Intervention effect of motor guided imagery on sleep disorders and anxiety, depression in patients with stroke

Abstract

Objective To evaluate the effect of motor guided imagery to improve the sleep quality and the emotional state in patients with stroke. Methods Totally 100 patients were randomly divided into experimental group(n=50) and control group(n=42). The control group received the routine medicine treatment and nursing measures in neurology, while the experimental group received motor guided imagery training therapy.The Pittsburgh sleep quality index scale(PSQI)were used to evaluate sleep quality, the Hospital Anxiety and Depression Scale (HADS) were used to evaluate emotional state and the Stroke Specific Quality of Life (SS-QOL) were used to evaluate quality of life before and after intervention. Results After one- or five-week intervention, the total score of PSQI and the scores of HADS in the experimental group ((4.95±1.94), (3.91±1.63), (12.92±2.58), (7.26±4.49))were lower than those in the control group((10.81±3.23), (7.93±3.20), (18.45±3.03), (12.07±5.48)), and the differences were statistically significant(P<0.05). Intergroup effect, time effect and interaction effect of PSQI score and HADS score showed significant in two groups(P<0.05). After one- or five-week intervention, the total score of SS-QOL in the experimental group((194.12±18.98), (213.66±17.95)) were higher than those in the control group((156.81±18.39), (194.12±25.41)), and the differences were statistically significant(P<0.05). The inter-group effect, time effect and interaction effect of SS-QOL score in both groups were significant(P<0.05). Conclusion The motor guided imagery training can effectively improve the sleep quality, the emotional state and quality of life in stroke patients. Key words: Motor guided imagery; Stroke; Post-stroke sleep disorders; Anxiety; Depression; Quality of life