足部反射区按摩对脑卒中后失眠患者睡眠质量的影响

Effect of massage on the foot reflection area on the sleep quality of post-stroke patients with insomnia

目的探讨足部反射区按摩对脑卒中后失眠患者睡眠质量的影响。方法将60例脑卒中后失眠患者按随机数字表法分为治疗组和对照组，每组各30例，治疗组采用足部反射区按摩，对照组采用常规治疗，采用匹兹堡睡眠质量问卷（PSQI）比较两组患者的睡眠质量。结果治疗组治疗后入睡时间为（39．5±16．9）min，睡眠时间为（6．07±1．28）h，觉醒次数为（2．0±0．9）次，明显优于对照组的（46．5±16．0）min，（5．21±0．64）h，（2．7±0．6）次，两组比较差异有统计学意义（t值分别为6．381，3．291，3．546；P〈0．05）。治疗组干预后患者的PSQI得分为（8．56±2．90）分，对照组为（12．69±1．58）分，两组比较差异有统计学意义（t=0．938，P〈0．05）。结论足部反射区按摩对于脑卒中后失眠患者睡眠质量的改善疗效较好。

Objective To study the effect of massage on the foot reflection area on the sleep quality of post-stroke patients with insomnia. Methods A total of 60 post-stroke patients with insomnia were divided into the treatment group and the control group, each with 30 cases. The treatment group received massage on the foot reflection area while the control group adopted the traditional methods. PSQI was used to compare sleep quality between two groups. Results The time to fall asleep, sleep time and arousals was respectively （39. 5 ± 16. 9） min, （6. 07 ± 1.28） h, （ 2. 0 ± 0. 9 ） time in the treatment group, （46. 5 ± 16.0 ） min, （ 5. 21 ± 0. 64 ） h, （ 2. 7 ± 0. 6）time in the control group, and the differences were statistieally significant （t = 6. 381,3. 291,3. 546, respectively; P 〈 0. 05 ）. The PSQI score was （ 8.56 ± 2.90 ） in the treatment group and （ 12. 69 ± 1.58 ） in the control group, with statistically significant difference （ t =0. 938 ,P 〈 0. 05 ）. Conclusions Massage on the foot reflection area is effective to improve sleep quality of post-stroke patients with insomnia.