| OBJECTIVE: A randomized controlled trial was conducted to observe the clinical efficacy of "An Shen" Dao-yin in treating chronic insomnia in the elderly,to evaluate its effectiveness in treating insomnia and its effects on anxiety and depression and quality of life,and to explore new methods and ideas for treating chronic insomnia in the elderly.Methods: In this study,76 elderly patients with chronic insomnia were randomly divided into two groups,one for the experimental group and one for the control group,with 38 cases in each group.The control group was treated with sleep hygiene education,and the experimental group was treated with "An Shen" Dao-yin on the basis of sleep hygiene education.In the experimental group,the training time was 60 min per session,5 days per week,and 8 weeks of continuous training.The Pittsburgh sleep quality index(PSQI),Self-Rating Anxiety Scale(SAS),Self-rating depression scale(SDS),and SF-36 Quality of Life Scale(The SF-36)were used before and after treatment.The MOS Item Shout from Health Survey(SF-36)was used to assess the quality of life.RESULTS: There were no statistically significant differences in age,gender,education,and duration of illness between the two groups at baseline(P>0.05);there were no statistically significant differences in PSQI,SAS,SDS,and SF-36 scores between the two groups at baseline(P>0.05).At the end of treatment: 1.Clinical efficacy assessment: the total effective rate was 91.67% in the test group and 72.22% in the control group,with significant differences(P<0.05).2.Sleep quality assessment: there were significant differences in sleep quality,time to sleep,sleep duration,sleep efficiency,sleep disturbance,daytime dysfunction,and total PSQI score in the test group compared with the control group(P<0.05);The test group had significantly lower sleep quality,time to sleep,sleep duration,sleep efficiency,sleep disorder,daytime dysfunction,and total PSQI score compared with baseline(P<0.05);the control group had significant differences in sleep efficiency and total PSQI score compared with baseline(P<0.05).3.Depression and anxiety assessment: compared with the control group,the test group had significantly lower SAS and SDS scores,and the differences The difference was significant(P<0.05);compared with baseline,SAS and SDS scores were significantly lower in the test group,with a significant difference(P<0.05).4.Quality of life assessment: SF-36 scores were significantly different in the test group compared with the control group(P<0.05);SF-36 scores were significantly lower in the test group compared with baseline,with a significant difference(P<0.05).Conclusion: "An Shen" Dao-yin can effectively improve the sleep quality and sleep efficiency of elderly people with insomnia,shorten the time to sleep,increase the total sleep time,reduce sleep disorders and daytime functional impairment,effectively improve the anxiety and depression of elderly patients,and improve their quality of life without adverse effects,which is worth promoting. |
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