摘要
目的 基于补土理论探讨循经拍打与五音疗法对克罗恩病(CD)失眠患者的影响.方法 选取浙江省中医院消化内科病房收治确诊为CD,且符合纳排标准的患者共132例,采用2×2析因设计方法,按随机数字表法分为对照组、拍打组、五音组、联合组,每组各33例.患者在院期间接受循经拍打、五音疗法培训指导.对照组患者于居家期间接受常规治护和健康教育;拍打组患者在对照组基础上进行循经拍打;五音组患者在对照组基础上聆听五行音乐;联合组患者在对照组基础上进行循经拍打,同时聆听五行音乐.以4周为1个疗程,分别于干预前1d、干预4周后采用匹兹堡睡眠质量指数量表(PSQI)、焦虑自评量表(SAS)、炎症性肠病生活质量量表(IBDQ)评估患者睡眠情况、焦虑情绪变化及生活质量.结果 干预后4组患者PSQI评分、SAS评分、IBDQ评分比较,差异均有统计学意义(P<0.05).循经拍打与五行音乐对睡眠的改善具有交互作用(P=0.033),且循经拍打的单独效应略强于五音疗法.结论 循经拍打联合五音疗法能有效改善CD失眠患者的睡眠状况,缓解焦虑水平,提高生活质量.
ObjectiveTo investigate the effect of clapping along the meridians combined with the five-element music therapy on the sleep status of Crohn's disease(CD)patients with insomnia due to deficiency of both heart and spleen.Methods A total of 132 patients who were diagnosed with CD and met the inclusion criteria were selected from the gastroenterology ward of a third-class Chinese medicine hospital in Zhejiang Province.According to the random number table,they were divided into the control group,the clapping group,the five elements music group,and the combined group,with 33 cases in each group.During the patient's stay in the hospital,they received the guidance of clapping along the meridians and five elements music therapy.Patients in the control group received routine care and health education during their stay at home.The patients in the clapping group clapped along the meridians on the basis ofthe control group.The patients in the five elements music group listened to five elements music on the basis of the control group.The patients in the combined group clapped along the meridians while listening to the five elements music on the basis of the control group.4-weeks was taken as a course of treatment.The Pittsburgh Sleep Quality Index,the Self-Rating Anxiety Scale and the Inflammatory Bowel Disease Questionnaire were used to assess sleep,anxiety and quality of life in patients.Results There was no statistical significance in the baselinc data of the 4 groups of patients(all P>0.05),and the PSQI scores,SAS scores and IBDQ scores of the 4 groups of patients after the intervention were all significantly different(P<0.001,P=0.049,P<0.001,respectively).Clapping along the meridians and five elements music had an interactive effect on the improvement of sleep(P=0.033),and the single effect of the beat along the meridian was slightly stronger than that of the five-tone therapy.ConclusionClapping along the meridians combined with five elements music therapy can effectively improve the sleep status of CD insomnia patients,and relieve anxiety and improve the quality of life.
出处
《浙江临床医学》
2023年第2期251-253,256,共4页
Zhejiang Clinical Medical Journal
基金
浙江省中医药科技计划项目(2022ZB092)。
关键词
补土理论
循经拍打
五行音乐
克罗恩病
失眠
中医护理
Spleen and stomach theory
Clapping along the meridians
Five elements music
Crohn'disease
Insomnia
Chinese medicinenursing
作者简介
通信作者:裘秀月。
