<meta charset="utf8"></head><body>Terapia con acupunto de acupuntura y yeso en el oído para el tratamiento de los trastornos del sueño en pacientes con AECOPD

<ol>
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D., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Sleep+and+breathing+disturbances+in+patients+with+chronic+obstructive+pulmonary+disease+traveling+to+altitude:+a+randomized+trial.">Sleep and breathing disturbances in patients with chronic obstructive pulmonary disease traveling to altitude: a randomized trial.</a> Sleep. 42 (1), (2019).</li><li>Chabowski, M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Sleep+disorders+and+adherence+to+inhalation+therapy+in+patients+with+chronic+obstructive+pulmonary+disease.">Sleep disorders and adherence to inhalation therapy in patients with chronic obstructive pulmonary disease.</a> Adv Exp Med Biol. 1160, 43-52 (2019).</li><li>Du, D., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Prevalence+and+clinical+characteristics+of+sleep+disorders+in+chronic+obstructive+pulmonary+disease:+A+systematic+review+and+meta-analysis.">Prevalence and clinical characteristics of sleep disorders in chronic obstructive pulmonary disease: A systematic review and meta-analysis.</a> Sleep Med. 112, 282-290 (2023).</li><li>De Crescenzo, F., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Comparative+effects+of+pharmacological+interventions+for+the+acute+and+long-term+management+of+insomnia+disorder+in+adults:+a+systematic+review+and+network+meta-analysis.">Comparative effects of pharmacological interventions for the acute and long-term management of insomnia disorder in adults: a systematic review and network meta-analysis.</a> Lancet. 400 (10347), 170-184 (2022).</li><li>Lu, Y. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Comparative+effectiveness+of+multiple+acupuncture+therapies+for+primary+insomnia:+a+systematic+review+and+network+meta-analysis+of+randomized+trial.">Comparative effectiveness of multiple acupuncture therapies for primary insomnia: a systematic review and network meta-analysis of randomized trial.</a> Sleep Med. 93, 39-48 (2022).</li><li>. Global strategy for the prevention, diagnosis and management of OPD: 2024 report Available from: <a target="_blank" href="https://goldcopd.org/2024-gold-report/">https://goldcopd.org/2024-gold-report/</a> (2024)</li><li>. International classifcation of sleep disorders Available from: <a target="_blank" href="https://aasm.org/clinical-resources/international-classification-sleep-disorders/">https://aasm.org/clinical-resources/international-classification-sleep-disorders/</a> (2014)</li><li>American Psychiatric Association. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=.">.</a> Diagnostic and Statistical Manual of Mental Disorders. , (2022).</li><li>Tang, P. T., Yin, C. Y., Cai, L. 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C., Lu, J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Mechanism+and+efficacy+of+acupoint+application+in+the+treatment+of+insomnia+in+recent+ten+years.">Mechanism and efficacy of acupoint application in the treatment of insomnia in recent ten years.</a> Smart Healthcare. 8 (5), 29-32 (2022).</li><li>Zhao, K. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Acupuncture+for+the+treatment+of+insomnia.">Acupuncture for the treatment of insomnia.</a> Int Rev Neurobiol. 111, 217-234 (2013).</li><li>Liu, G. L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=.">.</a> The effects of Chinese medicine patches with acupoint application on monamine neurotransmitter and IL-1&#946; in hypothalamus of Insomnia Rats [Master's Thesis]. , (2007).</li><li>Li, Q. S., Wang, S. X. