中医五行音乐和西方古典音乐对脑卒中患者睡眠质量的影响  

Effects of traditional Chinese medicine five elements music and western classical music on sleep quality of stroke patients

作　　者：张梦圆 李丽[2] 丁懿 冯梓芸 刘丽 吴雨静 苏佳宁 丹禹钦 邢淑珍[2] Zhang Mengyuan;Li Li;Ding Yi;Feng Ziyun;Liu Li;Wu Yujing;Su Jianing;Dan Yuqin;Xing Shuzhen(School of Rehabilitation Medicine,Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Department of Rehabilitation Medicine,the Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250001,China;Department of Rehabilitation and Health,Jinan Nursing Vocational College,Jinan 250000,China)

机构地区：[1]山东中医药大学康复医学院,济南250355 [2]山东中医药大学第二附属医院康复科,济南250001 [3]济南护理职业学院康复保健系,济南250000

出　　处：《中国实用护理杂志》2025年第6期428-436,共9页Chinese Journal of Practical Nursing

基　　金：国家重点研发计划(2018YFC1706005);国家自然科学基金面上项目(82374556);山东省中医药科技项目(Q-2022071)。

摘　　要：目的探究中医五行音乐和西方古典音乐对脑卒中患者睡眠质量的干预效果,并比较二者差异,为改善脑卒中患者睡眠质量的临床护理措施提供借鉴。方法采用随机对照试验方法,以便利抽样法选取2022年7月至2023年7月在山东中医药大学第二附属医院康复科住院的脑卒中患者75例作为研究对象,按随机数字表法将患者随机分为常规治疗组、五行音乐组、古典音乐组各25例。在一般性治疗基础上,常规治疗组采取睡眠健康教育;五行音乐组在常规治疗组基础上给予五行音乐干预;古典音乐组在常规治疗组基础上给予西方古典音乐干预。比较3组患者阿森斯失眠量表(AIS)、匹兹堡睡眠质量指数(PSQI)和多导睡眠图(PSG)检查参数变化。结果常规治疗组脱落2例,最终纳入23例,男15例,女8例,年龄(54.02±7.80)岁;五行音乐组没有脱落病例,最终纳入25例,男12例,女13例,年龄(53.69±6.02)岁;古典音乐组脱落1例,最终纳入24例,男10例,女14例,年龄(52.34±7.08)岁。干预前3组患者AIS、PSQI、PSG得分比较,差异均无统计学意义(均P>0.05)。干预后,3组AIS和PSQI评分分别为(9.48±1.53)和(12.22±2.94)分,(6.76±1.36)和(7.64±2.08)分,(7.46±1.38)和(10.33±2.82)分,3组干预后比较差异均有统计学意义(F=23.21、18.44,均P<0.05)。PSG睡眠结构参数显示,干预后五行音乐组患者的总睡眠时间、REM潜伏期时间和睡眠效率分别为(399.89±51.76)min、(136.26±25.36)min、(78.87±8.21)%,高于古典音乐组的(368.45±47.88)min、(124.46±26.25)min、(73.36±7.86)%和常规治疗组的(345.48±38.69)min、(111.37±23.23)min、(69.44±7.88)%,3组比较差异均有统计学意义(F=8.27、5.93、8.49,均P<0.05);五行音乐组的睡眠潜伏期时间、觉醒时间、觉醒次数分别为(28.86±17.68)min、(54.37±25.15)min、(2.72±1.19)次,低于古典音乐组的(35.67±16.99)min、(64.28±29.34)min、(3.67±1.12)次和常规治疗组的(42.38±18.96)min、(78.38�ObjectiveTo investigate the intervention effect of five elements music of traditional Chinese medicine and western classical music on the sleep quality of stroke patients,and to compare the difference between the two,to provide a reference for the clinical care measures to improve the sleep quality of stroke patients.MethodsBy adopting a randomized controlled trial,75 stroke patients who were hospitalized in the rehabilitation hospital of the Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine from July 2022 to July 2023 were selected by convenience sampling method as the study subjects,and the patients were randomly divided the conventional treatment group,the five-element music group,and the classical music group according to the method of randomized numerical table with 25 cases in each group.On the basis of general treatment,the conventional treatment group took sleep health education,the five elements music group were given five-element music intervention based on conventional treatment,and the classical music group were given classical music intervention based on conventional treatment.The changes of Athens Insomnia Scale(AIS),Pittsburgh Sleep Quality Index(PSQI)and polysomnography(PSG)examination parameters in the 3 groups were compared.ResultsThere were 2 cases of shedding in the conventional treatment group,and 23 cases were finally included,15 males and 8 females,aged(54.02±7.80)years;there were no cases of shedding in the five-element music group,and 25 cases were finally included,12 males and 13 females,aged(53.69±6.02)years;and there was 1 case of shedding in the classical music group,and 24 cases were finally included,10 males and 14 females,aged(52.34±7.08)years.Comparison of AIS,PSQI and PSG scores among the 3 groups of patients before intervention showed no statistically significant differences(all P>0.05).After the intervention,the AIS scores and PSQI scores of the 3 groups were(9.48±1.53)and(12.22±2.94),(6.76±1.36)and(7.64±2.08),(7.46±1.38)and(10.33±2.82),

关 键 词：失眠症 卒中 音乐疗法 五行音乐 古典音乐 睡眠质量 

分 类 号：R473.74[医药卫生—护理学]