角调式乐曲联合耳穴压豆对肝郁脾虚型CHB患者睡眠质量、负性情绪的影响

Effect of Angle Mode Music Combined with Ear Point Pressing Beans on Sleep Quality and Negative Emotion in CHB Patients with Liver Stagnation and Spleen Deficiency

目的探究角调式乐曲联合耳穴压豆对肝郁脾虚型慢性乙型肝炎(CHB)患者睡眠质量、负性情绪的影响.方法选择2020年1月—2021年1月日照市中医医院收治的120例肝郁脾虚型CHB患者,按照随机数字表法分为对照组(n=60)和观察组(n=60).对照组采取常规护理,观察组在对照组基础上采取角调式乐曲联合耳穴压豆进行护理,均持续护理1个月.比较两组睡眠质量、负性情绪.结果两组护理前匹兹堡睡眠质量指数量表(PSQI)、抑郁自评量表(SDS)、焦虑自评量表(SAS)评分对比,组间差异无统计学意义(P>0.05);观察组护理后PSQI中睡眠质量评分(0.83±0.10)分、入睡时间评分(0.80±0.12)分、睡眠时间评分(0.95±0.08)分、睡眠效率评分(0.73±0.10)分、睡眠障碍评分(0.97±0.11)分、催眠药物评分(0.88±0.19)分、日间功能评分(0.69±0.05)分及SDS评分(49.13±1.52)分、SAS评分(45.31±1.20)分均低于对照组,组间差异有统计学意义(P<0.05).结论角调式乐曲联合耳穴压豆护理能够有效减轻肝郁脾虚型CHB患者负性情绪,改善睡眠质量.

Objective To explore the effect of angle mode music combined with ear point pressing beans on sleep quality and negative emotion in chronic hepatitis B(CHB)patients with liver stagnation and spleen deficiency.Methods 120 CHB patients with liver stagnation and spleen deficiency admitted to the Rizhao Hospital of Traditional Chinese Medicine from January 2020 to January 2021 were selected and divided into a control group(n=60)and an observation group(n=60)according to the random number table method.The control group was given routine nursing,while the observation group was given angle mode music combined with ear point pressing beans on the basis of the control group,and the nursing lasted for 1 month.The sleep quality and negative emotion were compared between the two groups.Results There were no significant differences in Pittsburgh sleep quality index,self-rating depression scale and self-rating anxiety scale scores between the two groups before nursing(P>0.05);the sleep quality score(0.83±0.10)points,falling asleep time score(0.80±0.12)points,sleep time score(0.95±0.08)points,sleep efficiency score(0.73±0.10)points,sleep disorder score(0.97±0.11)points,hypnotics score(0.88±0.19)points and daytime function score(0.69±0.05)points in PSQI,and the SDS score(49.13±1.52)points and SAS score(45.31±1.20)points in the observation group after nursing were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The angle mode music combined with ear point pressing beans can effectively reduce the negative emotion of CHB patients with liver stagnation and spleen deficiency,and improve the quality of sleep.