针灸联合电子化认知行为疗法对海勤人员睡眠障碍的疗效分析  

Effect analysis of acupuncture and moxibustion combined with digital cognitive behavior therapy on sleep disorder of military sea service personnel

作　　者：郭倩楠 周炫妤 武斌 吴涛 贾曼玉 张亮 GUO Qian-nan;ZHOU Xuan-yu;WU Bin;WU Tai;JIA Man-yu;ZHANG Liang

机构地区：[1]战略支援部队兴城特勤疗养中心,辽宁兴城125100

出　　处：《中国疗养医学》2023年第12期1238-1242,共5页Chinese Journal of Convalescent Medicine

基　　金：重复经颅磁刺激配合失眠认知行为疗法对特勤人员失眠干预治疗的研究战略支援部队兴城特勤疗养中心院管课题(应用研究项目21YG004)。

摘　　要：目的观察针灸联合电子化认知行为疗法(dCBT-I)对海勤人员睡眠障碍的治疗效果。方法将2023年6月入中心疗养的84例海勤人员作为受试对象,试验组应用针灸联合dCBT-I进行干预,对照组应用针灸疗法加常规健康教育干预,4周后使用匹兹堡睡眠质量指数(PSQI)和休闲满意度量表进行测量,并根据PSQI进行效果分析。结果干预后两组PSQI总分及各因子得分均下降(均P<0.05),干预后两组相比,试验组的睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、睡眠药物及PSQI总分显著低于对照组(均P<0.05),日间功能障碍评分差异无统计学意义(P>0.05),试验组总有效率为95.24%;对照组总有效率为88.10%,两组差异有统计学意义(Z=-4.55,P<0.05),干预后试验组休闲满意度评分显著高于对照组(P<0.05)。结论针灸联合dCBT-I对改善海勤人员睡眠紊乱的效果比单纯针灸效果更佳,有利于提高疗养休闲满意度。Objective To observe the therapeutic effect of acupuncture and moxibustion combined with digital electronic cognitive behavioral therapy(dCBT-I)on sleep disorder of military sea service personnel.Methods 84 military sea service personnel who entered the center for convalescence in June 2023 were taken as the subjects.The experimental group was treated with acupuncture and moxibustion combined with dCBT-I,and the control group was treated with acupuncture and moxibustion plus routine health education intervention.Four weeks later,Pittsburgh sleep quality index(PSQI)and leisure satisfaction scale were used to measure,and the effect was analyzed according to PSQI.Results After intervention,the total PSQI scores and various factor scores of both groups decreased(both P<0.05);After intervention,the experimental group showed significantly lower sleep quality,sleep time,sleep efficiency,sleep disorders,sleep medication,and total PSQI scores compared with the control group(all P<0.05).There was no statistically significant difference in daytime dysfunction scores(P>0.05),and the total effective rate of the experimental group was 95.24%,The total effective rate of the control group was 88.10%,and there was a statistically significant difference between the two groups(Z=-4.55,P<0.05).After intervention,the leisure satisfaction score of the experimental group was significantly higher than that of the control group(P<0.05).Conclusion The effect of acupuncture and moxibustion combined with dCBT-I on improving sleep disorder of sea service personnel is better than that of acupuncture and moxibustion alone,which is conducive to improving the satisfaction of recuperation and leisure.

关 键 词：针灸 电子化认知行为疗法 海勤人员 睡眠障碍 

分 类 号：R831[医药卫生—航空、航天与航海医学]