心理暗示催眠疗法结合药物治疗对改善老年躯体化障碍合并失眠患者的影响  

Efect of psychological suggestion hypnotherapy combined with drug therapy on improving somatization disorder with insomnia

作　　者：王文蓉[1] 许雪芬[1] 周晓婷[2] WANG Wenrong;XU Xuefen;ZHOU Xiaoting(The Second People's Hospital of Wuxi,Wuxi 214000,China;Wuxi Mental Health Center,Wuxi 214000,China)

机构地区：[1]无锡市第二人民医院,江苏无锡214000 [2]无锡市精神卫生中心,江苏无锡214000

出　　处：《心理月刊》2024年第24期115-117,126,共4页

摘　　要：目的 探讨心理暗示催眠疗法结合药物治疗对改善老年躯体化障碍合并失眠患者述情障碍及睡眠质量的影响。方法 选择2018年10月~2024年3月无锡市第二人民医院收治的老年躯体化障碍合并失眠患者210例,随机分为两组,各105例。对照组实施常规药物治疗,研究组在此基础上结合心理暗示催眠疗法。对比两组干预前后述情障碍、心理状态、睡眠质量与生活质量改善情况,均采用t检验。结果 干预后研究组在述情障碍方面各项评分均较干预前降低,且低于对照组(P<0.05);干预后研究组HAMA、HAMD评分均较干预前降低,且低于对照组(P<0.05);干预后研究组在睡眠质量方面各项评分均较干预前降低,且低于对照组(P<0.05);干预后研究组在生活质量方面各项评分均较干预前提高,且高于对照组(P<0.05)。结论 心理暗示催眠疗法结合药物治疗可明显改善老年躯体化障碍合并失眠患者述情障碍及心理状态,提升睡眠质量与生活质量。Objective To explore the effects of psychological suggestion hypnosis therapy combined with medication on improving the expressive disorders and sleep quality of elderly patients with somatization disorders and insomnia.Methods 210 elderly patients with somatization disorders and insomnia admitted to the Second People's Hospital of Wuxi from October 2018 to March 2024 were randomly divided into two groups,with 105 patients in each group.The control group received conventional medication treatment,while the study group combined psychological suggestion hypnosis therapy on this basis.A t-test was used to compare the improvement of expressive disorders,psychological status,sleep quality,and quality of life between two groups before and after intervention.Results After intervention,the scores of the study group in various aspects of affective disorders decreased compared to before intervention,and were lower than those of the control group(P<0.05).After intervention,the HAMA and HAMD scores in the study group decreased compared to before intervention and were lower than those in the control group(P<0.05).After intervention,the sleep quality scores of the study group decreased compared to before intervention,and were lower than those of the control group(P<0.05).After intervention,the study group showed an improvement in various scores of quality of life compared to before intervention,and was higher than the control group(P<0.05).Conclusion The combination of psychological suggestion hypnosis therapy and medication treatment can significantly improve the expressive disorders and psychological states of elderly patients with somatization disorders and insomnia,and enhance their sleep quality and quality of life.

关 键 词：心理暗示催眠疗法 躯体化障碍 失眠 述情障碍 心理状态 睡眠质量 生活质量 

分 类 号：R47[医药卫生—护理学]