老年心脾两虚型失眠症的系统化中医护理干预

Application of systematic Traditional Chinese Medicine nursing for elderly patients with insomnia of heart-spleen deficiency type

目的探讨对老年心脾两虚型失眠症患者实施系统化中医护理干预的效果。方法选取48例心脾两虚型失眠症住院的老年患者为研究对象,给予雷火灸和耳穴压豆,配合饮食调护和情志调养。采用改进型SPIEGEL睡眠量表测评干预前后睡眠情况,评价干预效果。结果干预2周后,患者改进型SPIEGEL量表中入睡时间、总睡眠时间、夜醒次数、睡眠深度、做梦情况、醒后感觉6个因子评分均较干预前下降(P<0.05)。疗效评价结果显示,48例患者治愈20例,好转26例,有效率95.83%。结论系统化中医护理干预能有效改善老年心脾两虚型失眠患者的睡眠质量。

Objective To evaluate the application of systematic traditional Chinese medicine(TCM)nursing for elderly patients with insomnia of heart-spleen deficiency type.Methods Totally 48 elderly patients with insomnia of heart-spleen deficiency type were included in this study.Systematic TCM nursing interventions including Thunder-fire moxibustion,auricular point pressing therapy,TCM dietary care and psychosocial care were carried out.The sleep quality of patients was evaluated by Spiegel Sleep Questionnaire,and the intervention efficacy was evaluated by TCM symptom scale.Results After a two-week intervention,patients achieved lower scores of sleep latency,total sleep time,nighttime awakenings,depth of sleep,nighttime dreams,wake-up feeling,with significant differences(P<0.05).The overall effective rate was 95.83%,20 cases were completely cured and 26 cases received improved symptoms).Conclusion The systematic TCM nursing is effective to improve the sleep quality of elderly patients with insomnia of heart-spleen deficiency type.