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综合性心理干预对老年失眠症患者的疗效观察 被引量:15

Observation on curative Effects of comprehensive psychological intervention on senile patients with insomnia
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摘要 目的探讨综合性心理干预对老年失眠症患者的临床疗效。方法将60例门诊老年失眠症患者随机分为综合心理干预组和药物治疗组,每组各30例,疗程8w。于治疗前及治疗8w末采用汉密尔顿抑郁量表、焦虑量表评定临床疗效,并进行比较分析。结果治疗8W末,综合干预组汉密尔顿抑郁量表、焦虑量表评分均低于治疗前(P<0.01),药物治疗组治疗前后评分差异无显著性(P>0.05);两组间评分比较综合干预组显著低于药物治疗组(P<0.01)。综合干预组总有效率93.33%,药物治疗组63.33%,两组疗效差异显著(P<0.05)。结论综合心理干预能有效缓解老年失眠症患者的焦虑、抑郁情绪,有利于失眠症的改善和康复。 Objective To explore the clinical curative effect of comprehensive psychological intervention on senile patients with insomnia. Methods 60 out-department senile insomnia patients were divided into psychological intervention group(n=30) and drug treatment group(n=30) randomly for 8 weeks. The clinical efficiency were evaluated with HAMD and HAMA before and after treatment for 8 weeks, the results were analyzed. Results At the end of 8th week of treatment, the scores of HAMD and HAMA were lower than before treatment in intervention group, which were no obvious change in drug group. The total efficiency in intervention group and drug group was 93.33% and 63.33% respectively, there was significant difference between the 2 groups. Conclusion The comprehensive psychological intervention can improve anxiety and depressive emotion of the senile patients with insomnia, and promote them to recovery.
作者 杨秋霞
出处 《临床心身疾病杂志》 CAS 2005年第3期247-248,共2页 Journal of Clinical Psychosomatic Diseases
关键词 老年失眠症 心理干预 汉密尔顿抑郁量表 汉密尔顿焦虑量表 Senile insomnia psychological intervention HAMD HAMA
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