个体化情志护理联合五音疗法对卒中后失眠患者睡眠及生活质量的影响

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[Abstract]Objective： To observe the effects ofindividualized emotional nursing combined with the five-tone therapy on sleepand qualityof life in patients with post-stroke insomnia （PSI）.Method：A total of 8OPSI patients who visited the Central Hospital of Shaoyang from October 2O23 to October 2O24 were includedand divided into the intervention groupandthe control group according to the random number table method， with 40 cases in each group.The control group was given basic nursing and rehabilitation nursing， while the intervention group rceived individualized emotionalnursing combined with five-tone therapyonthe basisof thecontrol group.Both groups were continuously intervenedfor3Odays.The sleepqualityof the two groups was evaluated bythe Pitsburgh sleepquality index （PSQI） and the insomnia severity index （ISI），and thequalityoflifeof the two groups was evaluated by the stroke-specificqualityoflife scale （SS-QOL）.The sleep effcacy was evaluatedaccording to thePSQI.Result：The total effective rate of the intervention group was 77.50% ，which was higher than 47.50% of the control group （ P <0.05）. After the intervention，the scores of each item andthe totalscore of PSQI inboth groups were lowerthanthose before the intervention （ P <0.05）.After the intervention，the scores of sleep quality，sleep onset time，sleep duration and the total score in the intervention group were lower than those in the control group （ P <0.05）. There were no statistically significant diferences inthescoresof sleepeficiency，sleepdisordersand daytime dysfunction betweenthe two groups （ P- 0.05）.After the intervention，the ISI scores ofboth groups were lower than those before the intervention， and the SS-QOL scores were higher than those before the intervention，scores of the intervention group were beter than those of the control group （ P <0.05）. Conclusion： Individualized emotional nursing combined with five-tone therapycansignificantly improve the insomnia symptomsandqualityof lifeof PSIpatients，with good curative effect， reflecting the holistic concept and comprehensive intervention advantages of TCM syndrome differentiation and nursing.

First-author's address： Department of Nursing， the Central Hospital of Shaoyang，Shaoyang 422000， China

doi：10.3969/j.issn.1674-4985.2026.07.018

卒中后失眠（post-stroke insomnia，PSI）为卒中患者常见的并发症之一，严重影响患者神经功能恢复与生活质量，临床主要表现为睡眠时长、质量及节律的紊乱[]。（剩余8061字）