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Protective+effects+of+eleutherosides+acupoint+application+on+rats+with+sleep+deprivation.">Protective effects of eleutherosides acupoint application on rats with sleep deprivation.</a> Mil Med of Joint Log. 16 (2), 11-14 (2002).</li><li>Hu, J. X., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Effects+of+Jingyi+Anshen+powder+acupoint+application+on+behavior+and+the+related+cytokines+in+rats+with+insomnia.">Effects of Jingyi Anshen powder acupoint application on behavior and the related cytokines in rats with insomnia.</a> Western Journal of Traditional Chinese Medicine. 31 (11), 41-45 (2021).</li><li>Chen, Y. Y., Chen, Y. B. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Forty-five+cases+of+elderly+patients+with+acute+exacerbation+of+chronic+obstructive+pulmonary+disease+treated+with+the+aid+of+acupoint+application+of+white+mustard+powder.">Forty-five cases of elderly patients with acute exacerbation of chronic obstructive pulmonary disease treated with the aid of acupoint application of white mustard powder.</a> Zhejiang Journal of Traditional Chinese Medicine. 56 (5), 357 (2021).</li><li>Shao, B., Shen, Z. L., Chen, J., Chen, L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Clinical+observation+on+55+cases+of+acute+phase+of+chronic+obstructive+pulmonary+disease+with+phlegm+and+turbid+lung+obstruction+treated+by+acupoint+patch+therapy.">Clinical observation on 55 cases of acute phase of chronic obstructive pulmonary disease with phlegm and turbid lung obstruction treated by acupoint patch therapy.</a> Hunan Journal of Traditional Chinese Medicine. 34 (7), 116-118 (2018).</li><li>Duan, W. B., Zhu, F. L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Effects+of+acupoint+application+combined+with+traditional+Chinese+medical+care+on+pulmonary+function,+immune+function+and+vascular+endothelial+function+indexes+of+AECOPD+patients.">Effects of acupoint application combined with traditional Chinese medical care on pulmonary function, immune function and vascular endothelial function indexes of AECOPD patients.</a> Guangming Journal of Chinese Medicine. 37 (3), 513-515 (2022).</li><li>Yang, Y. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=.">.</a> Clinical observation of Huangqin Wendan decoction combined with ear acupoint pressing bean in treatment of AECOPD with insomnia due to phlegm heat accumulation [Master's Thesis]. , (2021).</li><li>Wang, X. C. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Application+effect+of+auricular+pressure+bean+care+combined+with+acupoint+patch+on+sputum+symptoms+in+patients+with+acute+exacerbation+of+chronic+obstructive+pulmonary+disease.">Application effect of auricular pressure bean care combined with acupoint patch on sputum symptoms in patients with acute exacerbation of chronic obstructive pulmonary disease.</a> Jilin Med. J. 43 (10), 2852-2854 (2022).</li><li>Dong, Z. Q. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Clinical+analysis+of+acupoint+patch+combined+with+auricular+pressure+bean+in+the+treatment+of+acute+exacerbation+of+COPD.">Clinical analysis of acupoint patch combined with auricular pressure bean in the treatment of acute exacerbation of COPD.</a> Shenzhen Journal of Integrative Traditional Chinese. 28 (10), 73-75 (2018).</li><li>Wang, Y. J., Ai, Q. X. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Effects+of+Chinese+medicine+characteristic+nursing+techniques+on+exercise+endurance+and+lung+function+in+patients+with+acute+exacerbation+of+chronic+obstructive+pulmonary+disease.">Effects of Chinese medicine characteristic nursing techniques on exercise endurance and lung function in patients with acute exacerbation of chronic obstructive pulmonary disease.