The curative effect of traditional Chinese medicine aromatherapy combined with emotional release technology in insomnia patients
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摘要:
目的 探讨中医芳香疗法联合情绪释放技术(EFT)对失眠症患者中医症状、睡眠质量及负性情绪的影响。 方法 选取2022年1—12月在杭州市中医院就诊的120例失眠症患者, 采用随机数字表法将患者分为A组(实施常规健康指导与心理支持)、B组(常规治疗基础上联合芳香药枕疗法)、C组(常规治疗基础上联合EFT疗法)、D组(常规治疗基础上联合芳香药枕疗法和EFT疗法),每组各30例。干预周期为14 d。分别于患者入组24 h和治疗2周后采用中医证候评价量表、匹兹堡睡眠质量指数(PSQI)量表、医院焦虑抑郁量表(HADS)评估患者的中医症状、睡眠质量及负性情绪。 结果 干预后,B组、C组、D组的中医证候评分、PSQI量表评分、焦虑、抑郁评分较干预前均明显改善(P<0.05),且D组中医证候评分[(9.92±3.04)分]、PSQI量表评分[(10.27±2.59)分]、焦虑[(8.26±1.59)分]、抑郁评分[(8.14±1.71)分]均低于B组[(19.15±3.72)分、(12.50±2.61)分、(11.55±2.05)分、(11.62±2.11)分]和C组[(18.96±3.50)分、(12.14±2.78)分、(11.90±2.18)分、(11.39±2.07)分], 差异均有统计学意义(P<0.05)。 结论 中医芳香疗法联合EFT疗法可有效改善失眠症患者睡眠质量,缓解抑郁、焦虑情绪,改善中医症状。 Abstract:Objective To explore the effects of traditional Chinese medicine aromatherapy combined with emotional freedom techniques (EFT) on traditional Chinese medicine symptoms, sleep quality, and negative emotions in patients with insomnia. Methods A total of 120 insomnia patients were selected in Hangzhou Hospital of Traditional Chinese Medicine from January to December 2022, and divided patients into group A (implementing routine intervention and psychological support), group B (combining aromatherapy pillow therapy on a routine basis), group C (adding emotional release therapy on a routine basis), and group D (combining Ningxin Anshen aromatherapy pillow therapy and emotional release therapy) using a random number table method, with 30 patients in each group. The treatment cycle was 14 days. The traditional Chinese medicine syndrome evaluation scale, Pittsburgh sleep quality index (PSQI), and hospital anxiety and depression scale (HADS) were used to evaluate the traditional Chinese medicine symptoms, sleep, and negative emotions of patients 24 hours after enrollment and 2 weeks after treatment. Results After intervention, the traditional Chinese medicine syndrome scores, PSQI scale scores, anxiety, and depression scores of group B, C, and D were significantly improved (P < 0.05). The traditional Chinese medicine syndrome scores (9.92±3.04), PSQI scale scores (10.27±2.59), anxiety (8.26±1.59), and depression scores (8.14±1.71) of Group D were all lower than those of group B (19.15±3.72, 12.50±2.61, 11.55±2.05, 11.62±2.11), and group C (18.96±3.50, 12.14±2.78, 11.90±2.18, 11.39±2.07), the differences were statistically significant (P < 0.05). Conclusion The combination of Ningxin Anshen Aromatic Pillow and EFT therapy can effectively improve the sleep quality of insomnia patients with liver depression and heat dissipation, alleviate their depression and anxiety, and improve their traditional Chinese medicine symptoms. -
表 1 4组失眠症患者一般资料比较
Table 1. Comparison of general information among four groups of patients with insomnia
组别 例数 性别(男/女, 例) 年龄(x±s, 岁) 文化程度(高中及以下/大专以上, 例) 病程(x±s, 月) A组 30 12/18 54.38±9.07 19/11 22.57±3.93 B组 30 13/17 55.20±9.14 20/10 21.90±3.76 C组 30 12/18 55.91±8.99 18/12 23.11±4.20 D组 30 14/16 57.13±8.60 16/14 22.43±3.81 统计量 0.375a 0.488b 1.224a 0.457b P值 0.984 0.691 0.874 0.713 注:a为χ2值,b为F值。 表 2 各组失眠症患者干预前后PSQI评分比较(x±s, 分)
Table 2. Comparison of PSQI scores before and after intervention in each group(x±s, points)
组别 例数 干预前 干预后 t值 P值 A组 30 14.95±3.11 14.63±3.07abc 0.401 0.689 B组 29 15.02±3.40 12.50±2.61c 3.166 0.002 C组 28 14.50±2.96 12.14±2.78c 3.075 0.003 D组 28 15.31±3.28 10.27±2.59 6.381 <0.001 F值 0.308 12.061 P值 0.819 <0.001 注:与B组比较,aP<0.05;与C组比较,bP<0.05;与D组比较,cP<0.05。 表 3 各组失眠症患者干预前后焦虑、抑郁评分比较(x±s, 分)
Table 3. Comparison of anxiety and depression scores before and after intervention in each group(x±s, points)
组别 例数 焦虑评分 t值 P值 抑郁评分 t值 P值 干预前 干预后 干预前 干预后 A组 30 14.01±2.57 13.42±2.43abc 0.913 0.361 13.92±2.49 13.71±2.30abc 0.339 0.734 B组 29 13.81±2.38 11.55±2.05c 3.875 <0.001 14.37±2.31 11.62±2.11c 4.733 <0.001 C组 28 13.95±2.31 11.90±2.18c 3.415 0.001 13.80±2.42 11.39±2.07c 4.005 0.001 D组 28 14.30±2.60 8.26±1.59 10.487 <0.001 14.15±2.18 8.14±1.71 11.478 <0.001 F值 0.197 30.890 0.331 35.760 P值 0.895 <0.001 0.802 <0.001 注:与B组比较,aP<0.05;与C组比较,bP<0.05;与D组比较,cP<0.05。 表 4 各组失眠症患者干预前后中医证候积分比较(x±s, 分)
Table 4. Comparison of TCM syndrome points before and after intervention for insomnia patients in each group(x±s, points)
组别 例数 干预前 干预后 t值 P值 A组 30 24.33±5.20 22.90±4.66abc 1.121 0.267 B组 29 23.80±4.95 19.15±3.72c 3.985 <0.001 C组 28 23.15±4.71 18.96±3.50c 3.754 0.001 D组 28 24.09±5.07 9.92±3.04 12.683 <0.001 F值 0.298 60.435 P值 0.826 <0.001 注:与B组比较,aP<0.05;与C组比较,bP<0.05;与D组比较,cP<0.05。 -
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