放松训练联合五音疗法对骨折患者疼痛及睡眠质量的影响

Effect of relaxation training combined with Five-element music therapy on pain and sleep quality in patients with fracture

目的探究渐进性肌肉放松训练(PMRT)联合五音疗法对创伤性骨折患者疼痛及睡眠质量的影响。方法选取120例在海南省中医院住院且行择期手术的创伤性骨折患者作为研究对象,按照随机数字表随机分为试验组(常规护理+五音疗法+PMRT),对照A组(常规护理+五音疗法),对照B组(常规护理+PMRT)及对照C组(常规护理),每组30例。对患者进行为期12 d的住院干预,比较4组患者干预前后的疼痛情况[疼痛模拟视觉评分法(VAS)]和睡眠质量[阿森斯失眠量表(AIS)]。结果与干预前比较,4组干预后VAS评分均降低(P<0.05);试验组、对照A、B组干预后AIS评分均明显降低(P<0.05),但对照C组干预前后AIS评分比较差异无统计学意义(P>0.05)。干预后,与对照C组比较,试验组、对照A和B组VAS和AIS评分均降低(P<0.05),且试验组降低最明显(P<0.01);与对照组B组比较,只有试验组VAS评分降低(P<0.05);与对照组A组比较,只有试验组VAS评分降低(P<0.05)。结论渐进性肌肉放松训练联合五音疗法用于创伤性骨折患者可有效缓解患者的疼痛症状,以及提高患者的睡眠质量。

Objective To investigate the effect of progressive muscle relaxation training(PMRT)combined with Five-element music therapy on pain and sleep quality in patients with traumatic fractures.Methods 120 patients with traumatic fracture hospitalized in Hainan Provincial Hospital of Traditional Chinese Medicine and undergoing elective surgery were selected as the research objects.According to the random number table,they were randomly divided into experimental group(usual care+Five-element music therapy+PMRT),control group A(usual care+Five-element music therapy),control group B(usual care+PMRT)and control group C(usual care),with 30 cases in each group.A 12-day inpatient intervention was conducted to compare the pain status[visual analogue scale(VAS)]and sleep quality[Ascens insomnia scale(AIS)]of four groups of patients before and after the intervention.Results Compared with before intervention,the VAS scores of all four groups decreased after intervention(P<0.05);After intervention,the AIS scores of the experimental group,control group A,and B were significantly reduced(P<0.05),but there was no statistically significant difference in AIS scores before and after intervention in control group C(P>0.05).After intervention,compared with control group C,the VAS and AIS scores of the experimental group,control group A and B decreased(P<0.05),and the experimental group showed the most significant decrease(P<0.01);Compared with control group B,only the VAS score of the experimental group decreased(P<0.05);Compared with control group A,only the experimental group showed a decrease in VAS score(P<0.05).Conclusion Progressive muscle relaxation training(PMRT)combined with Five-element music therapy can effectively alleviate pain symptoms and improve sleep quality in patients with traumatic fractures.