Objective To explore psychological intervention in rehabilitation period on sleep rehabilitation in patients with traumatic brain injury complicated with insomnia.Methods A total of 82 brain trauma patients with insomnia in our hospital were selected,and 40 patients treated with traditional medicine was as drug group,and 42 cases given psychological intervention on the basis of traditional drug treatment were as psychological intervention group.Results After treatment,the PSQI index scores were improved compared with treatment before (P ＜ 0.05);Sleep quality index,subjective sleep quality,sleep latency and daytime dysfunction scores in the psychological group after treatment were lower than that in the control group (P ＜ 0.05),while sleep duration,sleep efficiency and sleep disorder scores had no significant difference in the two groups (P ＞ 0.05).Improvement efficiency of sleep quality in the psychological group was significantly higher than that of the drug group (90.5％ vs.65％,P ＜ 0.05).Conclusion Psychological treatment for insomnia patients with traumatic brain injury can improve the sleep quality of patients in rehabilitation stage.%目的 探究康复期心理干预对脑外伤并发失眠患者睡眠康复的疗效.方法 选取82例脑外伤合并失眠患者作为研究对象,将单纯接受传统药物治疗的40例患者设为药物组,将在传统药物治疗基础上接受心理干预的42例患者设为心理组.结果 治疗后,2组匹兹堡睡眠质量指数(PSQI)评分各项指标均较治疗前改善(P＜0.05);心理组患者治疗后睡眠质量指数、主观睡眠质量、睡眠潜伏期及日间功能紊乱评分均低于药物组(P＜0.05),而2组间睡眠持续性、习惯睡眠效率及睡眠紊乱评分差异无统计学意义(P＞0.05);心理组的睡眠质量改善总有效率90.5％显著高于药物组的65.0％ (P ＜0.05).结论 在脑外伤失眠患者康复期实施心理干预治疗,可明显改善患者睡眠质量.
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