Design and practice exploration of simple psychological counseling techniques for insomnia patients
面向失眠人群的简易心理疏导话术设计与实践探索

摘要

目的 设计一套适用于基层医疗及社区场景的失眠人群简易心理疏导话术，并验证其对失眠患者睡眠质量及心理状态的改善效果。方法 选取2025年1月至2025年9月在本院门诊及社区卫生服务中心就诊的失眠患者40例，采用随机数字表法分两组。对照组采用常规健康宣教，观察组在常规健康宣教基础上采用自制简易心理疏导话术进行干预。比较两组睡眠质量、心理状态及临床疗效。结果 相较于对照组，观察组入睡时间、睡眠质量、睡眠时间、睡眠效率、睡眠障碍、催眠药物及日间功能障碍评分均呈更低水平；观察组SAS及SDS评分低于对照组；观察组的总有效率高于对照组（P＜0.05）。结论 简易心理疏导话术可有效改善失眠人群的睡眠质量，缓解其焦虑、抑郁情绪，无副作用，适合推广应用。

Abstract

Objective To design a simple psychological counseling language for insomnia patients suitable for primary healthcare and community settings, and to verify its effectiveness in improving the sleep quality and psychological state of insomnia patients.
Methods Select 40 insomnia patients who visited our outpatient and community health service centers from March 2024 to March 2025, and divide them into two groups using a random number table method. The control group received routine health education, while the observation group received self-made simple psychological counseling language intervention on the basis of routine health education. Compare the sleep quality, psychological status, and clinical efficacy between two groups.
Results Compared with the control group, the observation group showed lower levels of sleep onset time, sleep quality, sleep duration, sleep efficiency, sleep disorders, hypnotic drugs, and daytime functional impairment scores; The SAS and SDS scores of the observation group were lower than those of the control group; The total effective rate of the observation group was higher than that of the control group (P<0.05).
Conclusion   Simple psychological counseling techniques can effectively improve the sleep quality of insomnia patients, alleviate their anxiety and depression, and are suitable for promotion and application.