中医护理干预对慢性肾功能衰竭患者失眠症状及生活质量改善作用探析

Effect of Comprehensive Nursing Intervention of TCM on Treating Chronic Renal Failure Patients with Insomnia and Improvement of Life Quality

目的:探究中医护理干预对慢性肾功能衰竭患者失眠症状及生活质量改善作用。方法:选取我院收治的慢性肾功能衰竭伴有失眠症状的患者90例,采用随机数字表随机分为两组,两组各45例,其中对照组给予常规护理,实验组则在对照组的基础上加用中医护理干预,两组均护理4周。护理结束后,比较两组患者的失眠症状改善情况,并应用问卷调查的形式检测患者PQSI得分情况。结果:1经护理后,两组患者失眠症状均有好转,实验组临床总有效率为93.3%,对照组临床总有效率为77.8%,实验组总有效率明显高于对照组,两组结果有显著性差异,有统计学意义(P<0.05);2经护理后,两组患者失眠症状明显改善,PSQI评分量表中各指标评分均有所下降,且实验组较对照组下降明显,两组结果有显著性差异,有统计学意义(P<0.05)。结论:中医护理干预能够延缓患者肾功能衰竭进程,减缓因肾功能衰竭给患者带来的失眠症状紧张情绪,明显改善患者生活质量,对慢性肾功能衰竭患者失眠症状及生活质量改善有积极影响,并对临床有指导意义。

Objective：To explore the effect of TCM comprehensive nursing intervention on treating insomnia symptoms and quality of life in patients with chronic renal failure. Methods：Choose 90 cases of chronic renal failure patients of our hospital,90 patients had insomnia,USES the digital meter were randomly divided into two groups at random,each 45 people in both groups,the control group given routine nursing care,is on the basis of the control group and experimental group with traditional Chinese medicine comprehensive nursing intervention,two groups of all nursing 4 weeks. After the care,compared two groups of patients of insomnia symptoms improve the situation,and apply PQSI scores in patients with detection in the form of questionnaire survey. Results：（1）After nursing,two groups of patients with insomnia were better,the experimental group clinical total effective rate was 93.3%. Control group clinical total effective rate was 77.8%,the experimental group effectiveness is significantly higher than the control group,results the two groups have significant difference,there is statistical significance（P〈0.05）;（2）After nursing,two groups of patients with insomnia symptoms improved significantly,PSQI rating scale score of the indexes in all decreased,and the experimental group down significantly compared with control group,two groups of results have significant differences,with statistical significance（P〈0.05）. Conclusion：Comprehensive nursing intervention can ease the patients with renal failure process of traditional Chinese medicine,ease insomnia for patients with renal failure to tension,improve patient quality of life,insomnia symptoms in patients with chronic renal failure and life quality improvement has a positive effect,and as a guidance for clinical.