中医五音疗法联合个性化情志疏导在脑卒中后失眠患者中的应用研究  

Study on the application of traditional Chinese medicine Five-Tone therapy combined with individualized emotional counseling in post-stroke insomnia patients

作　　者：杜婷 赵惠 孙星星 赵树琴 杨芳[2] Du Ting;Zhao Hui;Sun Xingxing;Zhao Shuqin;Yang Fang(Department of Emergency,Lianyungang Hospital of Traditional Chinese Medicine,Lianyungang 222000,China;Department of Brain Diseases,Lianyungang Hospital of Traditional Chinese Medicine,Lianyungang 222000,China)

机构地区：[1]连云港市中医院急诊科,连云港222000 [2]连云港市中医院脑病科,连云港222000

出　　处：《中国实用护理杂志》2025年第9期672-680,共9页Chinese Journal of Practical Nursing

基　　金：连云港市中医药科技发展计划项目(YB202305)。

摘　　要：目的探讨中医五音疗法联合个性化情志疏导在脑卒中后失眠患者中的应用效果,以期为临床干预改善患者的睡眠质量提供参考。方法采用类实验研究方法,应用便利抽样法选取2023年1月至2024年2月在连云港市中医院脑病科、康复科住院的70例脑卒中后失眠患者为研究对象,其中2023年17月收治的35例患者作为对照组,2023年8月至2024年2月收治的35例患者作为试验组。对照组给予常规治疗及护理,试验组在对照组的基础上予以中医五音疗法联合个性化情志疏导干预方案,干预周期均为4周。采用多导睡眠监测、匹兹堡睡眠质量指数、失眠严重指数、患者安眠药物使用率等来评定2组患者情况。结果对照组男18例,女17例,年龄(58.02±5.22)岁;试验组男22例,女13例;年龄(56.41±5.49)岁。干预后试验组患者总睡眠时间、匹兹堡睡眠质量指数、失眠严重指数分别为(376.22±52.39)min、(9.36±3.22)分、(13.89±2.16)分,对照组为(343.78±74.51)min、(12.02±3.76)分、(16.66±3.04)分,2组比较差异均有统计学意义(t=2.11、3.18、4.39,均P<0.05);干预后试验组安眠药物使用率及护理满意度分别为11.43%(4/35)和(81.05±3.68)分,对照组为34.29%(12/35)和(76.21±5.22)分,2组比较差异均有统计学意义(x^(2)=5.51、t=4.48,均P<0.05)。结论应用中医五音疗法联合个性化情志疏导可有效改善卒中后失眠患者的睡眠质量,并可有效降低患者安眠药物使用率,提高患者满意度。Objective To explore the application effects of traditional Chinese medicine five-tone therapy combined with personalized emotional counseling in patients with post-stroke insomnia,aiming to provide a reference for improving patients'sleep quality in clinical practice.Methods A quasiexperimental study was conducted.A total of 70 inpatients with post-stroke insomnia from the Department of Neurology and the Department of Rehabilitation at Lianyungang Hospital of Traditional Chinese Medicine between January 2023 and February 2024 were selected using convenience sampling method.Of these,35 patients admitted between January and July 2023 were assigned to the control group,while 35 patients admitted between August 2023 and February 2024 were assigned to the experimental group.The control group received routine treatment and care,while the experimental group was additionally provided with traditional Chinese medicine five-tone therapy combined with personalized emotional counseling.The intervention period was four weeks for both groups.Evaluations were conducted using polysomnography,the Pittsburgh Sleep Quality Index,the Insomnia Severity Index(ISI),and the patients'use of hypnotic medications.Results The control group consisted of 18 males and 17 females,with an average age of(58.02±5.22)years;the experimental group consisted of 22 males and 13 females,with an average age of(56.41±5.49)years.After the intervention,the total sleep time,the Pittsburgh Sleep Quality Index score,and the Insomnia Severity Index score in experimental group were(376.22±52.39)min,(9.36±3.22)points,and(13.89±2.16)points,respectively,compared to(343.78±74.51)min,(12.02±3.76)points,and(16.66±3.04)points in the control group,with statistically significant(t=2.11,3.18,4.39,all P<0.05).The experimental group's hypnotic medication usage rate and nursing satisfaction score were 11.43%(4/35)and(81.05±3.68)points,respectively,compared to 34.29%(12/35)and(76.21±5.22)points in the control group,with statistically significant differences(=5.51,t

关 键 词：卒中 失眠 音乐疗法 情志疏导 中医护理 

分 类 号：R47[医药卫生—护理学]