中医五行音乐联合“三联”放松训练对双相情感障碍维持期患者失眠的影响

李萍; 冯虹; 陶科伟; 张惠玲

doi:10.16766/j.cnki.issn.1674-4152.003806

中医五行音乐联合“三联”放松训练对双相情感障碍维持期患者失眠的影响

doi: 10.16766/j.cnki.issn.1674-4152.003806

绍兴市第七人民医院中西医结合睡眠病区，浙江绍兴 312000

基金项目:

浙江省医药卫生科技计划项目 2022RC279

详细信息

通讯作者:
冯虹，E-mail：85378827@qq.com

中图分类号: R749.4 R493
计量
- 文章访问数: 17
- HTML全文浏览量: 6
- PDF下载量: 2
- 被引次数: 0
出版历程
- 收稿日期: 2024-04-25
- 网络出版日期: 2025-01-20

The influence of traditional Chinese medicine five element music combined with "triple" relaxation training on insomnia in patients with bipolar affective disorder during maintenance period

Sleep Ward of Integrated Traditional Chinese and Western Medicine, Shaoxing Seventh People's Hospital, Shaoxing, Zhejiang 312000, China

摘要

摘要: 目的失眠是双相情感障碍维持期患者的常见现象，需予以重视。本研究观察中医五行音乐联合“三联”放松训练对此类患者失眠的影响，为临床提供简便有效、经济可行的护理方法。方法选取2022年3月—2023年3月于绍兴市第七人民医院治疗的101例双相情感障碍维持期伴失眠患者，采用随机数字表法将患者分为2组，对照组(50例)给予常规护理干预，观察组(51例)在对照组的基础上给予中医五行音乐联合“三联”放松训练干预，共干预6周，比较2组睡眠及抑郁和躁狂情况。结果最终2组各49例完成研究。干预后观察组匹兹堡睡眠质量指数量表评分为(6.43±1.18)分，低于对照组的(9.78±2.11)分(P＜0.05)，多导睡眠图相关参数睡眠总时间、非快速眼动期睡眠时间及睡眠效率均高于对照组(P＜0.05)，睡眠潜伏期短于对照组(P＜0.05)。观察组抑郁量表评分为(48.66±5.66)分，低于对照组的(51.30±4.19)分(P＜0.05)。观察组躁狂量表评分为(10.45±2.39)分，低于对照组的(14.34±3.08)分(P＜0.05)。结论中医五行音乐联合“三联”放松训练能够改善双相情感障碍维持期患者失眠情况，缓解抑郁和躁狂症状，是一种行之有效的护理方法。
- 双相情感障碍 /
- 失眠 /
- 五行音乐 /
- 放松训练 /
- 多导睡眠图 /
- 抑郁
Abstract: Objective Insomnia is a common issue in the maintenance period of bipolar disorder and requires attention. This study aimed to evaluate the influence of traditional Chinese medicine (TCM) five elements music combined with "triple" relaxation training on insomnia in these patients and to provide a simple, effective, economical, and feasible nursing method for clinical practice. Methods A total of 101 patients with insomnia during the maintenance period of bipolar disorder, treated at Shaoxing Seventh People's Hospital from March 2022 to March 2023, were divided into 2 groups by random number table method. The control group (50 cases) was given routine nursing intervention, while the experimental group (51 cases) was given traditional Chinese medicine five elements music combined with "triple" relaxation training intervention in addition to routine care. After 6 weeks of intervention, sleep quality, depression, and mania levels were compared between the two groups. Results Finally, a total of 49 cases in each group completed the study. After intervention, the Pittsburgh sleep quality index score of the experimental group was (6.43±1.18), which was lower than that of the control group (9.78±2.11, P < 0.05). Polysomnography results showed that the experimental group had longer total sleep time, non-rapid eye movement duration, and higher sleep efficiency, as well as shorter sleep latency, compared to the control group (P < 0.05). The experimental group also showed lower self-rating depression scale score (SDS: 48.66±5.66 vs. 51.30±4.19, P < 0.05) and Bech Rafaelson's mania rating scale score (10.45±2.39 vs. 14.34±3.08, P < 0.05). Conclusion TCM five element music combined with "triple" relaxation training effectively improve insomnia and relieve depression and mania in patients with bipolar disorder in maintenance period, making it an effective nursing method.
- Bipolar disorder /
- Insomnia /
- Five elements music /
- Relaxation training /
- Polysomnography /
- Depressed

