心理干预对躯体化障碍患者睡眠质量及焦虑情绪的影响分析

周彩丽

摘要目的：探究心理干预应用于躯体化障碍患者中对其睡眠质量及焦虑情绪的影响。方法：选取2018年1月至2019年4月厦门大学附属第一医院神经内科收治的所有躯体化障碍患者68例作为研究对象，按照随机数字表法分为对照组和观察组，每组34例。2组入院后均接受常规药物治疗，在此基础上对照组不采取任何干预措施，而观察组则联合进行心理干预。对2组睡眠质量与焦虑情绪进行评估。结果：干预2个月，2组PSQI评分均已下降，且观察组降幅大于对照组，差异有统计学意义（P<005）。结论：在躯体化障碍患者中进行心理干预，可帮助患者缓解焦虑情绪，进而促进睡眠质量的提升。

关键词心理干预;躯体化障碍;睡眠质量;焦慮情绪

Effect of Psychological Intervention on Sleep Quality and Anxiety of Patients with Somatization Disorder

ZHOU Caili

（Department of Neurology， the First Affiliated Hospital of Xiamen University， Xiamen 361003，China）

AbstractObjective：To explore the effect of psychological intervention on sleep quality and anxiety in patients with somatization disorderMethods：A total of 68 patients with somatization disorder in our hospital from January 2018 to April 2019 were selected as the study subjectsThey were divided into control group and observation group by random number grouping methodBoth groups received routine drug treatment after admissionOn this basis，the control group did not take any intervention measures，while the observation group combined psychological interventionSleep quality and anxiety were assessed in both groupsResults：After two months of intervention，the PSQI scores of both groups had decreased，and the decline of the observation group was greater than that of the control group，with significant difference（P<005）Conclusion：Psychological intervention in patients with somatization disorder can help patients alleviate anxiety and improve sleep quality.

KeywordsPsychological intervention; Somatization disorder; Sleep quality; Anxiety

中图分类号：R3951;R33863文献标识码：Adoi：10.3969/j.issn.2095-7130.2020.06.043

躯体化障碍是一种以各种躯体不适为特征的常见神经症。患者通常会过度担心自身健康而反复入院就诊，并且阴性结果也难以打消患者的疑虑，使患者并伴不同程度的焦虑或抑郁情绪[1]。目前，我国主要应用抗抑郁类药物为躯体化障碍患者进行治疗，虽然患者服药后负面情绪均会得到一定改善，但在药物敏感性的影响下，部分患者疗效并不理想[2]。基于此，本院在收治的68例躯体化障碍患者中主要实施心理干预，旨在探究心理干预对改善患者睡眠质量与焦虑情绪的作用，现将结果报道如下。

1资料与方法

11一般资料选取2018年1月至2019年4月厦门大学附属第一医院神经内科收治的所有躯体化障碍患者68例作为研究对象，按照随机数字表法分为对照组和观察组，每组34例。对照组中，男20例，女14例;年龄24～67岁，平均年龄（4825±513）岁;病程1～4年，平均病程（252±120）年。……