八段锦操联合穴位按摩对老年冠心病患者睡眠质量的影响

The effect of Baduanjin combined with acupoint massage on the sleep quality in elderly patients with coronary heart disease

目的观察八段锦联合穴位按摩对老年冠心病患者睡眠质量的影响。方法选取120例伴有睡眠障碍且符合冠心病诊断标准、年龄≥60岁老年冠心病患者,采用随机数字表法分为干预组和对照组各60例,对照组进行常规治疗与健康指导,干预组在此基础上进行八段锦操加穴位按摩,1次/天。分别在入院时和干预4周后采用匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评价并比较两组患者睡眠质量,同时比较两组的护理效果。结果干预4周后,两组患者PSQI评分与入院时比较均有明显下降,且干预组PSQI评分低于对照组,护理效果优于对照组,差异均有统计学意义(P<0.001)。结论八段锦操联合穴位按摩比常规护理更能有效改善老年冠心病患者的睡眠质量。

Objective To observe the effect of Baduanjin combined with acupoint massage on the sleep quality in elderly patients with coronary heart disease. Methods One hundred and twenty patients with coronary heart disease combined with sleep disorder,who met diagnostic criteria and were 60 years old or older,were randomly divided into intervention or control group,60 in each group. The control group received routine treatment and health guidance while the intervention group was given Baduanjin and acupoint massage once a day. After 4 weeks, Pittsburgh sleep quality index （PSQI） was used to assess the sleep quality and the nursing effects were compared between the two groups. Results After 4 weeks of intervention, the PSQI scores of the two groups were significantly lower than those of the patients at the time of admission. The PSQI scores of the intervention group were lower than that of the control group. In the aspect of nursing effect,the intervention group was better than the control group （ P 〈 0. 001 ）. Conclusion Baduanjin combined with acupoint massage can effectively improve the sleep quality of elderly patients with coronary heart disease.