心理疏导在神经性失眠患者治疗中的作用邹春莉钟代曲【摘要】目的了解心理疏导法在神经性失眠患者治疗中所起的作用。方法将神经性失眠患者随机分成疏导组与对照组各98例,2组均采用医生既定的治疗方案,对照组除按时完成治疗外,按常规进行入院介绍、疾病相关知识指导等护理;疏导组在完成治疗的同时,根据住院患者不同时期的心理需求,及时进行正确的心理疏导。观察2组治疗、护理效果。结果治疗前2组PSQI、SAS分数间比较无显著性差异,经过联合治疗及适时施护,2组PSQI各因子评分及总评分、SAS评分显著减低(P<0.01),说明治疗护理的有效性,护理后疏导组与对照组PSQI各因子评分及总评分比较均有显著性差异(P<0.05),SAS评分比较有显著性差异(P<0.01),可认为疏导组的护理方法优于对照组。结论心理疏导法纠正了患者对疾病不正确的认识,帮助患者找到并消除了造成神经性失眠的心理应激源,教会患者正确的睡眠卫生知识和配合治疗的方法,对患者康复后如何维持健康做了深入指导,使患者得到全面康复。【关键词】神经性失眠;心理护理;心理疏导RoleofpsychologicaldirectiontherapyinthetreatmentforpatientswithpsychophysiologicinsomniaZOUChun2li,ZHONGDai2qu.ThirdDepartmentofBrain,ResearchInstituteofFieldSurgery,DapingHospital,ThirdMilitaryMedicalUniversity,Chongqing400042,China【Abstract】ObjectiveTodeterminetheeffectofpsychologicaldirectiontherapyinthetreatmentofpatientswithpsychophysiologicinsomnia.MethodsThepsychophysiologicinsomniapatientswererandomlydividedintotwogroups,with98casesforeach,respectively.Onewasthepsychologicaldirec2tiontherapygroup,andtheotherwasthecontrolgroup.Patientsofthetwogroupsweretreatedusingthetherapyprojectselectedbythedoctor.Besidescompletingthetherapyontime,thepatientsinthecontrolgroupwereprovidedwiththeintroductionofadmissiontohospitalandthedirectionoftheknowl2edgecorrelatedwiththediseases.Atthesametimeofcompletingthetherapy,thepatientsofthepsy2chologicaldirectiongroupweretreatedusingthepsychologicaldirectiontherapyaccordingtothepatient’smentalityrequirementindifferentphases.Thetherapyandnursingeffectsofthetwogroupswereob2served.ResultsTherewasnosignificantdifferenceonthePSQIandSASbetweenthetwogroupsbe2forethetherapy.Afterthetreatment,theSASscore,aswellasthescoresofeveryfactorinPSQIandthetotalPSQIscore,wasdecreasedsignificantly(P<0.01)throughthecombinationtherapyandtimelynursing.PSQIandSASofthepsychologicaldirectiontherapygroupamelioratedmorethanthoseofthecontrolgroup.Thisindicatedthatthenursingwaseffective,thescoresofeveryfactorandthetotalscoreinPSQIbetweenthepsychologicaldirectiongroupandthecontrolgrouphadsignificantdifferences(P<0.05),andtheSASscorehadasignificantdifference(P<0.01).Sowecouldconsiderthatthenursingmethodinthepsychologicaldirectiongroupwassuperiortothatofthecontrolgroup.ConclusionsThepsychologicaldirectioncorrectsthepatients’untrueconceptionofinsomnia,helpthemtoseekandelimi2natethepsychologicalstressorinducedbytheinsomnia,givethemtheaccuratesleepknowledgeandthemethodofcooperatingtherapy,masterthetherapymeasurement,instructthepatientshowtomaintainhealthiness,andmakethepatientshealfrominsomniacompletely.【Keywords】Psychologicaldirection;Psychologicalnursing;Psychophysiologicinsomnia中图分类号:R471文献标识码:A文章编号:100929689(2006)2922747202现代社会讲究快节奏,高效率,人们长期处于紧张、焦虑状态,势必导致植物神经功能紊乱,引起神经性失眠。神经性失眠症较多采用药物治疗,因其未能解决导致失眠的根本原作者单位:400042重庆,第三军医大学大坪医院野战外科研究所脑三科作者简介:邹春莉,女,1978年出生,本科,护师,护士长。因及安眠药物副作用大等问题,疗效...
