The Application And Effectiveness Evaluation Of Auricular Points Pressing Combined With TCM Chronotherapy On Patients With Depression And Insomnia

[Objective]To observe the clinical effect of auricular points pressing therapy combined with TCM chronotherapy on patients with depression and insomnia,to improve the quality of sleep,relieve depression and improve self-efficacy,and to provide theoretical and practical guidance for clinical intervention.[Methods]It was a study of prospective randomized controlled.84 patients with depression and insomnia complied with the inclusion criteria were randomly grouped.Generating random numbers through the computer,the mantissa singular numbers were in control group(n=42)and the mantissa dual numbers were in experimental group(n=42).The control group was treated with conventional treatment methods according to the Guidelines for the prevention and treatment of depression including antidepressants(Escitalopram Oxalate Tablets)and hypnotic drugs(Eszopiclone)in combination,while the experiment group was treated with auricular points pressing therapy combined with TCM chronotherapy besides the treatment on the control group.The main auricular points are Shenmen,Pizhixia,Xin,and add to auxiliary auricular points based on syndrome differentiation.It was 3 times a day,respectively9am,12 noon,8 pm;2 weeks as a course,and the treatment has 6 courses totally.We will evaluate the quality of sleep(CPC,PSQI),the level of depression(HAMD,SDS)and self-efficacy(GSES)of these two groups before intervention,at the end of the first month and the third month of intervention.The experimental data were analyzed by SPSS 18.0 software.[Results]1.Compared with the baseline information of the two groups:including sex,age,marital status,occupation,educational level,medical payment,duration,depression degree,syndrome distribution of TCM and scores of CPC、PSQI、HAMD、SDS、GSES at admission,showed no significant difference(P>0.05).2.Compared with both groups of the quality of sleep:Intra-group comparison,after the intervention,the scores of CPC sleep quality and PSQI scale were significantly improved,differences were statistically significant(P<0.05).Comparison among groups,compared with CPC and PSQI at 1 month and 3 months after intervention of two groups,the improvements of sleep quality in the experimental group were both more remarkable than those in the control group,differences were statistically significant(P<0.05).3.Compared with both groups of the level of depression:Intra-group comparison,the scores of HAMD and SDS in the two groups were lower than that before intervention,differences were statistically significant(P<0.05).Comparison among groups,compared with HAMD and SDS at 1 month after intervention of two groups,the improvement of depression in the experimental group was more remarkable than that in the control group,differences were statistically significant(P<0.05).Compared with HAMD and SDS at 3 months after intervention of two groups,there were no significant difference(P>0.05).4.Compared with both groups of Self-efficacy:Intra-group comparison,the scores of the GSES in the two groups were significantly higher than that before intervention,differences were statistically significant(P<0.05).Comparison among groups,the scores of self-efficacy between the two groups at 1 month after intervention show no difference(P =0.807,P>0.05).Compared with self-efficacy at 3 months after intervention of two groups,the scores of general self-efficacy of the experimental group were higher than that of the control group,difference was statistically significant(P=0.007,P<0.05).[Conclusion]Auricular points pressing therapy combined with TCM chronotherapy is effective for the patients with depression and insomnia,also can improve sleep quality,decrease the incidence of depression,improve the cognitive function,and increase self-efficacy.It is appropriate to use in chinic.