失眠人群的心理健康狀況與中醫(yī)體質(zhì)的相關(guān)性研究
發(fā)布時(shí)間：2018-07-16 19:11
【摘要】：目的:探討失眠患者心理健康狀況與中醫(yī)體質(zhì)的相關(guān)性,為臨床診療失眠提供參考數(shù)據(jù)。方法:將符合入選標(biāo)準(zhǔn)的失眠患者納入本研究,填寫(xiě)個(gè)人信息調(diào)查表采集失眠患者的個(gè)人信息,使用匹茲堡睡眠指數(shù)量表(PSQI)、王琦九種體質(zhì)測(cè)評(píng)量表、中文SCL-90量表、焦慮自測(cè)量表(SAS)以及抑郁自測(cè)量表(SDS)等測(cè)評(píng)工具對(duì)失眠患者的睡眠質(zhì)量、中醫(yī)體質(zhì)、心理狀況等情況進(jìn)行測(cè)評(píng),評(píng)價(jià)采用雙人獨(dú)立評(píng)價(jià),取平均分為最終得分,使用Epidata3.1軟件建立數(shù)據(jù)庫(kù),采用SPSS 21.0進(jìn)行統(tǒng)計(jì)學(xué)分析處理。使用的統(tǒng)計(jì)方法涉及正態(tài)性檢驗(yàn)(Kruskal-Wallis H檢驗(yàn))、描述性統(tǒng)計(jì)、頻數(shù)分布統(tǒng)計(jì)、非參數(shù)檢驗(yàn)等統(tǒng)計(jì)學(xué)方法,相關(guān)顯著性檢驗(yàn)以P0.05為標(biāo)準(zhǔn)。結(jié)果:1.本研究共收集301例失眠患者。其中年齡最小20歲,最大75歲,平均年齡45.70±17.26歲。5種職業(yè)分布情況為知識(shí)分子124人,占41.1%,所占比例最高;其次是工人89例,占29.5%;農(nóng)民15人,占4.9%;行政工作者6例,占5.3%,服務(wù)行業(yè)57人,占18.9%。顯示受教育程度較高的知識(shí)分子失眠比例最高,說(shuō)明失眠有易發(fā)于教育程度較高人群的傾向性。量表調(diào)查患者興趣愛(ài)好傾向,結(jié)果顯示興趣廣泛為19人,占6.3%,較廣泛為89人,所占比例為28.2%,興趣一般為151人,所占比例較高,為50.1%,興趣較少者為46人,所占比例為15.2%。表明興趣廣泛與否對(duì)失眠患者的睡眠質(zhì)量具有一定影響。匹茲堡睡眠質(zhì)量量表結(jié)果顯示氣虛質(zhì)、痰濕質(zhì)、瘀血質(zhì)、氣郁質(zhì)分?jǐn)?shù)較高,顯示這四種體質(zhì)睡眠質(zhì)量較其他體質(zhì)較差。2.本次調(diào)查結(jié)果收集301名失眠患者體質(zhì)信息,其中氣虛體質(zhì)90人,占29.9%;陰虛體質(zhì)47人,占15.6%;陽(yáng)虛體質(zhì)43人,占14.3%;瘀血體質(zhì)22人,占7.3%;痰濕體質(zhì)32人,占10.6%;平和體質(zhì)29人,占9.2%;氣郁體質(zhì)17人,占5.7%;濕熱體質(zhì)17人,占5.7%,特稟體質(zhì)4人,占1.3%。顯示失眠患者易出現(xiàn)的體質(zhì)為氣虛體質(zhì),陰虛體質(zhì)及陽(yáng)虛體質(zhì)、痰濕體質(zhì)。3.SAS及SDS量表調(diào)查結(jié)果顯示,九種體質(zhì)都具有焦慮情緒,平和體質(zhì)所占比例最少,氣郁體質(zhì)超過(guò)半數(shù)人具有焦慮的情緒存在。由SDS分布表可見(jiàn),九種體質(zhì)同樣都有抑郁狀態(tài),氣郁質(zhì)抑郁人數(shù)所占比例仍為最高。焦慮與抑郁共存患者在九種體質(zhì)也占有一定比例,氣郁質(zhì)仍為焦慮與抑郁共存患者所占有最多的體質(zhì)。4.將失眠患者的睡眠各項(xiàng)指標(biāo)與與SCL-90陽(yáng)性因子進(jìn)行Pearson分析,由結(jié)果可知,失眠患者入睡時(shí)間與軀體化癥狀呈相關(guān)性,睡眠時(shí)間與強(qiáng)迫、焦慮項(xiàng)呈正相關(guān),睡眠障礙與焦慮、抑郁呈正相關(guān),睡眠效率與偏執(zhí)呈正相關(guān),日間功能障礙與焦慮呈正相關(guān)(p0.05)。結(jié)論:1.失眠患者出現(xiàn)最多為氣虛質(zhì)、陰虛質(zhì)、陽(yáng)虛質(zhì)和痰濕質(zhì)。2.失眠患者常見(jiàn)的不良情緒為抑郁、焦慮及強(qiáng)迫。氣郁質(zhì)、氣虛質(zhì)、痰濕質(zhì)及瘀血質(zhì)失眠患者更容易發(fā)生焦慮抑郁情緒。3.失眠患者入睡時(shí)間延長(zhǎng)可出現(xiàn)軀體化癥狀,睡眠時(shí)間縮短與強(qiáng)迫、焦慮有關(guān),焦慮、抑郁情緒可加重睡眠日間功能障礙,偏執(zhí)癥狀可影響睡眠效率。
[Abstract]:Objective: to explore the correlation between mental health status and TCM constitution of insomnia patients, and to provide reference data for clinical diagnosis and treatment of insomnia. Methods: Insomnia patients who met the inclusion criteria were included in the study. The personal information was collected by filling out personal information questionnaire. Pittsburgh Sleep Index scale (PSQI), Wang Qi Nine physical Fitness Assessment scale and Chinese SCL-90 scale were used. Self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to evaluate sleep quality, TCM physique and psychological status of insomnia patients. Epidata 3.1 software was used to establish database and SPSS 21.0 was used for statistical analysis. The statistical methods used included normal test (Kruskal-Wallis H test), descriptive statistics, frequency distribution statistics, non-parametric test and so on. The result is 1: 1. This study collected 301 patients