振腹推拿联合情志调控在抑郁症合并失眠患者中的应用评价OA
Evaluation of vibratory abdominal massage and emotional regulation intervention in patients with depression and comorbid insomnia
目的 观察振腹推拿联合情志调控改善抑郁症合并失眠患者的临床效果.方法 选取 2023 年 9 月至2024 年 9 月收治的 100 例抑郁症合并失眠患者为研究对象,各组 50 例.对照组予西医常规干预治疗,研究组在对照组基础上加用振腹推拿联合情志调控管理方案干预治疗.2 组均干预治疗 4 周,比较 2 组干预前后贝克抑郁量表、自我厌恶量表、失眠严重指数量表(ISI)、匹兹堡睡眠质量指数量表(PSQI)、心理弹性水平量表(包括坚韧控制、力量、乐观 3 个维度)、生活质量综合评定问卷(GQOLI-74)(包括心理、躯体、物质生活状态、社会功能 4 个维度)评分变化情况.结果 与本组治疗前比较,2 组治疗后贝克抑郁量表评分、自我厌恶量表评分均降低(P＜0.05),且研究组治疗后贝克抑郁量表评分、自我厌恶量表评分均低于对照组(P＜0.05).与本组治疗前比较,2 组治疗后 ISI 评分、PSQI 评分均降低(P＜0.05),且研究组治疗后 ISI 评分、PSQI 评分均低于对照组(P＜0.05).与本组治疗前比较,2 组治疗后心理弹性水平量表坚韧控制、力量、乐观评分均升高(P＜0.05),且研究组治疗后心理弹性水平量表坚韧控制、力量、乐观评分均高于对照组(P＜0.05).与本组治疗前比较,2 组治疗后 GQOLI-74 心理、躯体、物质生活状态、社会功能评分均升高(P＜0.05),且研究组治疗后 GQOLI-74 心理、躯体、物质生活状态、社会功能评分均高于对照组(P＜0.05).结论 振腹推拿联合情志调控可改善抑郁症合并失眠患者的心理状况及心理弹性,提高睡眠质量与生活质量.
Objective To evaluate the clinical efficacy of vibratory abdominal massage therapy and an emotional-regulation program in patients with depression comorbid with insomnia.Methods A total of 100 patients with depression and comorbid insomnia admitted between September 2023 and September 2024 were enrolled and randomized into two groups of 50 patients each.The control group received routine conventional Western medical treatment;the study group received the same standard care plus adjunctive vibratory abdominal massage therapy and an emotional-regulation management program.Both groups underwent a 4-week intervention.Outcome measures included the Beck Depression Inventory(BDI),the Self-Disgust Scale,the Insomnia Severity Index(ISI),the Pittsburgh Sleep Quality Index(PSQI),the Psychological Resilience Scale(subscales:tenacity/control,strength,optimism),and the General Quality of Life Inventory(GQOLI-74;domains:psychological,physical,material life status,social function).Changes in these scores before and after treatment were compared between groups.Results Within-group comparisons showed that both groups experienced significant reductions in BDI and Self-Disgust scores after treatment(P＜0.05);post-treatment scores in the study group were significantly lower than those in the control group(P＜0.05).Both groups showed significant improvements in ISI and PSQI scores after treatment compared with baseline(P＜0.05),with the study group demonstrating greater post-treatment reductions than the control group(P＜0.05).Scores on the Psychological Resilience Scale across tenacity/control,strength,and optimism domains significantly increased in both groups after treatment(P＜0.05),and post-treatment scores were significantly higher in the study group than in the control group(P＜0.05).Similarly,GQOLI-74 scores across psychological,physical,material life status,and social function domains improved significantly in both groups after treatment(P＜0.05),with the study group showing superior gains compared with the control group(P＜0.05).Conclusion Adjunctive vibratory abdominal massage therapy and emotional-regulation management appears to improve psychological symptoms,enhance psychological resilience,and increase sleep quality and overall quality of life in patients with depression comorbid with insomnia.
常洁;张青;余涛;管言婷;朴雪花
徐州医科大学淮安临床学院,江苏 淮安 223300徐州医科大学淮安临床学院,江苏 淮安 223300江苏省淮安市第三人民医院心理科,江苏 淮安 223300江苏省淮安市第三人民医院中医神志科,江苏 淮安 223300江苏省淮安市第三人民医院中医神志科,江苏 淮安 223300
医药卫生
抑郁症失眠推拿疗法中医疗法情志
DepressionInsomniaMassage therapyTraditional Chinese medicine therapyEmotion
《河北中医》 2026 (4)
619-623,5
江苏省卫生健康委科研项目(编号:Z2021044)
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