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1.中国中医科学院广安门医院风湿病科,北京 100053
2.中国中医科学院广安门医院护理部,北京 100053
3.中国中医科学院广安门医院外科,北京 100053
4.中国中医科学院望京医院心血管科,北京 100102
5.中国中医科学院广安门医院综合科,北京 100053
6.中国中医科学院广安门医院心血管科,北京 100053
7.中国中医科学院西苑医院心血管科,北京 100091
8.中国中医科学院广安门医院内分泌科,北京 100053
9.中国中医科学院广安门医院重症医学科,北京 100053
10.中国中医科学院广安门医院护理门诊,北京 100053
刘新影,女,46岁,本科,主管护师。研究方向:中医护理。
孟昕,E-mail:13501320032@163.com
收稿日期:2024-05-14,
纸质出版日期:2025-08-25
移动端阅览
刘新影,孟昕,汪莲,等.五行音乐、语言诱导联合站桩对高血压肝阳上亢证伴失眠患者睡眠和心理的影响[J].北京中医药,2025,44(8):1002-1006.
LIU Xinying,MENG Xin,WANG Lian,et al.Effects of wuxing music, language induction combined with stake standing on sleep and psychological status in liver-yang hyperactivity type hypertension patients complicated with insomnia[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(08):1002-1006.
刘新影,孟昕,汪莲,等.五行音乐、语言诱导联合站桩对高血压肝阳上亢证伴失眠患者睡眠和心理的影响[J].北京中医药,2025,44(8):1002-1006. DOI: 10.16025/j.1674-1307.2025.08.011.
LIU Xinying,MENG Xin,WANG Lian,et al.Effects of wuxing music, language induction combined with stake standing on sleep and psychological status in liver-yang hyperactivity type hypertension patients complicated with insomnia[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(08):1002-1006. DOI: 10.16025/j.1674-1307.2025.08.011.
目的
2
观察五行音乐、语言诱导联合站桩对高血压肝阳上亢证伴失眠患者睡眠和心理的影响。
方法
2
选取2022年4月—2024年3月中国中医科学院广安门医院、西苑医院、望京医院高血压肝阳上亢证伴有失眠症状的患者135例,按照随机数字表法分为对照组、干预1组、干预2组,共3组,各45例。对照组采取常规护理并聆听五行音乐,干预1组在对照组基础上加用语言诱导技术,干预2组在干预1组基础上增加自然站桩功训练。3组患者均干预6周,并于第10周随访。分别于干预前、干预6周、第10周随访时采用匹兹堡睡眠质量指数量表(PSQI)、医院焦虑抑郁量表HADS(包括HADS-A、HADS-D)评分评估睡眠及情绪状态,及不同时间上述观察指标的差值△6周(干预6周值-干预前值)和△10周(第10周随访值-干预前值)。
结果
2
干预6周、第10周随访,3组PSQI评分均较干预前降低(
P
<
0.05);第10周随访时,干预2组PSQI低于对照组,差异有统计学意义(
P
<
0.05);干预1、2组PSQI评分的△6周、△10周与对照组比较,差异均有统计学意义(
P
<
0.05)。干预6周,干预1组HADS、HADS-A评分均较干预前降低(
P
<
0.05);第10周随访,3组HADS评分均较干预前降低(
P
<
0.05),且干预2组HADS评分均低于对照组(
P
<
0.05);与对照组比较,干预1组HADS评分的△10周,干预2组HADS、HADS-D评分的△10周均降低,差异均有统计学意义(
P
<
0.05)。
结论
2
五行音乐、语言诱导联合站桩可以改善高血压肝阳上亢证伴失眠患者睡眠和心理状态,五行音乐与语言诱导、站桩结合的疗效优于单用五行音乐。
Objective
2
To observe the effects of
wuxing
music, language induction, and stake standing on sleep and psychological state in liver-
yang
hyperactivity type hypertension patients complicated with insomnia.
Methods
2
A total of 135 liver-
yang
hyperactivity type hypertension patients with insomnia symptoms were selected from Guang'anmen Hospital, Xiyuan Hospital, and Wangjing Hospital of the China Academy of Chinese Medical Sciences between April 2022 and March 2024. The patients were randomly divided into three groups
using a random number table, with 45 cases in each group. The control group received routine care and listened to
wuxing
music. Intervention group 1 received additional language induction techniques on the basis of the control group and intervention group 2 added natural stake standing training on the basis of intervention group 1. All three groups were intervened for 6 weeks and followed up at the 10th week. The Pittsburgh Sleep Quality Index (PSQI) and the Hospital Anxiety and Depression Scale (HADS, including HADS-A and HADS-D) were used to assess sleep and emotional status before intervention, at 6 weeks of intervention, and at the 10-week follow-up. The differences in the observation indicators at different time points were calculated as Δ6-week (value at 6 weeks minus baseline value) and Δ10-week (value at 10-week follow-up minus baseline value).
Results
2
At 6 weeks of intervention and at the 10-week follow-up, PSQI scores for all three groups decreased compared to baseline (
P
<
0.05). At the 10-week follow-up, the PSQI scores of intervention group 2 were lower than those of the control group (
P
<
0.05). The Δ6-week and Δ10-week PSQI scores for intervention groups 1 and 2 showed statistically significant differences compared to the control group (
P
<
0.05). At 6 weeks of intervention, HADS and HADS-A scores for intervention group 1 decreased compared to baseline (
P
<
0.05). At the 10-week follow-up, HADS scores for all three groups decreased compared to baseline (
P
<
0.05), and the HADS scores for intervention group 2 were lower than those of the control group (
P
<
0.05). The Δ10-week HADS score for intervention group 1 compared to the control group, and the Δ10-week HADS and HADS-D scores for intervention group 2 compared to the control group, showed statistically significant differences (
P
<
0.05).
Conclusion
2
Wuxing
music, language induction combined with stake standing can improve sleep and psychological state in liver-
yang
hyperactivity type hypertension patients with insomnia. The therapeutic effect of combining
wuxing
music with language induction and stake standing is superior to the use of
wuxing
music alone.
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