摘要
目的探讨经颅微电流刺激法(CES)改善老年慢性睡眠障碍患者睡眠障碍、焦虑情绪的效果。方法采用便利抽样法,选取2018年2月—2019年2月重庆市第一附属医院的120例老年慢性睡眠障碍患者为研究对象,将其随机分为对照组、治疗组,每组各60例。对照组采用常规药物治疗,治疗组采用CES法治疗,每次20 min,每日1次,12周为1个疗程。治疗前、治疗1个疗程结束后,采用匹兹堡睡眠质量指数量表(PSQI)和汉密尔顿焦虑量表(HAMA)评估两组患者的睡眠质量以及焦虑状况。结果最终对照组52例、治疗组55例患者完成研究。治疗后,治疗组患者PSQI得分为(7.08±0.98)分,高于对照组患者的得分(8.97±1.38)分,两组得分比较差异有统计学意义(P<0.001)。治疗后,治疗组HAMA总分及各维度得分均低于对照组,两组患者得分除心血管系统项目外,总分及其他项目得分差异均有统计学意义(P<0.001)。结论CES相比常规药物治疗能更好地改善老年慢性睡眠障碍患者的睡眠障碍,缓解其焦虑症状,可为临床治疗老年慢性睡眠障碍提供参考。
Objective To explore the effects of cranial electrotherapy stimulation(CES)on anxiety and sleep qualities among elderly patients with chronic sleep disorders.Methods From February 2018 to February 2019,we selected 120 elderly patients with chronic sleep disorders at the First Affiliated Hospital of Chongqing Medical University by convenience sampling as subjects.All of the patients were randomly divided into control group and treatment group,60 cases in each group.Control group carried out routine medical treatment.Treatment group implemented CES 20 minutes every time,one time every day and 12 weeks constituting a course of treatment.Sleep qualities and anxiety of patients of two groups were evaluated with the Pittsburgh Sleep Quality Index(PSQI)and Hamilton's Depression Scale(HAMA)before treatment and after a course of treatment.Results A total of 52 cases of control group and 55 cases of treatment group completed the research.After intervention,the total scores of PSQI of treatment group were(7.08±0.98)higher than those of control group(8.97±1.38),and dimension has statistical differences(P<0.001).After intervention,the total and each item scores of HAMA of treatment group was lower than that of control group,In addition to the items of cardiovascular,the scores of total and other items were statistically significant(P<0.001).Conclusions Compared with routine medical treatment,CES can better improve sleep qualities of elderly patients with chronic sleep disorders and relieve their anxiety which provides a reference for treatment for elderly patients with chronic sleep disorders.
作者
任媛渊
朱跃平
杨君
丁福
Ren Yuanyuan;Zhu Yueping;Yang Jun;Ding Fu(Geriatric Department,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;Nursing Department,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)
出处
《中华现代护理杂志》
2019年第24期3165-3168,共4页
Chinese Journal of Modern Nursing
基金
重庆医科大学附属第一医院护理科研基金(2017HLJJ-30)。
关键词
老年人
睡眠障碍
焦虑
经颅微电流刺激法
Aged
Sleep disorders
Anxiety
Cranial electrotherapy stimulation
