Clinical Study on Five-Phase Music Therapy Combined with Intervention of Individual⁃ ized Traditional Chinese Medicine Constitution for Sleep Disorder Caused by Ischemic Stroke
Abstract: Objective: To observe the clinical effect of five- phase music therapy combined with intervention of individualized traditional Chinese medicine (TCM) constitution on sleep disorder caused by ischemic stroke. Methods: A total of 64 patients with sleep disorder caused by ischemic stroke were divided into the control group and the observation group according to the random number table method, with 32 cases in each group. The control group was given common music combined with basic therapy for treatment, and the observation group was treated with five- phase music therapy and intervention of individualized TCM constitution combined with basic therapy. The clinical effects and scores of self- rating anxiety scale (SAS),self- rating depression scale (SDS),Pittsburgh Sleep Quality Index (PSQI),National Institutes of Health Stoke Scale (NIHSS) and Stroke-Specific Quality of Life Scale (SS-QOL) were compared before and after treatment between the two groups. Results:The total effective rate was 87.50% in the observation group,higher than that of 50.00% in the control group (P<0.05). After treatment,the scores of SDS, SAS, NIHSS and PSQI (including daily function, sleep disorder, sleep efficiency, sleep duration,time for falling sleep,sleep quality and total scores) in both groups were lower than those before treatment (P<0.05),the SS-QOL scores were higher than those before treatment (P<0.05);the scores of SDS,SAS and PSQI (including daily function,sleep disorder,sleep efficiency,sleep duration,time for falling sleep,sleep quality and total scores) in the observation group were lower than those in the control group (P<0.05),the SS- QOL scores were higher than those in the control group (P<0.05). Conclusion: Five- phase music therapy combined with intervention of individualized TCM constitution has a definite curative effect on sleep disorder caused by ischemic stroke, which can effectively mitigate the negative emotions and improve the sleep quality and quality of life of patients.