认知行为疗法对失眠障碍患者睡眠质量的改善效果

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Improvements of Cognitive Behavioral Therapy on Sleep Quality in Patients with Insomnia Disorder

LI Hailin

（Psychiatric Department，Guilin Social Welfare Hospital，Guilin 541oO1，China）

AbstractObjective：Thisarticleaimstoexploretheinterventionefectsofcognitivebehavioral therapyonpatientswithinsomniadisorderanditsimpactonslepquality.Methods：Atotalof 8Opatients with insomniadisorderadmitedtothepsychiatricdepartment of GuilinSocial Welfare HospitalfromOctober2O2 toOctober2O24 wereselectedas thestudysubjectsand were divided intoacontrol groupandanobservation groupacording toarandomnumbertable method，with40 patients ineach group.The controlgroupwastreated withsedative hypnoticdrugs，whiletheobservationgroupreceivedacombinationofsedativehypnotic drugsandcognitive behavioraltherapy.ThePitsburgh SleepQuality Index（PSQI）wasusedtocompare thediferences insleep quality between the two groups.Apolysomnography monitorwasused tomeasure thesleep latency（SL），total sleeptime（TST）， sleep efficiency（SE），rapid eye movement（REM）phase，and non-REMslepstage3（N3）inboth groups.Aself-designed questionairewasusedtoevaluatethetreatmentsatisfactionofthetwogroups.Results：Afterintervention，thePSQIscoresof both groups decreased，andthoseoftheobservationgroupweresignificantlylowerthanthoseof tecontrol group，withstatisticallsig nificant differences（ P<0.05 ）.After intervention，the polysomnography parameters，including sleep latency（SL），total sleep time （TST），sleepeficiency（SE），REMphase，andN3pase，increasedinbth groups，andthoseoftheoservationgroupweresignificantly higher than those of the control group（ P<0.05） . The treatment satisfaction of the observation group was significantly higherthanthatof thecontrol groupafter intervention，withastatisticallysignificantdiferencebetween thetwogroups（ P< 0.05）.Conclusion;Thecombinationof sedative hypnoticdrugsandcognitive behavioraltherapyisefective inimprovingsleep qualityoptimiingslepsucturendhancingtratmentsatisfactionipantsithisomniadisorder，andhasclaplcation value.

KeywordsInsomnia disorder;Sedative hypnotic drugs；Cognitivebehavioral therapy； Sleepquality； Satisfaction; Sleep laten-cy； Total sleep time;； Sleep efficiency

中图分类号：R256.23;R338.63 文献标识码：A doi：10.3969/j. issn.2095-7130.2025.10.009

失眠障碍患者常面临入睡困难、易醒且难以维持睡眠的问题，长期睡眠不足不仅严重影响其身心健康，还会波及工作和日常生活。（剩余5052字）