Objective To explore the effect of interpersonal and social rhythm therapy combined drugs on sleep quality and quality of life in patients with insomnia.Methods A total of 100 patients with insomnia treated in hospital from January 2016 to October 2017 were selected as subjects.The patients were divided into experimental group (n=50) and control group (n=50) according to the random number table.The control group was given conventional drug only,and the experimental group was combined with interpersonal and social rhythm therapy on the basis of the drugs treatment.The clinical efficacy was compared between the two groups.Pittsburgh Sleep Quality Index (PSQI) and Sleeping Personal Beliefs and Attitudes (DBAS) were used to assess the recent sleep quality of the two groups.The WHO Quality of Life Measurement Profile (WHOQOL-BREF) was used to compare of the quality of life between two groups.Results The clinical effective rate was 94.0％ in the experimental group and 80.0％ in the control group.There was significant difference between the two groups (x2=4.332,P＜0.05).Before treatment,there was no significant difference in PSQI ((13.61±2.09) vs (13.60±2.08),t=0.03,P＞0.05) and DBAS((80.96±10.11) vs (80.87±11.03),t =0.02,P＞ 0.05) scores between experimental group and control group.After treatment,D BAS score ((125.74 ±21.53) vs (104.22±20.97),t=4.93,P＜0.05) of both groups increased significantly,and PSQI score decreased significantly((7.51±2.35) vs (10.02±2.40),t=16.73,P＜0.05).The PSQI score in experimental group was significantly lower than that of the control group(t=7.97,P＜0.05),and the DBAS score was significantly higher than that of the control group (t =13.72,P＜0.05).Before treatment,scores in the psychological,physiological,environmental and social relations fields of the two groups were not statistically different (P ＞0.05).After the treatment,all the scores in the four fields of the two groups were significantly increased (P ＜0.05),and the scores in the experimental group were significantly higher than those in the control group (P ＜0.05).Conclusion Interpersonal and social rhythm therapy combined with drugs can effectively improve sleep quality and the quality of life.%目的 探讨人际关系.社会节律干预联合药物治疗失眠患者的疗效及生存质量的影响.方法 选取2016年1月至2017年10月于枣庄市精神卫生中心治疗的失眠患者100例为对象,并根据随机数字表法将纳入患者分为试验组(n=50)和对照组(n=50).对照组仅给予常规药物治疗,试验组在对照组治疗方法的基础上联合人际关系-社会节律治疗.比较2组患者临床疗效;采用匹兹堡睡眠质量指数量表(PSQI),睡眠个人信念和态度量表(DBAS)评估2组患者近期睡眠质量;采用世界卫生组织生存质量测定简表(WHOQOL-BREF)对比2组患者生存质量.结果 试验组临床有效率为94.0％,对照组为80.0％,差异有统计学意义(x2=4.332,P＜0.05).治疗前,2组患者PSQI[试验组(13.61±2.09)分,对照组(13.60±2.08)分;t=0.03,P＞0.05]及DBAS[试验组(80.96±10.11)分,对照组(80.87±11.03)分;t=0.02,P＞0.05]评分差异无统计学意义.治疗后,2组患者PSQI量表评分[试验组(7.51±2.35)分,对照组(10.02±2.40)分;t=16.73,P＜0.05]均显著下降,DBAS量表评分[试验组(125.74±21.53)分,对照组(104.22±20.97)分;t=4.93,P＜0.05]显著提高.且试验组DBAS评分显著高于对照组(t=13.72,P＜0.05),PSQI评分显著低于对照组(t=7.97,P＜0.05),均差异有统计学意义.治疗前,2组患者心理领域、生理领域、环境领域及社会关系领域评分比较差异无统计学意义(均P＞0.05).治疗后2组四个领域的评分均显著升高(P＜0.05),且试验组各项评分均显著高于对照组(均P＜0.05).结论 人际关系一社会节律治疗方式联合在常规西药治疗可有效改善失眠患者睡眠质量,提高生活质量.
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