子午流注择时五行音乐疗法在慢性心力衰竭焦虑患者中的应用效果

Effect of midnight-noon ebb-flow of five-element music therapy on somnipathy among patients with chronic heart failure accompanied by anxiety

目的评价子午流注择时五音疗法在慢性心力衰竭(chronic heart failure,CHF)焦虑患者中的应用效果。方法将70例CHF焦虑患者随机分为实验组和对照组,各35例,实验组实施子午流注择时五行音乐疗法,对照组实施五行音乐疗法。两组在干预前、干预后4周、8周和12周采用匹兹堡睡眠质量指数量表(Pittsburgh Sleep Quality Index,PSQI)和Flinders疲劳量表(The Flinders Fatigue Scale,FFS)评价睡眠质量和日间疲劳程度。结果实验组PSQI总分及FFS得分在干预后各时间点均低于同期对照组(P<0.05)。重复测量方差分析结果显示,两组PSQI总分及FFS得分组间效应、时间效应及两者交互效应均有统计学意义(P<0.05)。实验组干预后各时间点PSQI得分及FFS得分进一步两两比较,后一时间点得分均低于前一时间点(P<0.05)。结论子午流注择时五行音乐疗法可有效提高CHF焦虑患者睡眠质量,减轻日间疲劳程度,效果优于单独应用五行音乐疗法,且随时间的增加疗效愈佳。

Objective To evaluate the effect of midnight-noon ebb-flow of five-element music therapy to improve the sleep quality among patients with chronic heart failure（CHF） accompanied by anxiety. Methods A total of 70 patients were randomly divided into the experimental group and the control group,with 35 patients in each group. The control group received the common five-element music therapy,while the experimental group received midnightnoon ebb-flow of five-element music therapy. The Pittsburgh sleep quality index scale（PSQI） and Flinders fatigue scale（FFS） were used to evaluate sleep quality and daytime fatigue before intervention,and 4,8 and 12 weeks after intervention. Results The total score of FFS,PSQI in the experimental group were lower than those in the control group at three time points after intervention（P〈0.05）. Repeated ANOVA indicated that,among the total scores of PSQI and FFS,the group effect,time effect and interaction were all statistically significant （P〈0.05）. Further comparisons were made in the experimental group after the intervention in terms of PSQI and FFS,which showed the latter score was lower than the former score with significant difference （P〈0.05）. Conclusion The midnight-noon ebb-flow of five-element music therapy can effectively improve the sleep quality and daytime fatigue among patients with chronic heart failure accompanied by anxiety,with superior effects over traditional five-element music therapy, and the curative effects increase over time.