Abstract:

Objective To explore the effects of guided imagery relaxation therapy on sleep disorders and pain in stroke patients.Methods A total of 150 stroke patients in department of internal neurology in a tertiary hospital were recruited from August 2017 to June 2018,and randomly divided into the guided imagery relaxation therapy group,the music group,and the control group. The guided imagery relaxation therapy group received music training therapy and guided imagery relaxation therapy,the music group received music training therapy,and the control group received routine nursing. The Pittsburgh Sleep Quality Index Scale（PSQI） was used to evaluate sleep quality,the Visual Analogue Scale（VAS） was used to evaluate pain,before intervention and 2 weeks,6 weeks after intervention.Results Two weeks and 6 weeks after intervention,differences in the scores of PSQI and VAS in three groups were all statistically significant（P<0.05）. The effects of guided imagery relaxation therapy were better than music training therapy.Repeated ANOVA indicated that time effect,inter-group effect,and interaction were all statistically significant（P<0.05）.Conclusion The guided imagery relaxation therapy can effectively ameliorate sleep disorders and relieve pain in stroke patients.

Key words: Guided Imagery Relaxation Therapy, Stroke, Post-Stroke Sleep Disorders, Pain

摘要：

目的 探讨运动引导想象训练对脑卒中患者睡眠障碍和疼痛的影响。方法 选取2017年8月—2018年6月某三级甲等医院神经内科脑卒中患者150例,随机分为运动引导想象训练组、音乐组和对照组。运动引导想象训练组在听音乐的基础上进行运动引导想象训练,音乐组实施音乐干预,对照组实施神经内科常规护理措施,分别于干预前、干预后2周、干预后6周采用匹兹堡睡眠质量指数量表评价3组患者睡眠质量,采用视觉模拟评分法评价患者疼痛程度。结果 干预后2周、6周,3组匹兹堡睡眠质量指数量表评分和视觉模拟评分的比较,差异有统计学意义（P<0.05）,两两比较显示,运动想象训练的干预效果优于音乐组,重复测量方差分析结果显示,时间效应、组间效应及交互效应均有统计学意义（P<0.05）。结论 运动引导想象训练可改善脑卒中患者的睡眠障碍,缓解其疼痛。

关键词: 运动引导想象, 脑卒中, 脑卒中后睡眠障碍, 疼痛