</a> The Journal of Medical Theory and Practice. 35 (9), 1574-1576 (2021).</li><li>Wang, X. H., Xiao, L. Y., Wang, B. F., Yuan, Y. D., Pan, W. S., Shi, Y. Z. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Influence+of+auricular+plaster+therapy+on+sleeping+structure+in+OSAS+patients.">Influence of auricular plaster therapy on sleeping structure in OSAS patients.</a> J Tradit Chin Med. 29 (1), 3-5 (2009).</li><li>Lei, X. J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Observation+on+the+effect+of+auricular+point+pressing+beans+in+the+treatment+of+insomnia.">Observation on the effect of auricular point pressing beans in the treatment of insomnia.</a> Journal of Frontiers of Medicine. 9 (13), 195-196 (2019).</li><li>Tian, T., Wang, D. W., Li, Y., Song, L. M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Observation+on+the+effect+of+acupuncture+and+moxibustion+combined+with+auricular+point+pressing+pill+intervention+on+insomnia+patients+with+coronary+heart+disease.">Observation on the effect of acupuncture and moxibustion combined with auricular point pressing pill intervention on insomnia patients with coronary heart disease.</a> Journal of Practical Traditional Chinese Internal Medicine. 37 (11), 52-55 (2023).</li><li>Zhang, Q., Qiao, Y. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Research+Progress+on+antiasthmatic+effect+and+mechanism+of+Ding+chuan+and+Tian+tu+acupoints.">Research Progress on antiasthmatic effect and mechanism of Ding chuan and Tian tu acupoints.</a> Journal of Guangxi University of Chinese Medicine. 23 (03), 64-66 (2020).</li><li>Fu, K. L., Lin, K. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Clinical+observation+on+point+application+treating+80+patients+of+chronic+obstructive+pulmonary+diseases.">Clinical observation on point application treating 80 patients of chronic obstructive pulmonary diseases.</a> Journal of Traditional Chinese Medicine. 56 (11), 948-952 (2015).</li><li>Wu, Z. L., Zhang, Q. R. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Ancient+and+modern+research+on+Fei+shu+point.">Ancient and modern research on Fei shu point.</a> Liaoning Journal of Traditional Chinese Medicine. 34 (04), 504-505 (2007).</li><li>Gu, Z. L., Xie, Y., Wang, Y., Xu, B. 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<table border="1" fo:keep-together.within-page="1" fo:keep-with-next.within-page="always">
	<tbody>
		<tr>
			<td>75% alcohol cotton balls</td>
			<td>Shanghai Honglong Industrial Co., Ltd</td>
			<td>20231116</td>
			<td></td>
		</tr>
		<tr>
			<td>Acupoint patches</td>
			<td>Jiangsu Guangyi Medical Dressing Co., Ltd</td>
			<td>20230718</td>
			<td></td>
		</tr>
		<tr>
			<td>Chinese herbal medicine</td>
			<td>Guangdong Kanghe Pharmaceutical Co.,Ltd</td>
			<td>230802</td>
			<td></td>
		</tr>
		<tr>
			<td>Magnetic treatment plaster</td>
			<td>Suzhou Medical Supplies Factory Co., Ltd</td>
			<td>233010</td>
			<td></td>
		</tr>
		<tr>
			<td>Medical disposable sterilization rubber gloves</td>
			<td>Shandong Yuyuan Latex Gloves Co., Ltd</td>
			<td>230806R22</td>
			<td></td>
		</tr>
		<tr>
			<td>Medical hand disinfectants</td>
			<td>Shanghai Likang Disinfection High tech Co., Ltd</td>
			<td>20230113J</td>
			<td></td>
		</tr>
		<tr>
			<td>Medical tape</td>
			<td>Minnesota Mining Manufacturing Medical Equipment (Shanghai) Co., Ltd</td>
			<td>23063GO</td>
			<td></td>
		</tr>
		<tr>
			<td>Sterile cotton swabs</td>
			<td>Shanghai Honglong Medical Equipment Co., Ltd</td>
			<td>20231108</td>
			<td></td>
		</tr>
		<tr>
			<td>Tweezers</td>
			<td>Yangzhou Huayue Technology Development Co., Ltd</td>
			<td>20231106</td>
			<td></td>
		</tr>
	</tbody>
</table>

