Study On Emotion State And Treatment Of Patients With Primary Insomnia

Objective: To research sleep quality, influence factors and the relevance between the factors and the patients’ emotion state in patients with primary insomnia. Then discuss the actual sleep quality, the influence factors of sleep and sleep quality is effect on the emotion state from the patients with primary insomnia.Methods: The experimental group selected 94 patients, meeting the diagnostic criteria with primary insomnia in the first affiliated hospital of Nanchang University during March 2013 to October 2014, and according to the lottery, divide the 94 patients into psychological joint mirtazapine group and behavior treatment group.The control group selected 47 healthy people checking up at the same of hospital and time. All subjects are sighed informed consent, and into the group within 24 h using general information questionnaire, PSQI,SRSS,ISI,HAMD,POMS,SSRS for testing,and sleep monitoring intelligent bracelets were used to detect the patient’s actual sleep time. After 8 weeks later, all subjects will be accessed again. All data is analysis by SPSS 17.0 software, then calculate the patients with primary insomnia for accessing their sleep quality. Adopted Pair-Sample T Test to test detection of two groups of patients with general demographic characteristics, sleep quality and related behavior of the differences between treatment. Using multiariable Logistic regression analysis of a variety of objective factors such as gender, education age, residence, insomnia time, emotional state, etc on the quality of the patients with insomnia sleep; The variance analysis of different treatment on patients with primary insomnia sleep, as well as the emotional state of the changes of the patients after the treatment of insomnia.Results: 1. The sleep quality of patients with primary insomnia is far lower than the normal healthy people, and that the PSQI score(15.16±2.20) is far lower than thenormal healthy people crowd score(3.56±1.59),existing obvious difference(p<0.05) in the two,moreover, patients with insomnia score is also higher than the national norm of PSQI score(14.00±3.21). 2. Affect on the sleep status of patients with primary insomnia single factor analysis showed that gender, marital status, place of residence, occupational status, history of medicine, income status exist obvious difference(P < 0.05); Effect on patients with primary insomnia sleep of relevant factors of multielement linear regression analysis showed that gender and income state was significant(p < 0.05) for primary insomnia sleep regression. In conclusion, gender, income status on patients with primary insomnia sleep is seriously effect. 3. 8 weeks later, the sleep quality of experimental group patients improved significantly, so the emotion state of a state of mind has a corresponding improvement. Through before and after treatment comparison group, and compared the experimental group and the control group after treatment, the sleep quality and mental state have obvious differences showed statistically significant(P < 0.05). 4. The sleep quality and psychological status of the all different treatments of the experimental group has been improved after treatment. And it is statistically difference(P < 0.05) by comparing before and after treatment,but, using the single factor analysis of variance(ANOVA) inspection before and after treatment between the three groups of sleep status and related judges rating scale, the results is no statistically significance(P > 0.05).Conclusion: The sleep quality of patients with primary insomnia is poorer, far below the normal healthy people, and prone to anxiety, depression, or poor social support of negative mood, and drug therapy is better than psychological therapy in improving the patient’s quality of sleep.