应用放松疗法改善耳鸣患者睡眠质量的对照性研究.pdfVIP

应用放松疗法改善耳鸣患者睡眠质量的对照性研究 应用放松疗法改善耳鸣患者睡眠质量的对照性研究 应应用用放放松松疗疗法法改改善善耳耳鸣鸣患患者者睡睡眠眠质质量量的的对对照照性性研研究究 张永芬 白淑珍@ 高波 周砚春 王巧莲 【摘要】 目的 探讨放松疗法对改善耳鸣患者睡眠质量的效果。方法 采用症状自评量表 （SCL-90）、阿森斯失眠量表（AIS）调查耳鸣患者共116名。将有失眠问题的46名患者随机 分为实验组和对照组，实验组在接受药物治疗的同时接受放松治疗，而对照组被试仅接受药 物治疗。结果 ①耳鸣患者AIS的平均分为8.54±3.83，大于6分共46人，失眠检出率为39.7%。 ②耳鸣患者的SCL-90总分及其各因子与失眠呈显著正相关（r=0.83, P0.001; r=0.73,P0.001; r=0.54,P0.001; r=0.57,P0.001; r=0.70,P0.001; r=0.75,P0.001; r=0.53,P0.001; r=0.63, P0.001; r=0.57,P0.001; r=0.27,P0.001）。③干预后，两组被试的躯体化、抑郁、焦虑、恐 怖因子及失眠得分有显著性差异（t=-2.327，P﹤0.021；t=-2.436，P﹤0.018；t=-3.094，P﹤0.004； t=-2.957，P﹤0.005）。结论 放松疗法对减少耳鸣患者负性心理特征的消极影响，提高睡眠质 量有显著效果。 【关键词】耳鸣患者；放松疗法；睡眠质量；失眠；心理 TheEffectofRelaxation TherapyonTinnitusPatients’QualityofSleep.. TheEffectofRelaxation TherapyonTinnitusPatients’QualityofSleep TThheeEEffffeeccttooffRReellaaxxaattiioonnTThheerraappyyoonnTTiinnnniittuussPPaattiieennttss’’QQuuaalliittyyooffSSlleeeepp..Zhang Yongfang,BaiShuzhen,GaoBo,etal.TheThirdHospitalofBaotouIronandSteelCorporation, Baotou014010,P.R.China Abstract Objective Abstract Objective 【AAbbssttrraacctt】 OObbjjeeccttiivvee To explore the effect of relaxation therapy on tinnitus patients’ quality of Methods Methods sleep. MMeetthhooddss A total of 116 tinnitus patients were tested with Symptom Checklist 90 (SCL-90) Results Results and Athens Insomnia Scale(AIS). RReessuullttss ①The average score of AIS was 8.54±3.83 and 46 patients’ scores were more than six. The proportion of insomnia was 39.7%. ②The total points of SACL-90 and factors scores of tinnitus patient were positively correlative with AIS（r=0.83,P0.001; r=0.73,P0.001;r=0.54,P0.001;r=0.57,P0.001; r=0.70,P0.001; r=0.75, P0.001; r=0.53,P0.001; r=0.63, P0.001; r=0.57,P0.001; r=0.27,P0.001）.③After intervention, the scores of somatization, depression, anxiety, te