acupoint application combined with ear plaster therapy for treating sleep disorders with acute exacerbation of chronic obstructive pulmonary disease

Chronic obstructive pulmonary disease (COPD) is a disease characterized by incomplete reversibility of airflow limitation, with gradual progression, primarily involving the lungs, but also causing damage to various other organs outside the lungs. Its pathogenesis is mainly related to the regulation of apoptosis and promotion of inflammatory response by radical oxygen species (ROS) during oxidative stress (OS)1, affecting gene transcription and exacerbating protease-antiprotease imbalance finally2. It often causes chronic coughing, coughing up sputum, shortness of breath or difficulty breathing, wheezing, and chest tightness. According to a WHO survey, COPD is the third leading cause of death globally, posing a serious threat to human health, and by 2060, the number of deaths from this disease will exceed 5.4 million annually3. Acute exacerbation of chronic obstructive pulmonary disease (AECOPD) refers to acute changes in respiratory distress, cough, and sputum in COPD patients at baseline levels. AECOPD patients often experience shortened sleep time and decreased sleep quality due to various factors such as serious respiratory symptoms, nocturnal hypoxia, accompanying psychological problems, medication use, and socio-economic conditions4. Therefore, sleep disorders, including obstructive sleep apnea (OSA), restless leg syndrome (RLS), and insomnia, have become common complications for AECOPD patients, especially in elderly severe patients.
The reasons for sleep disorders in AECOPD patients include increased airway resistance and reduced airflow at night and/or in the morning, which aggravate ventilation disorders and ultimately lead to frequent awakenings, shortened sleep time, and difficulty falling asleep5,6. Moreover, the large financial burden of AECOPD on families makes patients often accompanied by anxiety, depression, and other psychological problems4. More notably, sleep disorders can, in turn, increase the risk of pulmonary hypertension in AECOPD patients and are closely related to higher disease severity, more frequent exacerbation, higher utilization of emergency medical services, and higher mortality rates7. According to the latest research, the prevalence of OSA, RLS, and insomnia in AECOPD patients, respectively, reached 29.1%, 21.6%, and 29.5%. Patients with OSA may have a higher risk of hypertension and diabetes. Patients with RLS are related to higher Epworth sleepiness scale (ESS) score and a longer COPD duration(year). Furthermore, insomnia is more common in female patients8. Therefore, it is essential to carry out timely nursing interventions for AECOPD patients with sleep disorders.
At present, the clinical treatment of AECOPD patients mainly focuses on improving respiratory symptoms while ignoring sleep problems. In addition, benzodiazepines, melatonin, melatonin receptor agonists, and antipsychotics used by patients with severe sleep disorders have adverse reactions such as respiratory inhibition, drug dependence, cognitive impairment, dizziness, and somnolence; therefore, it is mostly used for acute sleep disorders, while it is limited in the application of chronic sleep disorders9. Other special intervention methods, including nocturnal oxygen therapy, cognitive behavioral therapy for insomnia, and pulmonary rehabilitation exercise, are not commonly used because of their high cost, unclear effect, and difficulty in clinical practice4. Therefore, there is an urgent need to find an effective, safe, and simple treatment for AECOPD patients with sleep disorders.
Traditional Chinese Medicine (TCM) has a long history and rich experience in the treatment of sleep disorders. Acupoint application (AA) and ear plaster therapy (EPT) are both traditional Chinese medicine techniques. A systematic review study also found that AA and EPT have significant curative effects in the treatment of primary insomnia10. In this study, we will elucidate in detail the process and efficacy of the two treatments for AECOPD, including the medical equipment used, acupoint selection, treatment procedure, nursing, treatment of related accidents, etc. By comparing the changes in the Pittsburgh sleep quality index (PSQI) before and after treatment to evaluate their clinical efficacy, we aimed to provide a new reference for the clinical treatment of this kind of disease.

<meta charset="utf8"></head><body>Autor destacado: Medicina tradicional china para los trastornos del sueño en la EPOC aguda: un enfoque seguro y rentable

Aplicación de puntos de acupuntura combinada con terapia con yeso en el oído para tratar los trastornos del sueño con exacerbación aguda de la enfermedad pulmonar obstructiva crónica

Our research focus is treatment of sleep disorders in patients with acute exacerbation of COPD through the application of acupoint application and the ear plaster therapy. We aim to investigate further this through traditional Chinese medicine techniques can effectively improve the symptoms or physical signs of patients. Our protocol also needs to add clinical data on whether acupoint application combined with ear plaster therapy can improve symptoms in the acute chronic obstructive pulmonary and the incorporated data.Our results provide an effective, safe, and simple treatment that can be applied to a wide range of diseases compared to the adverse effects of modern medicine medications and the high cost and the ineffective leaps of other specific treatments.

Chronic Obstructive Pulmonary Disease (COPD) is a lung disease characterized by persistent airflow limitation, which is not fully reversible and ...

acupoint-application-combined-with-ear-plaster-therapy-for-treating

Research

JoVE Journal

Medicine

Acupoint Application Combined with Ear Plaster Therapy for Treating Sleep Disorders with Acute Exacerbation of Chronic Obstructive Pulmonary Disease

393 vistas.  Hospital of Chengdu University of Traditional Chinese Medicine. Nuestra investigación se centra en el tratamiento de los trastornos del sueño en pacientes con exacerbación aguda de la EPOC mediante la aplicación de puntos de acupuntura y la terapia con yeso en el oído. Nuestro objetivo es investigar más a fondo esto a través de las técnicas de la medicina tradicional china para mejorar eficazmente los síntomas o signos físicos de los pacientes. Nuestro protocolo también necesita agregar datos clínicos sobre si...

