The influence of traditional Chinese medicine five element music combined with"triple"relaxation training on insomnia in patients with bipolar affective disorder during maintenance period
Objective Insomnia is a common issue in the maintenance period of bipolar disorder and requires attention.This study aimed to evaluate the influence of traditional Chinese medicine(TCM)five elements music combined with"triple"relaxation training on insomnia in these patients and to provide a simple,effective,economical,and feasible nursing method for clinical practice.Methods A total of 101 patients with insomnia during the maintenance period of bipolar disorder,treated at Shaoxing Seventh People's Hospital from March 2022 to March 2023,were divided into 2 groups by random number table method.The control group(50 cases)was given routine nursing intervention,while the experimental group(51 cases)was given traditional Chinese medicine five elements music combined with"triple"relaxa-tion training intervention in addition to routine care.After 6 weeks of intervention,sleep quality,depression,and mania levels were compared between the two groups.Results Finally,a total of 49 cases in each group completed the study.After intervention,the Pittsburgh sleep quality index score of the experimental group was(6.43±1.18),which was lower than that of the control group(9.78±2.11,P<0.05).Polysomnography results showed that the experimental group had longer total sleep time,non-rapid eye movement duration,and higher sleep efficiency,as well as shorter sleep latency,compared to the control group(P<0.05).The experimental group also showed lower self-rating depression scale score(SDS:48.66±5.66 vs.51.30±4.19,P<0.05)and Bech Rafaelson's mania rating scale score(10.45±2.39 vs.14.34±3.08,P<0.05).Conclusion TCM five element music combined with"triple"relaxation training effectively improve insomnia and relieve depression and mania in patients with bipolar disorder in maintenance period,making it an effective nursing method.
Bipolar disorderInsomniaFive elements musicRelaxation trainingPolysomnographyDepressed