八段錦對(duì)改善輕中度抑郁障礙患者抑郁情緒和睡眠質(zhì)量的臨床療效研究
發(fā)布時(shí)間：2018-08-31 11:43
【摘要】：目的:本研究以輕中度抑郁障礙患者作為研究對(duì)象,采用隨機(jī)對(duì)照研究設(shè)計(jì),系統(tǒng)的觀察及測(cè)量習(xí)練八段錦對(duì)輕中度抑郁障礙患者抑郁情緒和睡眠質(zhì)量的改善效果,探討八段錦對(duì)改善睡眠質(zhì)量和抑郁情緒的臨床療效,從而為治療抑郁障礙患者提供新的治療方法。方法:本研究采用隨機(jī)對(duì)照實(shí)驗(yàn),收集山醫(yī)大二院精神衛(wèi)生科門診患者中存在睡眠問題的輕中度抑郁障礙患者135例,隨機(jī)分為三組:實(shí)驗(yàn)組、對(duì)照組與空白組,每組45例。實(shí)驗(yàn)組進(jìn)行常規(guī)藥物治療+八段錦練習(xí),對(duì)照組進(jìn)行常規(guī)藥物治療+快步走運(yùn)動(dòng),空白組進(jìn)行單純藥物治療。干預(yù)時(shí)間為8周,基線調(diào)查研究采用漢密爾頓抑郁量表(HAMD)和匹茲堡睡眠質(zhì)量量表(PSQI)于第0、4、8周周末對(duì)三組患者進(jìn)行評(píng)估。最后對(duì)實(shí)驗(yàn)組、對(duì)照組及空白組患者的評(píng)分情況進(jìn)行收集整理,用統(tǒng)計(jì)學(xué)方法對(duì)數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析,得出結(jié)論。結(jié)果:1.一般資料描述統(tǒng)計(jì)結(jié)果,實(shí)驗(yàn)組、對(duì)照組及空白組研究對(duì)象的性別和年齡無統(tǒng)計(jì)學(xué)差異(p0.05),三組對(duì)象均衡可比;2.基線調(diào)查結(jié)果,三組研究對(duì)象治療前的HAMD總分和PSQI總分無統(tǒng)計(jì)學(xué)差異(p0.05),說明三組具有可比性;3.干預(yù)結(jié)果,3組在治療前后HAMD量表評(píng)分具有顯著性差異(p0.05),說明3組治療均有效。從第4周開始,實(shí)驗(yàn)組與空白組、對(duì)照組與空白組之間具有顯著性差異(p0.05),說明在治療4周后,實(shí)驗(yàn)組和對(duì)照組療效均優(yōu)于空白組。4.干預(yù)結(jié)果,3組在治療前后PSQI量表評(píng)分具有顯著性差異(p0.05),說明3組治療均有效。從第4周開始,實(shí)驗(yàn)組與空白組、對(duì)照組與空白組之間具有顯著性差異(p0.05),說明在治療4周后,實(shí)驗(yàn)組和對(duì)照組療效均優(yōu)于空白組。治療8周后,實(shí)驗(yàn)組量表評(píng)分低于對(duì)照組,且具有顯著性差異(p0.05),說明治療8周后實(shí)驗(yàn)組療效優(yōu)于對(duì)照組。結(jié)論:1、習(xí)練八段錦對(duì)于患者的抑郁情緒及睡眠質(zhì)量的改善均有肯定療效。2、藥物治療配合八段錦鍛煉對(duì)患者抑郁情緒的改善作用優(yōu)于單純藥物治療。3、藥物治療配合八段錦鍛煉對(duì)患者睡眠質(zhì)量的改善作用優(yōu)于藥物治療配合快步走運(yùn)動(dòng)和單純藥物治療。4、使用八段錦輔助治療對(duì)于改善患者抑郁情緒和睡眠質(zhì)量具有起效時(shí)間短,療效佳的特點(diǎn)。
[Abstract]:Objective: to observe and measure the improvement of depression mood and sleep quality in patients with mild and moderate depressive disorder by using randomized controlled study design, and to observe and measure the effect of practicing Banduanjin on depressive mood and sleep quality of patients with mild and moderate depressive disorder. To explore the clinical efficacy of Banduanjin in improving sleep quality and depression, thus providing a new method for the treatment of depressive disorders. Methods: in this study, 135 patients with sleep problems were randomly divided into three groups: experimental group, control group and blank group, 45 cases in each group. The experimental group was treated with routine drug therapy, the control group with routine drug therapy and the blank group with simple drug therapy. The intervention time was 8 weeks. The baseline study used Hamilton Depression scale (HAMD) and Pittsburgh Sleep quality scale (PSQI) to evaluate the three groups at the end of the 8th week. Finally, the scores of the patients in the experimental group, control group and blank group were collected and sorted, and the data were statistically analyzed and concluded. The result is 1: 1. General data description statistical results, experimental group, control group and blank group study subjects gender and age no statistical difference (p0.05), the three groups of subjects balanced than 2. The results of baseline survey showed that there was no statistical difference in total score of HAMD and total score of PSQI between the three groups before treatment (p0. 05), which indicated that the three groups were comparable. The results showed that the scores of HAMD scale before and after treatment were significantly different among the three groups (p0. 