放松训练对慢性疼痛患者焦虑抑郁及睡眠质量干预研究  

EFFECT OF RELAXATION TRAINING ON ANXIETY, DEPRESSION AND SLEEP QUALITY FOR CHRONIC PAIN PATIENTS

作　　者：陈国良[1] 崔红[2] 许鹏[1] 徐珺洋[1] 姜忠东[1] 张磊[1] 丁伟艳[1] 李岩松[3,4,5] CHEN Guo-Liang CUI Hong XU Peng XU Jun-Yang JIANG Zhong-Dong ZHANG Lei DING Wei-Yan LI Yan-Song(215th Clinical Division, 406th Hospital of PLA, Dalian 116041 PLA General Hospital Medical Psychology Department Department of Psychology, School of Social and Behavioral Sciences, Nanjing University, Nanjing 210023 Institute of Advanced studies in Humanities and social sciences, Nanjing University, Nanjing, 210023 The Research Center for Social and Behavioral Sciences of Jiangsu Provience, Nanjing 210023, China)

机构地区：[1]中国人民解放军406医院215临床部,大连116041 [2]中国人民解放军总医院医学心理科,北京100853 [3]南京大学社会学院心理学系,南京210023 [4]南京大学人文社会科学高级研究院,南京210023 [5]江苏高校哲学社会科学重点研究基地-江苏省社会与行为科学实验中心,南京210023

出　　处：《中国疼痛医学杂志》2016年第11期842-846,共5页Chinese Journal of Pain Medicine

基　　金：全军医学科技青年培育项目(14QNP006)

摘　　要：目的:探讨放松训练对缓解慢性疼痛患者焦虑、抑郁情绪及改善睡眠质量的作用;方法:选取解放军总医院疼痛科住院慢性疼痛患者70例,随机分为干预组和对照组(各35例),干预组33例和对照组30例完成实验观察。对照组患者接受疼痛科常规治疗和护理,干预组患者在常规治疗和护理的同时接受放松训练。结果:两组患者干预1周后焦虑、抑郁情绪和睡眠质量评分均有所下降,并且干预组的焦虑、抑郁情绪和睡眠质量评分低于对照组。经重复测量方差分析结果显示,不同测量时间的焦虑、抑郁和睡眠质量评分差异均有统计学意义(P<0.01)。干预组经干预2周、4周后焦虑、抑郁情绪和睡眠质量评分随时间变化呈下降趋势(P<0.01),对照组经干预2周、4周后焦虑、抑郁情绪和睡眠质量评分无明显改变。结论:放松训练对缓解慢性疼痛患者焦虑抑郁情绪,改善其睡眠质量有效。Objective： To assess the effect of relaxation training on anxiety, depression, and sleep quality in chronic pain patients. Methods： In this study, 70 chronic pain patients experiencing anxiety and depression were randomly and evenly assigned into two groups： intervention and control groups. There were 2 cases dropout in intervention group and 5 cases dropout in control group. All chronic pain patients received conventional therapy while the patients in intervention group were given relaxation training. Results： The scores of anxiety, depression and sleep quality were declined after 1 week treatment in both groups. The intervention group＇s anxiety, depression and sleep quality scores were lower than those of the control group. Analysis of variance of repeated measures indicated that the scores of anxiety, depression and quality of sleep were significantly different（P 0.01）. After 2-4 weeks treatment, the scores of anxiety, depression and sleep quality were significantly decreased in the intervention group（P 0.01）. These scores did not express any improvement in the control group. Conclusion： Relaxation training is beneficial to alleviate anxiety and depression and improve quality of sleep in chronic pain patients.

关 键 词：慢性疼痛 放松训练 焦虑 抑郁 失眠 

分 类 号：R402[医药卫生—临床医学]