穴位按摩对改善血液透析患者睡眠质量的临床研究

Clinical Study of Point Massage to Improve Sleep Quality in Hemodialysis Patients

目的:评价足部穴位按摩对于血液透析患者睡眠质量的疗效。方法:92例血液透析有睡眠障碍的患者,随机分为两组,对照组和治疗组各46例,对照组给予常规护理和睡眠卫生教育,治疗组在此基础上给予睡前足部穴位按摩,连续治疗30 d,采用匹兹堡睡眠质量指数量表(PSQI)评估患者睡眠质量,评价足部穴位按摩的疗效。结果:治疗30 d后,治疗组的PSQI量表总得分和各项目得分相比治疗前明显下降(P<0.05)相比对照组在睡眠质量,入睡时间,睡眠时间,睡眠效率,睡眠障碍,药物使用及PSQI总分各项目上得分明显降低(P<0.05)。结论:足部穴位按摩能明显改善血液透析患者的睡眠质量。

Objective： To evaluate the effect of foot massage on improving the sleep quality in hemodialysis patients.Method： 92 cases of hemodialysis patients with sleep disorders were randomly divided into two groups：the treatment group and the control group were both 46 cases. The control group was treated by routine care and sleep hygiene education and the treatment group received foot massage before bedtime additionally. After 30 days,Pittsburgh Sleep Quality Index Scale（PSQI） was used to assess the quality of sleep in hemodialysis patients and we evaluated the efficacy of foot massage. Result：After the treatment,the total score of PSQI and scores of 7 items of the treatment group were lower than those before（P〈0.05）. The total score and the scores of sleep quality,sleep latency,sleep time,sleep efficiency,sleep disturbances and drug use were lower than those of the control group（ P〈0. 05）. Conclusion： Foot massage can improve the sleep quality in hemodialysis patients effectively.