05), indicating that all the three groups were effective. From the 4th week, there was significant difference between the experimental group and the blank group, the control group and the blank group (p0.05), which indicated that the curative effect of the experimental group and the control group was better than that of the blank group after 4 weeks of treatment. The results showed that the scores of PSQI scale before and after treatment were significantly different among the three groups (p0. 05), indicating that all the three groups were effective. From the 4th week, there was significant difference between the experimental group and the blank group, the control group and the blank group (p0.05), which indicated that the curative effect of the experimental group and the control group was better than that of the blank group after 4 weeks of treatment. After 8 weeks of treatment, the score of the experimental group was lower than that of the control group, and the difference was significant (p0.05), which indicated that the experimental group was better than the control group after 8 weeks of treatment. Conclusion: 1, practicing Buduanjin has a positive effect on depression and sleep quality of patients. The effect of drug therapy combined with Buduanjin exercise is better than that of drug therapy alone, and the effect of drug therapy combined with Buduanjin exercise is better than that of drug therapy alone. The effect of Baduanjin exercise on patients' sleep quality was better than that of drug therapy combined with brisk walking exercise and drug therapy alone. The adjuvant therapy with Baduanjin had a short time to improve patients' depression and sleep quality. The characteristic of good curative effect.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R749.4
本文編號(hào)：2214885
[Abstract]:Objective: to observe and measure the improvement of depression mood and sleep quality in patients with mild and moderate depressive disorder by using randomized controlled study design, and to observe and measure the effect of practicing Banduanjin on depressive mood and sleep quality of patients with mild and moderate depressive disorder. To explore the clinical efficacy of Banduanjin in improving sleep quality and depression, thus providing a new method for the treatment of depressive disorders. Methods: in this study, 135 patients with sleep problems were randomly divided into three groups: experimental group, control group and blank group, 45 cases in each group. The experimental group was treated with routine drug therapy, the control group with routine drug therapy and the blank group with simple drug therapy. The intervention time was 8 weeks. The baseline study used Hamilton Depression scale (HAMD) and Pittsburgh Sleep quality scale (PSQI) to evaluate the three groups at the end of the 8th week. Finally, the scores of the patients in the experimental group, control group and blank group were collected and sorted, and the data were statistically analyzed and concluded. The result is 1: 1. General data description statistical results, experimental group, control group and blank group study subjects gender and age no statistical difference (p0.05), the three groups of subjects balanced than 2. The results of baseline survey showed that there was no statistical difference in total score of HAMD and total score of PSQI between the three groups before treatment (p0. 