穴位按摩联合U型枕对视网膜脱离术后患者舒适度及睡眠质量的影响

Effect of acupoint massage combined with U-shaped pillow on patients＇ comfort and quality of sleep after surgery for retinal detachment

目的 探究穴位按摩联合U型枕对视网膜脱离术后患者舒适度及睡眠质量的影响.方法 选取本院2015年11月至2016年11月收治的行常规护理视网膜脱离术后患者68例作为对照组,另选取本院2016年12月至2017年12月收治的行穴位按摩联合U型枕干预视网膜脱离术后患者68例作为观察组,对比两组舒适度及护理前后睡眠质量变化.结果 观察组护理3d、1周、2周后舒适度评分分别为（95.85±5.72）分、（97.63±6.36）分、（99.76±7.33）分,均高于对照组,差异均有统计学意义（均P＜0.05）;观察组护理2周后睡眠质量（1.59±0.18）分、入睡时间（1.65±0.35）分、睡眠时间（0.99±0.14）分、睡眠效率（0.82±0.08）分、睡眠紊乱（0.71±0.35）分、辅助药物（0.13±0.02）分、日间功能障碍（1.03±0.14）分及总评分（6.53±0.44）分,均低于对照组,差异均有统计学意义（均P＜ 0.05）.结论 穴位按摩联合U型枕护理可有效提高视网膜脱离术后患者舒适度,改善其睡眠质量,值得临床推广.

Objective To investigate the effect of acupoint massage combined with U-shaped pillow on patients＇ comfort and quality of sleep after surgery for retinal detachment.Methods 68 patients who underwent routine nursing care after surgery for retinal detachment at our hospital from November,2015 to November,2016 were selected as a control group;and 68 taking acupoint massage and U-shaped pillow intervention from December,2016 to December,2017 an observation group.68 cases of retinal detachment after occipital interference were treated as observation group.The comfort and quality of sleep before and after nursing care were compared between the two groups.Results 3 days and 1 and 2 weeks after nursing care,the comfort scores were （95.85±5.72）,（97.63±6.36）,and （99.76±7.33） in the observation group,which were higher than those in the control group,with statistical differences （all P〈 0.05）.2 weeks after nursing care,the scores of sleep quality,falling asleep time,sleep time,sleep efficiency,sleep disorders,adjuvant drugs,and daytime dysfunction and the total score were （1.59±0.18）,（1.65±0.35）,（0.99±0.14）,（0.82±0.08）,（0.71 ±0.35）,（0.13±0.02）,（1.03±0.14）,and （6.53±0.44） in the observation group,which were lower than those in the control group,with statistical differences （all P 〈 0.05）.Conclusion Acupoint massage combined with U-shaped pillow nursing care for patients after surgery for retinal detachment can effectively improve their comfort and improve sleep quality,so it is worth being clinically generalized.