【摘要】 目的 研究萨提亚模式团体辅导联合揿针治疗对更年期综合征妇女焦虑、抑郁及睡眠障碍的影响。方法 选择南通市妇幼保健院2023年1月～2023年12月确诊为更年期综合征的166例妇女进行调查，将改良Kupperman评分≤6分为一组，改良Kupperman评分≥为7分为一组，采用卡方检验对年龄、焦虑自评量表（SAS）、抑郁自评量表（SDS）、匹兹堡睡眠质量指数（PSQI）情况进行统计分析。随机选取其中60例进行干预。对照组采用绝经激素治疗，观察组在MHT的基础上增加萨提亚模式团体辅导联合揿针治疗。两组同时治疗8周，两组研究对象干预前后给予SAS、SDS、PSQI和改良Kupperman评分进行分析。结果 改良Kupperman评分≥7分者在不同年龄组间的分布（P<0.05），及焦虑、抑郁、睡眠障碍者中的分布差异均有统计学意义（P<0.05）。SAS、SDS、PSQI、改良Kupperman两两显著正相关（P<0.01）。两组研究对象干预后SAS、SDS、PSQI、改良Kupperman评分均较干预前下降（P<0.05），差异有统计学意义。两组研究对象干预后，观察组SAS、SDS、PSQI评分显著低于对照组（P<0.05），差异有统计学意义。结论 萨提亚模式团体辅导联合揿针治疗可以改善更年期综合征焦虑、抑郁情绪及睡眠障碍。更多还原

【Abstract】 Objective To study the effect of Satya model group counseling combined with Qin-acupuncture therapy on anxiety, depression and sleep disorder in women of climacteric syndrome. Methods 166 women diagnosed with climacteric syndrome in Nantong Maternal and Child Health Hospital from January 2023 to December 2023 were investigated. They were divided into one group with improved Kupperman score ≤6 and one group with improved Kupperman score≥7. Chi-square test was used to analyze age, self-rating anxiety scale(SAS), self-rating depression scale(SDS)and Pittsburgh sleep quality index(PSQI). 60 cases were randomly selected for intervention. The control group was treated with menopausal hormone therapy, and the observation group was treated with group counseling of Satya model combined with Qin-acupuncture therapy on the basis of MHT.Both groups were treated for 8 weeks at the same time, and subjects in both groups were analyzed by SAS, SDS, PSQI and modified Kupperman scores before and after intervention. Results The distribution of modified Kupperman score ≥7 points among different age groups(P<0.05), and the distribution of anxiety, depression and sleep disorders were statistically significant(P<0.05). SAS, SDS, PSQI and modified Kupperman were significantly positively correlated(P<0.01). The scores of SAS, SDS, PSQI and modified Kupperman in both groups decreased after intervention compared with before intervention(P<0.05), and the differences were statistically significant. After intervention, the scores of SAS, SDS and PSQI in the observation group were significantly lower than those in the control group(P<0.05), and the difference was statistically significant.Conclusion Satya model group counseling combined with Qin-acupuncture therapy can improve anxiety, depression and sleep disorders in climacteric syndrome.更多还原