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表 1 2组双相情感障碍维持期伴失眠患者一般资料比较

Table 1. Comparison of general data between the two groups of patients with insomnia during the maintenance period of bipolar disorder

组别	例数	性别 (男/女, 例)	年龄 (x±s, 岁)	受教育年限 (x±s, 年)	未婚/已婚/ 其他(例)	病程 (x±s, 年)
对照组	49	29/20	33.23±5.10	12.45±3.10	15/30/4	2.10±0.45
观察组	49	25/24	32.78±6.09	12.69±3.55	13/26/10	2.28±0.57
统计量		0.660^a	0.397^b	0.356^b	3.000^a	1.735^b
P值		0.417	0.693	0.722	0.223	0.086
注：^a为χ²值，^b为t值。

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表 2 2组双相情感障碍维持期伴失眠患者PSQI评分比较(x±s, 分)

Table 2. Comparison of PSQI scores between the two groups of patients with bipolar disorder during maintenance period and insomnia (x±s, points)

组别	例数	睡眠质量			睡眠时间			睡眠效率			入睡时间
组别	例数	干预前	干预后		干预前	干预后		干预前	干预后		干预前	干预后
对照组	49	2.31±0.47	1.56±0.24^b		2.44±0.46	1.74±0.29^b		2.63±0.33	1.73±0.42^b		2.37±0.38	1.76±0.36^b
观察组	49	2.20±0.59	1.11±0.28^b		2.28±0.41	1.08±0.25^b		2.51±0.40	1.26±0.37^b		2.40±0.51	0.90±0.14^b
统计量		1.021^a	18.542^c		1.818^a	12.066^c		1.620^a	15.878^c		0.330^a	15.585^c
P值		0.310	＜0.001		0.072	＜0.001		0.109	＜0.001		0.742	＜0.001

组别		例数		睡眠障碍			日间功能障碍			总分
组别		例数		干预前	干预后		干预前	干预后		干预前	干预后
对照组		49		2.09±0.50	1.67±0.43^b		1.88±0.51	1.32±0.39^b		13.72±2.45	9.78±2.11^b
观察组		49		2.11±0.45	1.07±0.21^b		1.73±0.36	1.01±0.25^b		13.23±1.38	6.43±1.18^b
统计量				0.208^a	18.774^c		1.682^a	14.684^c		1.220^a	19.700^c
P值				0.836	＜0.001		0.096	＜0.001		0.226	＜0.001
注：^a为t值，^c为F值；与同组干预前比较，^bP＜0.05。

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表 3 2组双相情感障碍维持期伴失眠患者多导睡眠图相关参数比较(x±s)

Table 3. Comparison of related parameters of polysomnography between the two groups of patients with insomnia during the maintenance period of bipolar disorder (x±s)

组别	例数	睡眠总时间(min)		REM睡眠时间(min)		睡眠潜伏期(min)		睡眠效率(%)
组别	例数	干预前	干预后	干预前	干预后	干预前	干预后	干预前	干预后
对照组	49	288.12±10.43	310.34±21.94^b	60.23±5.11	68.25±9.13^b	35.67±4.34	28.99±5.12^b	75.67±5.11	80.12±5.73^b
观察组	49	290.44±15.34	358.23±15.26^b	61.09±6.73	75.33±8.94^b	36.09±5.12	21.35±4.19^b	75.22±6.09	85.45±6.07^b
统计量		0.875^a	15.544^c	0.712^a	19.879^c	0.438^a	18.084^c	0.396^a	17.470^c
P值		0.384	＜0.001	0.478	＜0.001	0.662	＜0.001	0.693	＜0.001
注：^a为t值，^c为F值；与同组干预前比较，^bP＜0.05。

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表 4 2组双相情感障碍维持期伴失眠患者SDS和BMRS评分比较(x±s, 分)

Table 4. Comparison of SDS and BMRS scores between the two groups of patients with insomnia during the maintenance period of bipolar disorder (x±s, points)

组别	例数	SDS 评分		BMRS 评分
组别	例数	干预前	干预后	干预前	干预后
对照组	49	54.23±4.56	51.30±4.19^b	20.67±5.09	14.34±3.08^b
观察组	49	54.11±5.01	48.66±5.66^b	20.29±4.71	10.45±2.39^b
统计量		0.124^a	18.231^c	0.384^a	16.915^c
P值		0.902	0.010	0.702	＜0.001
注：^a为t值，^c为F值；与同组干预前比较，^bP＜0.05。

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