【摘要】目的 探讨中医护理技术联合行为认知疗法(CBT)干预对中风后失眠患者睡眠质量及心理健康的影响。方法 选取2016年01月～2018年01月连云港市赣榆区中医院收治的中风(均为脑梗塞)后失眠患者50例作为研究对象，按照患者主观意愿将其分为对照组(n=24，自愿选择接受药物治疗)和观察组(n=26，中医护理技术联合CBT干预)。干预周期4周，对比两组患者睡眠质量和心理健康水平。

    结果 干预前，两组患者睡眠质量(PSQI)和心理健康状态(SCL-90)评定水平比较，差异无统计学意义(P>0.05)。干预后，观察组患者PSQI总分SCL-90各项因子得分均明显低于对照组，差异有统计学意义(P<0.05)。对照组干预前后PSQI总分SCL-90各项因子得分比较，差异无统计学意义(P>0.05)。

    结论 采用中医护理技术联合CBT干预，能显著改善中风后失眠患者睡眠质量及心理健康水平，缓解患者情绪异常，加快患者康复进程。

    【关键词】中医护理;CBT;中风;不寐;睡眠质量;心理健康

    【中图分类号】R248 【文献标识码】A 【文章编号】ISSN.2095-6681.2019.1..03

    【Abstract】Objective To explore the effect of CBT intervention on sleep quality and mental health in patients with insomnia after stroke.Methods Fifty patients with insomnia after stroke were selected and divided into control group (n=24) who voluntarily chose to receive drug therapy and observation group (n=26) that received Chinese medicine nursing technology combined with CBT intervention according to their subjective wishes. The intervention period was 4 weeks.Sleep quality and mental health were compared between the two groups.Results Before the intervention ......