薄丽娜 李金娟

摘要  目的：探讨正念减压联合肌肉放松训练对青年抑郁症患者心理状态及睡眠质量的影响。方法：选取淄博市第五人民医院收治的青年抑郁症患者96例，按照就诊时间分为观察组和对照组，对照组46例（2017年3至2017年8月），接受肌肉放松训练，观察组50例（2017年9月至2018年2月），接受正念减压联合肌肉放松训练，干预4周后，采用抑郁自评量表（SDS）及阿森斯失眠量表（AIS）评价2组患者抑郁程度及睡眠质量。结果：观察组SDS、AIS评分分别为（48.34±6.48）分、（7.52±1.72）分，均明显低于对照组（ P <0.05）。结论：正念减压联合肌肉放松训练对于改善青年抑郁症患者的心理状态、提高其睡眠质量具有积极作用。

关键词  正念减压;肌肉放松训练;青年抑郁症;心理状态;睡眠质量

中图分类号：R749 文献标识码：A  doi： 10.3969/j.issn.2095-7130.2018.10.044

Effect of Mindfulness Decompression Combined with Muscle Relaxation Training  on Mental State and Sleep Quality of Young Depression Patients

Bo Lina1，Li Jinjuan2

（1 Second male wards，Zibo Fifth People′s Hospital，Zibo，255100;2 First male wards， Zibo Fifth People′s Hospital，Zibo，255100）

Abstract Objective： To explore the effects of mindfulness decompression combined with muscle relaxation training on the psychological state and sleep quality of young depression patients. Methods： A total of 96 young depression patients were selected as study subjects，and they were divided into two groups according to the time of treatment.In the control group（March 2017-August 2017），46 patients were given muscle relaxation training.In the observation group（September 2017-February 2017），50 patients were given dementia decompression combined with muscle relaxation training.After 4 weeks of intervention，the depression self-rating scale（SDS）and the Asens Insomnia Scale（AIS）were used to evaluate the degree of depression and sleep quality of the two groups. Results： The SDS and AIS scores of the observation group were（48.34±6.48）and（7.52±1.72），respectively，which were significantly lower than the control group（ P <0.05）. Conclusion： Mindfulness decompression combined with muscle relaxation training can effectively improve the psychological state of young depression patients，and has a positive effect on improving patients′ sleep quality.

Key Words  Mindfulness decompression; Muscle relaxation training; Youth depression; Mental state; Sleep quality

抑郁癥是比较常见的一类情感性精神障碍疾病，具有发病率高、自杀率高的特点，但由于社会的偏见以及患者本身对疾病常识的缺乏，抑郁症患者往往不能及时就医，仅有2%的患者能够得到专业的治疗[1-2]。抑郁症病因尚未完全明了，但其发生及预后与生理、心理、社会等多种因素明显相关。肌肉放松训练是指通过循序渐进的方式反复放松绷紧全身各部位肌肉，引导人们进入松弛状态，降低应激水平，改善生理功能;正念减压疗法是指通过觉察个体呼吸、情绪、身体感受等方式提高注意力达到控制情绪的心理护理方法，目前已经被广泛应用于临床护理中[3-4]。本研究采用分组对照研究，探讨正念减压联合肌肉放松训练对青年抑郁症患者心理状态及睡眠质量的影响。报道如下。

1 资料与方法

1.1 一般资料 选取我院……