摘要
目的探讨基于时效性激励的护理干预结合子午流注择时五行音乐疗法对脑卒中后失眠患者睡眠质量及疾病自我感受负担的影响。方法选取2021年8月至2022年12月收治的92例脑卒中后失眠患者为研究对象,将其随机分为对照组(46例)和观察组(46例)。对照组采用常规护理干预,观察组在对照组基础上增加基于时效性激励的护理干预结合子午流注择时五行音乐疗法。比较两组的干预效果。结果干预后,观察组的匹兹堡睡眠质量指数(PSQI)各维度评分低于对照组(P<0.05)。干预后,观察组的抑郁自评量表(SDS)、焦虑自评量表(SAS)评分低于对照组(P<0.05)。干预后,观察组的自我感受负担量表(SPBS)各维度评分低于对照组(P<0.05)。结论基于时效性激励的护理干预结合子午流注择时五行音乐疗法不仅能够提高脑卒中后失眠患者的睡眠质量,改善心理状态,还能降低疾病自我感受负担,值得推广。
Objective To explore the effects of nursing intervention based on timeliness incentive combined with midnight-noon ebb-flow timing five-element music therapy on sleep quality and disease self-perceived burden in patients with insomnia after stroke.Methods A total of 92 patients with insomnia after stroke admitted from August 2021 to December 2022 were selected as the research objects and randomly divided into control group(46 cases)and observation group(46 cases).The control group was given routine nursing intervention,and the observation group was given nursing intervention based on timeliness incentive combined with midnight-noon ebb-flow timing five-element music therapy on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of each dimension of Pittsburgh Sleep Quality Index(PSQI)in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of Self-Rating Depression Scale(SDS)and Self-Rating Anxiety Scale(SAS)in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of each dimension of the Self-Perceived Burden Scale(SPBS)in the observation group were lower than those in the control group(P<0.05).Conclusion Nursing intervention based on timeliness incentive combined with midnight-noon ebb-flow timing five-element music therapy can not only improve the sleep quality and psychological state of patients with insomnia after stroke,but also reduce the disease self-perceived burden,which is worthy of promotion.
作者
屈燕
白潇
QU Yan;BAI Xiao(No.1 Ward of Encephalopathy Department,Xi'an Hospital of Traditional Chinese Medicine,Xi'an 710000;Neurology Department,Affiliated Hospital of Yan'an University,Yan'an 716000,China)
出处
《临床医学研究与实践》
2025年第4期159-162,共4页
Clinical Research and Practice
关键词
时效性激励
子午流注
五行音乐疗法
脑卒中后失眠
睡眠质量
疾病自我感受负担
timeliness incentive
midnight-noon ebb-flow
five-element music therapy
insomnia after stroke
sleep quality
disease self-perceived burden
