Study On The Correlation Between Sleep Quality And Traditional Chinese Medicine Constitution In Patients With Primary Insomnia

Objective:To explore the correlation between sleep quality of primary insomnia patients and TCM constitution,as well as the difference between single constitution and combined constitution insomnia patients' sleep quality,and preliminarily explore the insomnia patient model based on TCM constitution management,so as to provide basis for clinical prevention and treatment of insomnia.Methods:In this study,the cross-sectional research method was adopted.Insomnia patients who met the criteria were included in this study.Personal information questionnaires were filled out to collect personal information of insomnia patients.The general situation,sleep quality and Chinese medicine constitution of insomnia patients were assessed by using Pittsburgh Sleep Index Scale(PSQI)and Wang Qi Nine Physical Assessment Scales.Taking the average score as the final score,the database was established by using Epidata 3.1 software.,SPSS23.0 was used for statistical analysis.The statistical methods used include descriptive statistics,frequency distribution statistics and non-parametric tests.The correlation significance test is based on P<0.05.Regressive study was conducted on the constitutional differences among patients.Logistic regression analysis was used to analyze the related factors of insomnia.Result:1.Among the 400 patients with primary insomnia,the youngest was 20 years old and the oldest was 75 years old,with an average age of(45.69±16.43)years.Among them,183 were young,accounting for 45.8%,114 were middle-aged,accounting for 28.5%,103 were old,accounting for 25.8%;258 were women,accounting for 64.5%of the total,142 were men,accounting for 35.5%of the total;217 were employed,accounting for 54.3%,145 were retired,accounting for 36.3%,and laid-off 11 people,2.8%,27 people with status change,6.8%;304 people living in urban areas,76.0%,49 people living in villages and towns,12.3%,47 people living in suburbs,11.8%;28 people with primary education,7.0%,71 people in junior middle schools,17.8%,78 people in senior middle schools,19.5%,55 people in junior colleges,13.8%,168 people in undergraduate colleges,42%;The largest proportion of the general population was 233(55.8%),123(30.8%)with wider social contacts,27(6.8%)with wider social contacts and 27(6.8%)with fewer socia l contacts,196(49.0%)with general interests,124(31.0%)with wider interests,52(13.0%)with fewer interests,27(6.8%)with wider interests.Only one person(0.2%)was interested;254(63.5%)did not have the habit of drinking drinks;108(27%)drank tea;16(4.0%)drank cola.2.The main self-conscious symptoms of all age groups were difficulty in falling asleep,followed by early awakening.The mean PSQI score of urban group was the highest,with an average of(11.35±2.88),followed by suburban group,with an average of(10.57±3.00),and that of township group was the lowest,with an average of(9.71±2.83).3.There were 185 cases of single constitution(46.25%)and 215 cases of concurrent constitution(53.75%).Among them,105 cases were Qi deficiency,accounting for 26.25%,80 cases were Qi depression,accounting for 20%;105 cases were Qi deficiency and Yang deficiency,accounting for 26.25%,110 cases were phlegm dampness and heat,accounting for 27.5%;In the youth group,there were 44 people with deficiency of qi,accounting for 24.0%,37 people with depression,accounting for 20.2%;in the middle-aged group,there were 33 people with deficiency of qi,accounting for 28.9%,27 people with depression accounting for 23.7%;in the old group,there were 28 people with deficiency of qi,accounting for 27.2%,16 people with depression,accounting for 15.5%;in the young group,44 people with deficiency of Qi and yang,accounting for 24.0%,58 people with dampness and heat,accounting for 31.7%;in the middle-aged group,there were 24 people with deficiency of both qi and yang,accounting for 21.1%?phlegm dampness and damp heat 30,accounting for 26.3%;in the elderly group,Qi deficiency and yang deficiency 37?accounting for 35.9%,phlegm dampness and damp heat 22,accounting for 21.4%.4.The mean values of constitution and PSQI were(11.98±2.95)and qi depression were(11.56±2.64)in single constitution,the mean value of Qi deficiency and Yang deficiency in concurrently clamping constitution was(11.94±2.94),and(11.53±2.66)in phlegm-dampness and dampness.The P values of insomnia patients with single constitution and double constitution were all greater than 0.05 in each factor of PSQI.5.Physical fitness,sleep quality and quality of life,physiological field(48.15±9.92),psychological field(52.43±14.50),social relationship field(50.44±12.73),environmental field(53.92±13.50).Insomnia patients with single constitution and double constitution had no statistical significance in all areas of quality of life(P>0.05).Conclusion:1.The constitutional changes of insomniacs vary with age.The younger group mainly suffered from phlegm-dampness combined with damp-heat,the middle-aged group mainly suffered from Qi deficiency,and the older group mainly suffered from Qi deficiency combined with Yang deficiency.There was no significant difference in insomnia conscious symptoms,sleep quality and quality of life between insomnia patients with single constitution and insomnia patients with double constitution.2.There is a significant correlation between quality of life and sleep quality.The subj ective feelings of insomniacs in the fields of physiology,psychology,social relations and environment have decreased.The worse the quality of sleep,the worse the quality of life.Only with good quality of sleep,can they have a good quality of life.