| Objective:To observe the clinical effect of Chinese Emotional Therapy with A uricular Acupressure on post-stroke insomnia,verify its positive role and clinical val ue of Chinese Emotional Therapy composed of humanistic care,the introduction of positive emotional information,meditation and so on,to provide a clinical basis for further in-depth research and promotion.Methods:60 patients diagnosed with post-stroke insomnia were divided into tw o groups according to the principle of random parallel control.The observation grou p was treated with Chinese Emotional Therapy with Auricular Acupressure,once a day,about 20 minutes once,Ear acupressure were alternately selected from left and r ight ears,6consecutive days of treatment per week,1 day off.And the control group was treated with oral western medicine,Estazolam,1mg,30 minutes before bedtime with warm water,both groups were observed for 4 weeks and received conventional basic treatment for ischemic stroke.Finally,56 cases were included in the effective cases(28 cases in the observation group and 28 cases in the control group).The P SQI and ADL were used as indicators to observe and analysis,which evaluate the i mprovement of sleep quality,activities of daily living and the overall efficacy throu gh Statistical analysis.Result:1.Comparison of the total score of PSQI:(1)Compared with before treat ment,the total score of PSQI decreased after treatment in both groups(P<0.01),ind icating that both groups could effectively improve the sleep of patients;(2)Compared with the control group,the difference between the total score of PSQI of the obser vation group before and after treatment was statistically significant(P<0.05),indicat ing that Chinese Emotional Therapy with Ear Point Therapy was better than the co ntrol group in improving the overall sleep quality.2.PSQI score comparison of 7 sub-items:(1)Compared with before treatment,both groups could reduce score of 6 sub-items such as improving subjective sleep quality,time to fall asleep,daytime dysfunction,sleep time,sleep disturbance,sleep efficiency,difference was statistically significant(P<0.05);(2)Compared with before treatment,the sub-item score of hypnotic drugs in the observation group decreased after treatment,the difference was statistically significant(P<0.05),while the difference in the sub-item score of the control group before and after treatment was not statistically significant(P>0.05),indicating Chinese Emotional Therapy with Ear Point Therapy can reduce dependence on hypnotic drugs.(3)Compared with the control group,the observation group has moreadvantages in improving subjective sleep quality,daytime dysfunction,and hypnotic drugs(P<0.01).3.Comparison of ADL:(1)Compared with before treatment,the scores of the ADL of the two groups after treatment were significantly increased(P<0.01),indicating that both groups could effectively improve daily life activities;(2)Compared with the control group,the difference between ADL before and after treatment was statistically significant(P<0.05),indicating that Chinese Emotional Therapy with Ear Point Therapy had more advantages in improving patients’ activities of daily living.4.Comparison of overall efficacy:The total efficacy of the observation group and the control group was 85.71% and 82.14%,The difference was not statistically significant(P>0.05),indicating that the overall efficacy of both group was equal.5.The correlation between changes in the total score of PSQI and ADL:After statistical analysis,the PSQI total score and the ADL score change results were in accordance with the normal distribution(P>0.05),the Pearson correlation coefficient of the two r=-0.417,P=0.001(P<0.01),There was a negative and close linear corr elation between them;the two were negatively correlated,that was the interplay betw een the decrease of the total score of PSQI and the increase of ADL,indicating the improvement of sleep quality was conducive to the improvement of daily life activ ities,and the improvement of daily living activities was also conducive to the impr ovement of sleep quality.Conclusion:Emotional therapy combined with Ear Point Therapy had a good e ffect on patients with insomnia after ischemic stroke,can effectively improve the o verall sleep quality,subjective sleep quality,time to fall asleep,daytime dysfunctio n,sleep time,sleep disturbance and sleep efficiency,reduce dependence on hypnotic drugs;and it had advantages over Western medicine in improving subjective sleep q uality,daytime dysfunction and reducing dependence on hypnotic drug;Emotional th erapy combined with Ear Point Therapy also significantly improved patients’ daily life activities,and sleep status can improve Promote the improvement of daily life activities,and the improvement of daily life activities was more conducive to the i mprovement of sleep conditions,the improvement of sleep quality was conducive to the improvement of daily life activities,and the improvement of daily living activiti es was also conducive to the improvement of sleep quality. |
