手法按摩联合情志干预改善住院冠心病伴失眠患者心理状况的效果评价  

Evaluation on the Effect of Manual Massage in Combination with Emotion Intervention on the Improvement of Psychological Status and Sleep Quality of Patients with Coronary Heart Disease and Insomnia

作　　者：张敏[1] 缪红莉[1] 栾美君[1] 

机构地区：[1]新疆医科大学第一附属医院中医内科,新疆乌鲁木齐830054

出　　处：《中国健康心理学杂志》2017年第12期1791-1794,共4页China Journal of Health Psychology

摘　　要：目的:评价手法按摩联合情志干预改善冠心病伴失眠患者心理状况及睡眠质量的效果。方法:选取2014年1月-2015年12月住院治疗冠心病伴失眠患者138例为研究对象,采用随机数字表法分为观察组和对照组各69例,两组均予以常规治疗和护理措施。观察组患者联合手法按摩加情志干预,干预10d后,比较两组患者焦虑(HAMD)/抑郁(HAMA)评分、中医症状积分、睡眠质量等指标。结果:观察组HAMA、HAMD评分均明显低于对照组(t=-12.332,P<0.05,t=-6.114,P<0.01);头晕、胸闷、心悸、胸椎椎旁压痛、颈痛等评分均明显低于对照组(t=8.167,7.441,4.544,6.026,9.062;P<0.05);睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能等评分均明显低于对照组(t=5.702,4.258,7.634,6.525,7.836,11.629,3.332;P<0.05或0.01)。结论:手法按摩联合情志干预有助于缓解冠心病伴失眠患者焦虑/抑郁程度,改善临床症状,提高睡眠质量。Objective：To evaluate the effect of manual massage in combination with emotion intervention on the improvement of psychological status and sleep quality of patients with coronary heart disease and insomnia.Methods：A total of 138 cases of patients with coronary heart disease and insomnia admitted to hospital from January 2014 to December 2015 were selected as the research objects and divided into observation group and control group using random number table method,with 69 cases in each group.Patients in the two groups were performed conventional treatment and nursing measures,besides,patients in observation group were treated by manual massage in combination with emotion intervention.10 days after the intervention,scores of Hamilton Depression Scale（HAMD）and Hamilton Anxiety Scale（HAMA）,TCM symptom score,sleep quality and other indexes of patients in the two groups were compared.Results：Scores of HAMA and HAMD in observation group were significantly lower than those in control group（t=-12.332,-6.114;P 0.05）;Scores of dizziness,chest distress,palpitation,paravertebral pressing pain and trachelodynia were significantly lower than those in control group（t=-8.167,-7.441,-4.544,-6.026,-9.062;P0.05）;Scores of sleep quality,fall-sleep time,sleep time,sleep efficiency,sleep disorders,hypnotic and daytime function were significantly lower than those in control group（t=-5.702,-4.258,-7.634,-6.525,-7.836,-11.629,-3.332;P0.05）.Conclusion：Manual massage in combination with emotion intervention helps to relieve anxiety and depression,improve clinical symptoms and enhance sleep quality in patients with coronary heart disease and insomnia.

关 键 词：冠心病 失眠 手法按摩 情志干预 心理状况 睡眠质量 

分 类 号：R395.5[哲学宗教—心理学]