with insomnia. Among them, the youngest 20 years old, the oldest 75 years old, the average age of 45.70 鹵17.26 years old was 124 intellectuals, accounting for 41.1%, accounting for the highest proportion, followed by 89 workers (29.555%), 15 peasants (4.9%), and 6 administrative workers. Accounting for 5.3%, 57 people in the service industry, accounted for 18.9. It showed that the intellectuals with higher education had the highest proportion of insomnia, which indicated that insomnia was prone to higher education. The results showed that there were 19 patients with wide interest, accounting for 6.3, 89 more widely, the proportion was 28.2and the interest was 151, the proportion was higher (50.1), and the interest was 46 (15.2b). It shows that broad interest has a certain effect on sleep quality of insomnia patients. The Pittsburgh Sleep quality scale showed that qi deficiency, phlegm dampness, blood stasis and qi stagnation were higher, indicating that the sleep quality of these four physiques was worse than that of other physiques. 2. The results of this survey collected information on the constitution of 301 insomnia patients, of whom 90 were qi deficiency, accounting for 29.9; 47 were yin deficiency, accounting for 15.6; 43 were Yang deficiency, accounting for 14.3; 22 were blood stasis, accounting for 7.3; 32 were phlegm dampness, accounting for 10.6B; and 29 were calm, There were 17 cases of qi depression, 17 cases of dampness and heat, and 4 cases of special constitution, accounting for 1.3%. The results showed that the physical constitution of insomnia patients were qi deficiency, yin deficiency and yang deficiency, phlegm dampness, SAS and SDS scale. The results showed that the nine kinds of constitution had anxiety, and the proportion of peaceful constitution was the least. More than half of people with qi depression have anxiety. According to the SDS distribution table, nine kinds of physique also had depression state, and the proportion of qi depression was still the highest. Anxiety and depression co-exist in nine physique also occupy a certain proportion, Qi stagnation is still the most anxiety and depression coexistence of physique. 4. Pearson analysis of sleep indexes and SCL-90 positive factors showed that sleep time was correlated with somatization, sleep time was positively correlated with compulsion, anxiety, sleep disorder and anxiety. There was a positive correlation between depression, sleep efficiency and paranoid ideation, and a positive correlation between daytime dysfunction and anxiety (p0.05). Conclusion 1. Insomnia patients with most of the Qi deficiency, Yin deficiency, Yang deficiency and phlegm dampness. 2. Depression, anxiety and compulsion are common bad emotions in insomnia patients. Patients with qi stagnation, qi deficiency, phlegm dampness and blood stasis were more likely to develop anxiety and depression. Prolonged sleep time can lead to somatization symptoms, sleep time shortening is related to compulsion, anxiety, depression can aggravate sleep daytime dysfunction, paranoid symptoms can affect sleep efficiency.
