认知行为疗法、耳穴揿针联合睡眠护理在抑郁症伴失眠患者中的效果分析  

Analysis of the eff ects of cognitive behavioral therapy,auricular intradermal needle combined with sleep care on sleep quality of patients with depression and insomnia

作　　者：曾佩程 蒋文华 蒋智华 王圆 王剑婷 ZENG Peicheng;JIANG Wenhua;JIANG Zhihua;WANG Yuan;WANG Jianting(Guangxi Zhuang Autonomous Region Brain Hospita,Liuzhou 545200,China)

机构地区：[1]广西壮族自治区脑科医院,广西壮族自治区柳州市545200

出　　处：《护理实践与研究》2025年第4期480-484,共5页Nursing Practice and Research

基　　金：广西壮族自治区中医药管理局科研课题(编号:GZZC2020220)。

摘　　要：目的探讨对抑郁症伴失眠患者行认知行为疗法、耳穴揿针与睡眠护理联合干预的效果。方法选取医院2023年1—12月收治的抑郁症伴失眠患者100例为研究对象,按照组间基本资料具有可比性的原则将研究对象分为对照组和观察组,各50例。对照组行常规护理,为患者播放宣教视频以及进行一对一讲解,对患者的主观感受予以询问,评估患者的心理状态,与患者积极沟通交流,遵照医嘱监督患者用药等;观察组行认知行为疗法、耳穴揿针(取心、肾、神门及三焦穴位,借助耳穴探测仪确定敏感点,局部消毒后,两耳交替治疗)联合睡眠护理(提供舒适的休息环境,保持病房空气流通,温度适宜,告知患者睡前用温水泡脚,入睡前避免过量饮水等)。比较两组患者睡眠质量、负性情绪及护理满意程度。结果干预后,观察组患者匹兹堡睡眠质量指数(PSQI)评分低于对照组,差异有统计学意义(P<0.05);观察组患者干预后焦虑自评量表(SAS)与抑郁自评量表(SDS)评分低于对照组,差异有统计学意义(P<0.05);干预后,观察组患者护理满意程度高于对照组,差异有统计学意义(P<0.05)。结论认知行为疗法、耳穴揿针联合睡眠护理在抑郁症伴失眠患者中的应用效果较好,通过实施认知行为疗法、耳穴揿针联合睡眠护理,可提升抑郁症伴失眠患者的睡眠质量,疏解患者内心压抑的情绪,稳定其情绪,提高护理人员的工作满意程度。Objective To explore the effects of cognitive behavioral therapy,auricular intradermal needle combined with sleep care on sleep quality of patients with depression and insomnia.Methods A total of 100 patients with depression and insomnia admitted to the hospital from January to December 2023 were selected as research subjects.According to the principle of comparability of basic data between the groups,they were divided into a control group and an observation group,with 50 cases in each group.The control group received routine nursing,which included playing educational videos for the patients and providing one-on-one explanations,inquiring about the patients'subjective feelings,assessing their psychological state,actively communicating with the patients,and supervising the patients'medication adherence according to the doctor's orders.The observation group received cognitive behavioral therapy,auricular intradermal needle(selecting the heart,kidney,Shenmen,and Sanjiao acupoints,using an auricular acupoint detector to identify sensitive points,followed by local disinfection,and alternating treatment between both ears)combined with sleep care(providing a comfortable rest environment,ensuring proper ventilation in the ward,maintaining an appropriate temperature,advising patients to soak their feet in warm water before bed,and avoiding excessive water intake before sleep).The sleep quality,negative emotions and nursing satisfaction were compared between the two groups of patients.Results After the intervention,the Pittsburgh Sleep Quality Index(PSQI)score in the observation group was lower than that in the control group,the diff erence was statistically significant(P<0.05).After the intervention,the Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)scores in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After the intervention,the nursing satisfaction in the observation group was higher than that in the control group,the diff ere

关 键 词：抑郁症 失眠 认知行为疗法 耳穴揿针 睡眠护理 

分 类 号：R473.5[医药卫生—护理学]