A Preliminary Study On The Relationship Between Physical Fitness And Sleep Quality And Mental Status Of Insomnia Patients

Objective:To investigate the correlation between TCM Constitution, people mental status and sleep quality of insomnia, explore the constitution of traditional Chinese medicine management mode based on the insomnia patients, to provide clinical basis for the prevention and treatment of insomnia.Methods:This cross-sectional study, based on the literature review, combining clinical experience of diagnosis and treatment of syndrome, testing 141 patients with inclusion criteria by SCL-90, PSQI, Personal information form (including the main symptoms of insomnia) and consti-tution in TCM questionnaire,select the case of complete and reliable data entry, using SPSS 21.0 statistical software for statistical analysis. Main symptoms of insomnia etc. Statistical methods involved:using Kruskal-Wallis H test, Independent sample T test, single factor AVONA test on measurement data, using correspondence analysis on count data. The significance test P< 0.05 for standard.Result:1. The storage of 141 insomnia patients in the youngest 20 years old,75 years old, mean age 45.70+17, youth group 64 cases, accounted for 45.4%. The elderly group secondly,38 people, accounted for 27.6%; the least number of middle-aged group, a total of 38 cases, accounting for 27.0%,male patients with insomnia insomnia patients 50 cases, accounted for 35.5%, female insomnia patients 91 cases accounted for 64.5%, insomnia women more than men, men and women no difference in PSQI total score (p=0.369), youth group PSQI total score of 19 points, the lowest 8 points; middle aged group PSQI total score of 20 points, the lowest 8 points; the elderly group PSQI total score of 19 points, the lowest 8 points. The youth group had the lowest average, average 10.98±.79; the middle age group was 13.02 ±2.82; the PSQI in the elderly group was the highest, and the mean value was 13.23±2.55. Insomnia patient education degree Bachelor in 51 cases, accounted for 36.2 percent, the level of education of 12 cases of primary school,8.5%, education for junior high school have 24 cases (17.0%), education degree 28 senior high school or technical secondary school,19.9%. Education College 26 people, accounted for 18.4%, insomnia patients think less social interaction 47 people, accounted for the largest proportion,32.6%; general communication 32 people (22.2%); contacts with a wide range of 38 people, accounted for 32.4%; a wide range of contacts 24 people. The minimum proportion,16.6%.2. Patients with insomnia symptoms have difficulty in falling asleep (51%), sleep easy waking (28%), wake up early (7%), wake up to sleep (6%), dreams (6%), less sleep (2%). No difference between male and female insomnia symptoms (p=0.539). Qi deficiency and phlegm dampness were the most types of insomnia symptoms, and the type of insomnia patients with damp heat constitution was the least.3.Insomnia in physical deficiency of 30 people, accounted for 21.3%; Yin deficiency 21 people, accounted for 14.9%; Yang deficiency 19 people, accounting for 13.5%; blood stasis 18 people, accounting for 12.8%; phlegm dampness 17 people, accounted for 12.4%; flat and of 15 people, accounting for 10.2%; qi stagnation 12 people, accounting for 8.5%; damp heat 9 people, accounting for 6.4%, special intrinsic of 0.4. Highest of the three factors SCL-90 score of patients with insomnia were forced, depression and anxiety. The three factors which appear most frequently are forced, anxiety and somatic. Patients with Qi deficiency constitution insomnia is easy to show interpersonal sensitivity, deficiency of Yang constitution insomnia patients prone to depression. The study found that enrolled patients were associated with different levels of psychological symptoms, insomnia patients may be associated with somatic, psychological problems, and psychological problems more complicated, thus psychological state of insomnia of importance.4. Insomnia patients SCL-90 factors mean insomnia patients SCL-90 factors mean forcing 190+0.57, depression 1.63+0.56, anxiety 1.55+0.57, interpersonal relationship between 1.46+0.62, somatization 1.46+0.49, hostile 1.41+0.56, psychotic 1.37+0.54, terrorist 1.35, 0.52, paranoid 1.35+0.48. Insomnia patients with somatic symptoms in 109 cases, accounting for 13.5%, obsessive-compulsive symptoms in 117 cases, accounting for 14.6%; interpersonal sensitivity 79 cases,9.8%; 107 cases of depression,13.3%; 111 cases of anxiety, 13.8%; hostile 68 cases,8.5%; 66 cases of terror,8.2%; 74 cases of paranoia, accounted for 9.3%; 72 cases of psychosis 9.0%.Conclusion:1. Insomnia related with age, educational level and psychological correlation.2. There was no significant difference between men and women in insomnia, Women are more prone to insomnia than men.3. There was correlation between insomnia patients’Constitution and symptoms of insomnia, most insomnia patients have difficulties in falling asleep, constitution of qi stagnation accompanied by sleep easy wake up dense, blood stasis constitution accompanied by much dream.4. There is a certain relationship between mental and physical constitution of qi deficiency in patients with insomnia, easy to show the interpersonal sensitivity, depression associated with Yang deficiency constitution.