五音疗法结合正念冥想训练对心脾两虚型不寐患者焦虑情绪、睡眠质量的影响  

Effect of Five-Note Therapy Combined with Mindfulness Meditation Training on Anxiety and Sleep Quality in Patients with Insomnia of Heart-Spleen Deficiency

作　　者：李凤萍[1] 严素敏[1] 关露娟[1] Li Fengping;Yan Sumin;Guan Lujuan(Foshan City TCM Hospital,Foshan Guangdong 528000,China)

机构地区：[1]佛山市中医院,广东佛山528000

出　　处：《齐鲁护理杂志》2021年第21期9-12,共4页Journal of Qilu Nursing

摘　　要：目的:探讨五音疗法结合正念冥想训练对心脾两虚型不寐患者焦虑情绪、睡眠质量的影响。方法:将2019年2月1日~2020年3月1日收治的80例心脾两虚型不寐患者采用随机数字表法分为观察组和对照组各40例,对照组进行不寐常规干预,观察组在对照组基础上实施五音疗法结合正念冥想训练;比较两组干预前后中医症状积分(健忘失眠、神疲乏力、面色无华、食少便溏)、焦虑情绪[采用贝克焦虑量表(BAI)]、睡眠质量[采用匹兹堡睡眠质量指数量表(PSQI)]、生活质量[采用生活质量综合评定问卷(GQOLI-74)]。结果:干预后,两组中医症状积分、BAI、PSQI评分均低于干预前(P<0.05),且观察组低于对照组(P<0.01,P<0.05);干预后,两组GQOLI-74各项评分均高于干预前(P<0.05),且观察组高于对照组(P<0.01,P<0.05)。结论:五音疗法结合正念冥想训练对心脾两虚型不寐患者干预作用显著,有利于缓解其中医证候及焦虑情绪,改善睡眠质量及生活质量。Objective:To explore the effect of five-note therapy combined with mindfulness meditation training on anxiety and sleep quality in patients with insomnia of heart-spleen deficiency.Methods:A total of 80 cases of patients with insomnia of heart-spleen deficiency admitted during February 1,2019 to March 1,2020 were divided into the observation group and the control group according to the random number table method,with 40 cases in each group.The control group received routine intervention for insomnia,and the observation group implemented five-note therapy combined with mindfulness meditation training intervention on the basis of the control group.The scores of TCM symptoms(amnesia and insomnia,fatigue,pale complexion,reduced appetite and loose stool),anxiety by Beck Anxiety Inventory(BAI)scores,sleep quality by Pittsburgh Sleep Quality Index(PSQI)scores and quality of life by Generic Quality of Life Inventory-74(GQOLI-74)scores were compared between the two groups before and after intervention.Results:After intervention,the scores of TCM symptoms,BAI and PSQI in the two groups were lower than those before intervention(P<0.01,P<0.05),and those in the observation group were lower than those in the control group(P<0.01,P<0.05).After intervention,the scores of items of GQOLI-74 in the two groups were higher than those before intervention(P<0.05),and those in the observation group were higher than those in the control group(P<0.01,P<0.05).Conclusion:Five-note therapy combined with mindfulness meditation training has a significant intervention effect in patients with insomnia of heart-spleen deficiency,and it is beneficial to alleviate TCM syndromes and anxiety and improve sleep quality and quality of life.

关 键 词：五音疗法 正念冥想训练 心脾两虚型不寐 焦虑情绪 睡眠质量 

分 类 号：R473.5[医药卫生—护理学]