accounting for 1.3%. The results showed that the physical constitution of insomnia patients were qi deficiency, yin deficiency and yang deficiency, phlegm dampness, SAS and SDS scale. The results showed that the nine kinds of constitution had anxiety, and the proportion of peaceful constitution was the least. More than half of people with qi depression have anxiety. According to the SDS distribution table, nine kinds of physique also had depression state, and the proportion of qi depression was still the highest. Anxiety and depression co-exist in nine physique also occupy a certain proportion, Qi stagnation is still the most anxiety and depression coexistence of physique. 4. Pearson analysis of sleep indexes and SCL-90 positive factors showed that sleep time was correlated with somatization, sleep time was positively correlated with compulsion, anxiety, sleep disorder and anxiety. There was a positive correlation between depression, sleep efficiency and paranoid ideation, and a positive correlation between daytime dysfunction and anxiety (p0.05). Conclusion 1. Insomnia patients with most of the Qi deficiency, Yin deficiency, Yang deficiency and phlegm dampness. 2. Depression, anxiety and compulsion are common bad emotions in insomnia patients. Patients with qi stagnation, qi deficiency, phlegm dampness and blood stasis were more likely to develop anxiety and depression. Prolonged sleep time can lead to somatization symptoms, sleep time shortening is related to compulsion, anxiety, depression can aggravate sleep daytime dysfunction, paranoid symptoms can affect sleep efficiency.
【学位授予单位】：北京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R256.23
[Abstract]:Objective: to explore the correlation between mental health status and TCM constitution of insomnia patients, and to provide reference data for clinical diagnosis and treatment of insomnia. Methods: Insomnia patients who met the inclusion criteria were included in the study. The personal information was collected by filling out personal information questionnaire. Pittsburgh Sleep Index scale (PSQI), Wang Qi Nine physical Fitness Assessment scale and Chinese SCL-90 scale were used. Self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to evaluate sleep quality, TCM physique and psychological status of insomnia patients. Epidata 3.1 software was used to establish database and SPSS 21.0 was used for statistical analysis. The statistical methods used included normal test (Kruskal-Wallis H test), descriptive statistics, frequency distribution statistics, non-parametric test and so on. The result is 1: 1. This study collected 301 patients with insomnia. Among them, the youngest 20 years old, the oldest 75 years old, the average age of 45.70 卤17.26 years old was 124 intellectuals, accounting for 41.1%, accounting for the highest proportion, followed by 89 workers (29.555%), 15 peasants (4.9%), and 6 administrative workers. Accounting for 5.3%, 57 people in the service industry, accounted for 18.9. It showed that the intellectuals with higher education had the highest proportion of insomnia, which indicated that insomnia was prone to higher education. The results showed that there were 19 patients with wide interest, accounting for 6.3, 89 more widely, the proportion was 28.2and the interest was 151, the proportion was higher (50.1), and the interest was 46 (15.2b). It shows that broad interest has a certain effect on sleep quality of insomnia patients. The Pittsburgh Sleep quality scale showed that qi deficiency, phlegm dampness, blood stasis and qi stagnation were higher, indicating that the sleep quality of these four physiques was worse than that of other physiques. 2. The results of this survey collected information on the constitution of 301 insomnia patients, of whom 90 were qi deficiency, accounting for 29.9; 47 were yin deficiency, accounting for 15.6; 43 were Yang deficiency, accounting for 14.3; 22 were blood stasis, accounting for 7.3; 32 were phlegm dampness, accounting for 10.6B; and 29 were calm, There were 17 cases of qi depression, 17 cases of dampness and heat, and 4 cases of special constitution, accounting for 1.3%. The results showed that the physical constitution of insomnia patients were qi deficiency, yin deficiency and yang deficiency, phlegm dampness, SAS and SDS scale. The results showed that the nine kinds of constitution had anxiety, and the proportion of peaceful constitution was the least. More than half of people with qi depression have anxiety. According to the SDS distribution table, nine kinds of physique also had depression state, and the proportion of qi depression was still the highest. Anxiety and depression co-exist in nine physique also occupy a certain proportion, Qi stagnation is still the most anxiety and depression coexistence of physique. 4. Pearson analysis of sleep indexes and SCL-90 positive factors showed that sleep time was correlated with somatization, sleep time was positively correlated with compulsion, anxiety, sleep disorder and anxiety. There was a positive correlation between depression, sleep efficiency and paranoid ideation, and a positive correlation between daytime dysfunction and anxiety (p0.05). Conclusion 1. Insomnia patients with most of the Qi deficiency, Yin deficiency, Yang deficiency and phlegm dampness. 2. Depression, anxiety and compulsion are common bad emotions in insomnia patients. Patients with qi stagnation, qi deficiency, phlegm dampness and blood stasis were more likely to develop anxiety and depression. Prolonged sleep time can lead to somatization symptoms, sleep time shortening is related to compulsion, anxiety, depression can aggravate sleep daytime dysfunction, paranoid symptoms can affect sleep efficiency.
【学位授予单位】：北京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R256.23
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