综合医院心理咨询门诊失眠患者的临床特点分析

摘要

目的：探讨综合医院心理咨询门诊失眠患者的临床特点、心理状况以及治疗策略。方法选择我院2013年9月～2015年9月心理咨询门诊失眠患者130例。应用症状自评量表（SCL-90）测评患者的心理状况。结果130例失眠症患者，多集中于50～59岁，性别无差异（P＞0.05）；临床症状主要表现为混合性失眠，患者每晚睡眠的时间在5 h以下，患者每周失眠的次数为3～4次，患者的疾病病程为3.6个月～18年，SCL-90因子分以及总分高于国内标准（P＜0.05）。结论综合医院心理咨询门诊失眠患者，大多伴有程度不同的心身症状，因此易导致误诊误治，需要引起高度关注。%ObjectiveTo explore the clinical characteristics of patients with insomnia psychological counseling,psychological status,and treatment strategies in general hospital outpatient.MethodsFrom September 2013 to September 2015,130 cases of insomnia patients psychological counseling clinic. Application of symptom self-assessment scale(SCL-90)for evaluation of patients with psychological conditions.Results 130 cases of patients with insomnia,more focused on 50 to 59 years old,the gender had no difference(P>0.05). Patients with clinical symptoms mainly for mixed suffer from insomnia,sleep at night time was under 5 h. Patients with insomnia,the number of times a week for 3 to 4 times,the patient's disease progression was 3.6 months to 18 years,and SCL-90 factor score and total score were higher than domestic norm(P<0.05).ConclusionGeneral hospital outpatient psychological counseling patients with insomnia,mostly associated with different levels of psychosomatic symptoms need high attention.