Video: Autor destacado: Medicina tradicional china para los trastornos del sueño en la EPOC aguda: un enfoque seguro y rentable

Chronic Obstructive Pulmonary Disease (COPD) is a lung disease characterized by persistent airflow limitation, which is not fully reversible and progressive. Acute exacerbation of chronic obstructive pulmonary disease (AECOPD) refers to acute changes in respiratory distress, cough, and sputum in COPD patients at baseline levels. Sleep disorders are a very common complication in patients with AECOPD. At present, long-term use of sedative-hypnotics alone has many side effects, such as mental and physical dependence and cognitive impairment. While the efficacy of other special intervention methods is not clear, and the cost is high, there is an urgent need for effective and safe treatment in clinics. Acupoint application and ear plaster therapy are considered the characteristic therapies of traditional Chinese medicine. They have the advantages of small side effects, high safety, and simple procedure. This study will elucidate in detail the specific process and efficacy of the two treatment methods for AECOPD complicated with sleep disorders, including medical devices used, selection of acupoints, procedure, and posttreatment care. This study is intended to provide a new reference for the clinical treatment modality of this type of disease.

The present protocol describes the specific process and efficacy of the acupoint application combined with ear plaster therapy for sleep disorders in a patient with acute exacerbation of chronic obstructive pulmonary disease, including medical devices, selection of acupoints, operating methods, and posttreatment care.

Investigación

Medicina

Evaluating the Efficacy of the Acupoint Application Combined with Ear Plaster Therapy for Sleep Disorders

To begin, prepare all the required Chinese herbal medicines and other items such as acupoint patches, magnetic treatment plaster, sterile cotton swabs, et cetera. Take 30 grams each of Sinapis alba Linnaeus, Euphorbia kansui, and 10 grams of Asarum sieboldii Miq. After grinding the mixture, transfer the powder to a plastic bag for later use.Before treatment, prepare a paste of the herbal powder with ginger extract. Then place the paste on a curved plate for application. Next, create a comfortable, quiet, and clean environment for the patient.Ask the patient to sit upright with shoulders relaxed, and arms resting naturally on the knees. Then pull the curtains in the treatment room to ensure patient privacy and prevent them from catching a cold. Recheck the patient's details, including name, gender, age, and inpatient number.After washing and disinfecting hands with medical hand disinfectant, put on medical disposable sterilization rubber gloves. Select CV 22 on the patient's anterior cervical region and bilateral BL 13 on the back for auricular acupuncture. For ear plaster therapy, select CO 14, CO 16, TF 4 and AT 4.Use tweezers to clamp 75%alcohol cotton balls to disinfect the patient's acupoints. Clean the binaural CO 14, CO 16, TF 4, AT 4, CV 22, and bilateral BL 13 from the inside to the outside, centering on the accu point with a range of five centimeters. For acupuncture application, take the prepared medicine from the curved plate and divide it into three equal parts.Then use a tongue depressor to apply the ointment in a regular pattern to the center of the acupoint patches. After that, fix the prepared acupoint patches to the tiantu and faishu points. For ear plaster therapy, let the patient sit and stabilize one side of the oracle with one hand.Then using tweezers, Apply the magnetic treatment pill at CO 14, CO 16, TF 4 and AT 4, and repeat for the other ear. Tell the patient to secure the acupoint patches and keep the treatment area as dry and clean as possible to avoid dislodging them. Gently press the pill clockwise until the patient feels sensations like acid, numbness, bloating, pain, and heat, ensuring it is tolerable.Press auricular acupoints for five minutes each morning, noon, night, and before bed. The total PSQI score of time to fall asleep, sleep quality, sleep time, sleep disorders and daytime function were significantly reduced after treatment compared to before with statistically significant differences. There was no statistically significant improvement in sleep efficiency after treatment with a P-value of 0.056.The application of medications for sleeping did not change significantly after treatment with a P-value of 0.103.