自制中药枕联合五行音乐疗法在慢性肾衰竭心肾不交型失眠患者中的应用研究

The application of self-made Chinese medicine pillow combined with five elements music therapy on insomnia due to disharmonybetween heart and kidney in patients with chronic renal failure

目的观察运用自制中药枕联合五行音乐疗法改善慢性肾衰竭心肾不交型失眠患者睡眠质量的效果。方法90例慢性肾衰竭心肾不交型失眠患者随机分为试验组和对照组,各45例。对照组给予常规中医治疗和护理,试验组在对照组基础上配合自制中药枕联合五行音乐干预。分别在干预前、干预2周后、干预4周后比较2组患者的匹兹堡睡眠质量指数(PSQI),干预4周后评价临床疗效。结果不同时间点PSQI评分重复测量方差分析结果显示,2组患者PSQI总分比较,时间主效应有统计学意义(P<0.01),处理与时间交互效应无统计学意义(P>0.05);处理主效应有统计学意义(P<0.05)。与干预前比较,干预2周及4周后,2组患者的PSQI总分均降低(P<0.01)。干预后2周,与对照组相比,试验组患者的PSQI总分降低(P<0.01);干预4周后,亦有同样趋势(P<0.01)。干预4周后,试验组临床疗效优于对照组,差异有统计学意义(P<0.01)。结论自制中药枕联合五行音乐疗法能提高慢性肾衰竭心肾不交型失眠患者的睡眠质量,改善临床症状。

Objective To investigate the effect of self-made Chinese medicine pillow combined with five elements music therapy on the improvement of sleep quality in patients with chronic renal failure and insomnia due to disharmony between heart and kidney.Methods Totally 90 patients with chronic renal failure and insomnia due to disharmony between heart and kidney were randomly divided into experimental group and control group,45 cases in each group.All patients were treated with Traditional Chinese Medicine and nursing,and the experimental group was given self-made Chinese medicine pillow combined with five elements music therapy.The Pittsburgh Sleep Quality Index(PSQI)of the two groups was compared before the intervention,2 weeks and 4 weeks after the intervention.Results A statistically significant main effect of time was observed for PSQI score(P<0.01).There was no significant significance in treatment-time interaction effect(P>0.05).A statistically significant main effect of treatment was identified for PSQI score(P<0.05).The PSQI score of the two groups decreased significantly after 2 and 4 weeks of intervention(P<0.01).After intervention for 2 and 4 weeks,the PSQI score in the experimental group was significantly lower than that in the control group(P<0.01).In addition,the effective rate of the experimental group was higher than that of the control group after 4 weeks of intervention(P<0.01).Conclusion The self-made Chinese medicine pillow combined with five elements music therapy can improve the sleep quality and relieve clinical symptoms of patients with chronic renal failure and insomnia due to disharmony between heart and kidney.