05), which indicated that the three groups were comparable. The results showed that the scores of HAMD scale before and after treatment were significantly different among the three groups (p0. 05), indicating that all the three groups were effective. From the 4th week, there was significant difference between the experimental group and the blank group, the control group and the blank group (p0.05), which indicated that the curative effect of the experimental group and the control group was better than that of the blank group after 4 weeks of treatment. The results showed that the scores of PSQI scale before and after treatment were significantly different among the three groups (p0. 05), indicating that all the three groups were effective. From the 4th week, there was significant difference between the experimental group and the blank group, the control group and the blank group (p0.05), which indicated that the curative effect of the experimental group and the control group was better than that of the blank group after 4 weeks of treatment. After 8 weeks of treatment, the score of the experimental group was lower than that of the control group, and the difference was significant (p0.05), which indicated that the experimental group was better than the control group after 8 weeks of treatment. Conclusion: 1, practicing Buduanjin has a positive effect on depression and sleep quality of patients. The effect of drug therapy combined with Buduanjin exercise is better than that of drug therapy alone, and the effect of drug therapy combined with Buduanjin exercise is better than that of drug therapy alone. The effect of Baduanjin exercise on patients' sleep quality was better than that of drug therapy combined with brisk walking exercise and drug therapy alone. The adjuvant therapy with Baduanjin had a short time to improve patients' depression and sleep quality. The characteristic of good curative effect.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R749.4
【參考文獻(xiàn)】
相關(guān)期刊論文 前10條
1 楊紅光;魏真;;立式八段錦發(fā)展演變歷程探究[J];西安體育學(xué)院學(xué)報(bào);2013年03期
2 柳愛蓮;陸碧瓊;鄭英英;;八段錦對(duì)大學(xué)生睡眠和體質(zhì)干預(yù)的探討[J];河南大學(xué)學(xué)報(bào)(醫(yī)學(xué)版);2012年04期
3 季向東;王群松;方春霞;;運(yùn)動(dòng)療法對(duì)糖尿病患者焦慮抑郁的影響[J];實(shí)用老年醫(yī)學(xué);2012年04期
4 劉宇;霍然;來毅;姚秋麗;陳彩云;陳巖;;健身氣功·八段錦對(duì)社區(qū)2型糖尿病伴抑郁患者抑郁癥狀及生活質(zhì)量的影響[J];中國(guó)運(yùn)動(dòng)醫(yī)學(xué)雜志;2012年03期
5 楊紅光;魏真;;八段錦文化內(nèi)涵探析[J];少林與太極(中州體育);2012年01期
6 楊軍;;導(dǎo)引健身氣功“八段錦”的內(nèi)在經(jīng)絡(luò)養(yǎng)生解析[J];中華武術(shù)(研究);2011年04期
7 康佳迅;曾慧;王平;;社區(qū)老年人睡眠質(zhì)量與認(rèn)知功能的相關(guān)性研究[J];中國(guó)全科醫(yī)學(xué);2011年04期
8 王國(guó)軍;;太極拳運(yùn)動(dòng)對(duì)老年人心肺功能的影響[J];中國(guó)老年學(xué)雜志;2010年24期
9 金麗菊;支梅芬;龐少波;;心理干預(yù)對(duì)骨肉瘤患者術(shù)后睡眠的影響[J];護(hù)理實(shí)踐與研究;2010年12期
10 李獻(xiàn)云;張艷萍;王志青;楊少杰;費(fèi)立鵬;;北京地區(qū)綜合醫(yī)院患者抑郁障礙的患病率[J];中國(guó)神經(jīng)精神疾病雜志;2010年02期
相關(guān)碩士學(xué)位論文 前3條
1 劉文舉;八周健身氣功·八段錦練習(xí)對(duì)人體腦電及心率變異性的影響[D];北京體育大學(xué);2012年
2 鐘爽川;健身氣功八段錦對(duì)亞健康的調(diào)節(jié)作用研究[D];北京體育大學(xué);2009年
3 張林;八段錦對(duì)2型糖尿病患者生理與心理作用的臨床觀察[D];中國(guó)中醫(yī)科學(xué)院;2006年
，本文編號(hào)：2214885
本文鏈接：http://sikaile.net/yixuelunwen/jsb/2214885.html
最近更新
教材專著