【學(xué)位授予單位】：北京中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R256.23
[Abstract]:Objective: to explore the correlation between mental health status and TCM constitution of insomnia patients, and to provide reference data for clinical diagnosis and treatment of insomnia. Methods: Insomnia patients who met the inclusion criteria were included in the study. The personal information was collected by filling out personal information questionnaire. Pittsburgh Sleep Index scale (PSQI), Wang Qi Nine physical Fitness Assessment scale and Chinese SCL-90 scale were used. Self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to evaluate sleep quality, TCM physique and psychological status of insomnia patients. Epidata 3.1 software was used to establish database and SPSS 21.0 was used for statistical analysis. The statistical methods used included normal test (Kruskal-Wallis H test), descriptive statistics, frequency distribution statistics, non-parametric test and so on. The result is 1: 1. This study collected 301 patients with insomnia. Among them, the youngest 20 years old, the oldest 75 years old, the average age of 45.70 鹵17.26 years old was 124 intellectuals, accounting for 41.1%, accounting for the highest proportion, followed by 89 workers (29.555%), 15 peasants (4.9%), and 6 administrative workers. Accounting for 5.3%, 57 people in the service industry, accounted for 18.9. It showed that the intellectuals with higher education had the highest proportion of insomnia, which indicated that insomnia was prone to higher education. The results showed that there were 19 patients with wide interest, accounting for 6.3, 89 more widely, the proportion was 28.2and the interest was 151, the proportion was higher (50.1), and the interest was 46 (15.2b). It shows that broad interest has a certain effect on sleep quality of insomnia patients. The Pittsburgh Sleep quality scale showed that qi deficiency, phlegm dampness, blood stasis and qi stagnation were higher, indicating that the sleep quality of these four physiques was worse than that of other physiques. 2. The results of this survey collected information on the constitution of 301 insomnia patients, of whom 90 were qi deficiency, accounting for 29.9; 47 were yin deficiency, accounting for 15.6; 43 were Yang deficiency, accounting for 14.3; 22 were blood stasis, accounting for 7.3; 32 were phlegm dampness, accounting for 10.6B; and 29 were calm, There were 17 cases of qi depression, 17 cases of dampness and heat, and 4 cases of special constitution, accounting for 1.3%. The results showed that the physical constitution of insomnia patients were qi deficiency, yin deficiency and yang deficiency, phlegm dampness, SAS and SDS scale. The results showed that the nine kinds of constitution had anxiety, and the proportion of peaceful constitution was the least. More than half of people with qi depression have anxiety. According to the SDS distribution table, nine kinds of physique also had depression state, and the proportion of qi depression was still the highest. Anxiety and depression co-exist in nine physique also occupy a certain proportion, Qi stagnation is still the most anxiety and depression coexistence of physique. 4. Pearson analysis of sleep indexes and SCL-90 positive factors showed that sleep time was correlated with somatization, sleep time was positively correlated with compulsion, anxiety, sleep disorder and anxiety. There was a positive correlation between depression, sleep efficiency and paranoid ideation, and a positive correlation between daytime dysfunction and anxiety (p0.05). Conclusion 1. Insomnia patients with most of the Qi deficiency, Yin deficiency, Yang deficiency and phlegm dampness. 2. Depression, anxiety and compulsion are common bad emotions in insomnia patients. Patients with qi stagnation, qi deficiency, phlegm dampness and blood stasis were more likely to develop anxiety and depression. Prolonged sleep time can lead to somatization symptoms, sleep time shortening is related to compulsion, anxiety, depression can aggravate sleep daytime dysfunction, paranoid symptoms can affect sleep efficiency.
【學(xué)位授予單位】：北京中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R256.23
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