Observation on curative effect of melodic intonation therapy combined with psychological counseling in chronic insomnia patients with depression disorder
Objective To explore the clinical efficacy of melodic intonation therapy combined with psychological counseling in chronic insomnia patients with depression disorder(DD).Methods 60 patients with chronic insomnia accompanied by DD were selected for the study,and were divided into a control group(conventional treatment+conventional nursing)and an observation group(conventional treatment+conventional nursing+melodic intonation therapy+psychological counseling)by two-color ball method,with 30 cases in each group.Comparison was made on sleep disorder[Pittsburgh Sleep Quality Index(PSQI)score],negative emotions[Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)scores],quality of life[World Health Organization Quality of Life Scale(WHOQOL)score]before and after intervention,and patient satisfaction between the two groups.Results After the intervention,PSQI score in both groups decreased,and the PSQI score of(7.82±0.81)points in the observation group was lower than(9.12±0.96)points in the control group.The difference was statistically significant(P<0.05).After intervention,SAS scores and SDS scores in both groups decreased;the observation group had SAS score of(39.67±1.84)points and SDS score of(43.07±1.95)points,which were lower than(45.28±2.34)and(48.38±2.63)points in the control group;the difference was statistically significant(P<0.05).After intervention,the scores of physiology,psychology,social relation and environment were increased in both groups;the scores of physiology,psychology,social relation and environment were(64.47±3.53),(63.77±3.62),(66.37±4.33)and(67.52±2.51)points in the observation group,which were higher than(60.83±4.72),(60.81±4.72),(62.43±5.49)and(64.27±2.33)points in the control group;the difference was statistically significant(P<0.05).The satisfaction of patients in the observation group was 96.67%,which was higher than 70.00%in control group,and the difference was statistically significant(P<0.05).Conclusion For patients with chronic insomnia accompanied by DD,melodic intonation therapy combined with psychological counseling on the basis of conventional treatment and nursing can not only better improve the patient's sleep disorders,but also better alleviate the patient's negative emotions,promote the improvement of the patient's quality of life,so that the patient is more satisfied with the nursing service,which is of great value for application.
Chronic insomniaDepression disorderMelodic intonation therapyPsychological counselingQuality of lifePatient satisfaction
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