摘要
目的:探讨五音配五色音乐疗法改善老年肝肾阴虚型失眠患者睡眠质量及日间疲劳的效果。方法:将2020年7月至2021年1月四川省资阳市南津镇养老机构、社会福利院的84例老年肝肾阴虚型失眠患者按随机数表法分为试验组和对照组,各42例,实施分配隐藏。试验组采用五音配五色音乐疗法;对照组采用五行音乐疗法。于干预前和干预后第2、4周末分别采用匹兹堡睡眠质量指数(PSQI)、Flinders疲劳量表(FFS)评估两组患者睡眠质量及日间疲劳程度。结果:最终共81例患者完成研究,试验组40例(脱落1例,剔除1例),对照组41例(脱落1例)。两组一般资料、干预前PSQI和FFS得分差异均无统计学意义。试验组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,P<0.01);重复测量方差分析结果显示:两组PSQI总分及FFS得分的时间、组间及两者交互效应差异均有统计学意义(P<0.05),但两组干预后在PSQI睡眠时间、睡眠障碍、催眠药物维度得分组间差异无统计学意义。进一步组内两两比较,试验组干预后PSQI(催眠药物4周较2周得分除外)及FFS得分后一时间点得分均低于前一时间点(P<0.01,P<0.05)。试验组临床疗效优于对照组(P<0.05)。结论:五音配五色音乐疗法可改善老年肝肾阴虚型失眠患者的睡眠质量及日间疲劳症状,其疗效优于常规五行音乐疗法,且随时间的推移效果愈佳。
Objective:To explore the clinical effect of five-tone corresponding to five-color traditional Chinese music therapy on sleep quality and daytime fatigue symptoms of elderly insomina patients with liver-kidney yin deficiency syndrome.Methods:A total of 84 elderly insomina patients with liver-kidney yin deficiency syndrome from Nanjin Pension Institution and social welfare homes in Ziyang City,Sichuan Province from July 2020 to January 2021 were randomly divided into experimental group and control group,with 42 cases in each group,and the allocation was concealed.The experimental group adopted the intervention method of five tones corresponding to five colors.The control group was treated with five elements music therapy.Pittsburgh sleep quality index(PSQI)and Flinders fatigue scale(FFS)were used to evaluate the sleep quality and daytime fatigue symptoms of the two groups before intervention,at the second and fourth weekend after intervention.Results:A total of 81 patients completed the study.There were 40 cases in the experimental group,as 1 case dropped off and 1 case was removed;41 cases in the control group as 1 case dropped off.There was no significant difference in general information,PSQI and FFS scores between the experimental group and the control group before intervention.The total PSQI score and FFS score of the experimental group were lower than those of the control group at each time point after intervention(P<0.05,P<0.01).The PSQI total score and FFS score of the two groups were statistically significant in time,between groups and their interaction effects(P<0.05),but there was no significant difference in PSQI sleep time,sleep disorders,and hypnotic drug scores between the two groups after intervention.Further pairwise comparison within the group showed that PSQI(excluding hypnotic drug dimension score)and FFS scores of the experimental group at each time point after intervention were lower than those of the previous time point(P<0.05,P<0.01).The clinical efficacy in experimental group was significantly different from that in control group(P<0.05).Conclusion:Five-tones corresponding to five-color traditional Chinese music therapy can improve the sleep quality and daytime fatigue symptoms of elderly insomina patients with liver-kidney yin deficiency syndrome,and its curative effect is better than conventional five-tone therapy,and the curative effect is better with the passageof time.
作者
柏丁兮
高静
江小林
吴晨曦
BAI Ding-xi;GAO Jing;JIANG Xiao-lin;WU Chen-xi(Chengdu University of Traditional Chinese Medicine,Chengdu 611137,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2023年第4期1853-1860,共8页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
国家自然科学基金面上项目(No.81774455)
四川省基层公共文化服务研究中心重点项目(No.JY2020A01)。
关键词
五行音乐
五音配五色
老年
失眠症
睡眠质量
日间疲劳
匹兹堡睡眠质量指数
Flinders疲劳量表
Five elements music
Five-tone corresponding to five-color
Elderly
Insomnia
Sleep quality
Daytime fatigue
Pittsburgh sleep quality index(PSQI)
Flinders fatigue scale(FFS)
