艾灸联合中医健康教育在更年期失眠症患者护理中的应用

Application of moxibustion combined with traditional Chinese medicine health education in nursing of patients with insomnia during menopause

目的 探讨艾灸联合中医健康教育在更年期失眠症患者护理中的应用价值.方法 选取2017年4月~2019年4月我院收治的1 18例更年期失眠患者作为研究对象,采用随机数字表法分为对照组和研究组,每组各59例.对照组实施常规护理干预,研究组在此基础上采用艾灸联合中医健康教育,为期4周.比较两组心理状态、睡眠质量及生活质量.结果 两组护理前汉密顿抑郁量表(HAMD)、汉密顿焦虑量表(HAMA)、匹兹堡睡眠质量指数量表(PSQI)和健康调查简表(SF-36)评分比较,差异无统计学意义(P>0.05);两组护理后的HAMD、HAMA、PSQI评分低于护理前,SF-36评分高于护理前,差异有统计学意义(P<0.05);研究组护理后HAMD和HAMA评分为(9.54±3.16)、(10.49±2.96)分,低于对照组的(11.40±3.32)和(12.52±3.19)分,差异有统计学意义(P<0.05);研究组护理后PSQI量表评分为(7.45±3.18)分,低于对照组的(9.57±3.23)分,SF-36量表评分为(84.89±9.42)分,高于对照组的(79.14±9.27)分,差异有统计学意义(P<0.05).结论 艾灸联合中医健康教育在更年期失眠症患者护理中应用价值高,能改善患者不良情绪,提升患者睡眠质量及生活质量.

Objective To explore the application value of moxibustion combined with TCM health education in the nursing of patients with insomnia during menopause.Methods A total of 118 patients with menopausal insomnia admitted to our hospital from April 2017 to April 2019 were enrolled in the study.They were divided into control group and research group according to random number table method,59 cases in each group.The control group underwent routine nursing intervention.On the basis of this,the research group used moxibustion combined with traditional Chinese medicine health education for a period of 4 weeks.The psychological status,sleep quality and quality of life of the two groups were compared.Results There were no differences in the pre-treatment Hamiltonian depression scale(HAMD),Hamiltonian anxiety scale(HAMA),Pittsburgh sleep quality index(PSQI)and health survey profile(SF-36)scores(P>0.05);the HAMD and HAMA scores of the study group were(9.54±3.16)and(10.49±2.96)points,which were lower than those of the control group(11.40±3.32)and(12.52±3.19)points,the differences were statistically significant(P<0.05).The PSQI score of the study group was(7.45±3.18)points,lower than that of the control group(9.57±3.23)points,and the SF-36 scale was(84.89±9.42)points,which was higher than that of the control group(79.14±9.27)points,and the differences were statistically significant(P<0.05).Conclusion Moxibustion combined with traditional Chinese medicine health education has high application value in the nursing of menopausal insomnia patients,which can improve patients′bad mood and improve their sleep quality and quality of life.