Objective: To examine insomnia in the modern young and middle-aged population and explore nursing intervention strategies using traditional Chinese and Western medicine. Methods: A total of 255 inpatients and outpatients were sampled from Shenzhen Hospital of Traditional Chinese Medicine. The Sleep Questionnaire for Young and Middle-aged People was used to assess insomnia, and a linear regression model was applied for data analysis. Results: A total of 251 valid questionnaires were collected. Correlation analysis revealed a high incidence of insomnia among respondents. Linear correlation analysis indicated that mental illness or other underlying diseases leading to pain had a significantly positive effect on symptom improvement through Chinese and Western medicine treatments (B = 0.763, P < 0.01). Conversely, work or life pressures (emotional or financial issues) had a significantly negative impact on treatment effectiveness (B = -0.503, P < 0.01). Cross-analysis identified high life or work pressure as the primary cause of insomnia (70.1%). Conclusion: Insomnia is prevalent among the young and middle-aged in modern times, with high work or life pressure being the leading factor.
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