| Objective:This study is aimed at the insomnia patients with liver depression and fire type.By using auricular point pressing combined with five elements music in designated time,the improvement of insomnia and the improvement of accompanying symptoms were observed,and the effect of auricular point pressing combined with five element music in designated time was discussed,so as to provide the convenient and green intervention methods for insomnia patients and provide basis for clinical,community and family intervention.Methods:86 cases of insomnia with liver depression and fire type were randomly distribute to experimental group and control group,43 cases in each group.The experimental group was treated with auricular point sticking combined with five elements music in designated time,while the control group was treated with simple auricular point sticking combined with five elements music.The patients were assessed with Pittsburgh sleep index scale(PSQI)before intervention,after intervention and one month after intervention respectively.The symptom scores of liver depression and fire melting type were assessed before and after intervention respectively,in order to estimate the effect of auricular point sticking combined with five elements music in designated time on insomnia with the type of depression and fire.Results:1.After statistical analysis of the general data of the two groups,there was no significant difference in gender,age,education and occupation between the two groups(P > 0.05).2.Analysis of variance was used to compare in the both groups at the same time point,The total score and each factor of PSQI in the intervention group were statistically significant(P < 0.01),while the sleep quality,sleep time,daytime dysfunction and totalscore in the control group were statistically significant(P < 0.05).3.Two groups of patients before the intervention,in intervention and follow-up three time points for repeated measurement analysis of variance,the results showed that: PSQI total scores and the time effect of each factor were statistically significant(P < 0.01),time factors significantly affected.There was significant difference between two groups of PSQI total scores and sleep efficiency factor(P < 0.05).There was significant difference between two groups in time group interaction of PSQI total score sleep quality,sleep time,sleep efficiency,daytime dysfunction(P < 0.05).4.There was statistically significance in the scores of insomnia symptoms and items between the two groups(P < 0.05).By t-test of two samples,it was significantly different between the two groups of the total scores,thirsty and fond of drinking,bitter and dry mouth,deep yellow urine and red tongue(P < 0.05).Conclusion:The combination of auricular point sticking and five elements music in designated time can effectively improve the sleep quality of patients,and the improvement effect in sleep quality,sleep time,sleep efficiency,daytime dysfunction and other aspects is better than that of single auricular point sticking and five element music.The combination of auricular point sticking and five element music at the right time can improve the symptoms of insomnia patients with liver depression and fire resolving type.The improvement in thirsty and fond of drinking,bitter and dry mouth,deep yellow urine,red tongue and other aspects is better than the combination of auricular point sticking and five elements music alone.The combination of auricular point sticking and five elements music in designated time can effectively improve the sleep quality and accompanying symptoms of insomnia patients with liver depression and fire resolving type. |
