正念冥想训练配合角调音乐疗法干预对老年抑郁症伴失眠患者心境状态与睡眠质量的影响  

Effect of mindfulness meditation training combined with angular music therapy on mood state and sleep quality in elderly patients with depression and insomnia

作　　者：万海燕 WAN Haiyan(Department of Geriatrics,Jiangxi Mental Hospital,Jiangxi Province,Nanchang 330029,China)

机构地区：[1]江西省精神病院老年科,江西南昌330029

出　　处：《中国当代医药》2024年第30期166-169,共4页China Modern Medicine

基　　金：江西省卫生计生委科技计划项目(20177058)。

摘　　要：目的探讨正念冥想训练配合角调音乐疗法干预对老年抑郁症伴失眠患者心境状态与睡眠质量的影响。方法选取2022年1月至2023年6月江西省精神病院收治的81例老年抑郁症伴失眠患者作为研究对象,采用奇偶数分组法进行分组,分为联合组(n=40)和参照组(n=41)。参照组予以常规护理结合角调音乐疗法,联合组在参照组的基础上予以正念冥想训练。两组均持续护理3周,比较两组患者心境状态、睡眠质量、服药依从性和护理满意度。结果联合组症状自评量表(SCL-90)、汉密尔顿焦虑抑郁量表(HADS)、匹兹堡睡眠质量指数量表(PSQI)、Morisky问卷评分均低于参照组,差异有统计学意义(P<0.05)。联合组护理满意度高于参照组,差异有统计学意义(P<0.05)。结论对老年抑郁症伴失眠患者行正念冥想训练配合角调音乐疗法干预能有效改善负性心态与睡眠质量,同时提升服药依从性与护理满意度。Objective To explore the effects of mindfulness meditation training combined with angular music therapy on mood state and sleep quality in elderly patients with depression and insomnia.Methods A total of 81 elderly patients with depression and insomnia admitted to Jiangxi Mental Hospital from January 2022 to June 2023 were selected as the study ob-jects.They were divided into the combination group(n=40)and the reference group(n=41)by odd and even grouping method.The reference group was given routine nursing combined with angular music therapy,and the combination group was given mindfulness meditation training on the basis of the reference group.Both groups continued nursing for 3 weeks,and the mood state,sleep quality,medication compliance and nursing satisfaction of the two groups after 6 months were compared.Results The scores of symptom check list-90(SCL-90),Hamilton anxiety and depression scale(HADS),Pittsburgh sleep quality index(PSQI)and Morisky questionnaire in the combination group were lower than those in the reference group,with statistical significances(P<0.05).The nursing satisfaction of the combination group was higher than that of the reference group,and the difference was statistically significant(P<0.05).Conclusion In elderly patients with depression and insom-nia,mindfulness meditation training combined with angular music therapy can effectively improve negative mentality and sleep quality,and improve medication compliance and nursing satisfaction.

关 键 词：正念冥想训练 角调音乐疗法 老年 抑郁症伴失眠 睡眠质量 

分 类 号：R749[医药卫生—神经病学与精神病学]