择时穴位贴敷结合强化健康教育干预慢性肾小球肾炎临床研究

Clinical Study on Timing Point Application Combined with Intensive Health Education for Chronic Glomerulonephritis

目的:观察择时穴位贴敷联合强化健康教育干预慢性肾小球肾炎(CGN)的临床效果及对患者心理状态、睡眠质量的影响。方法:选取64例CGN患者,根据不同的治疗及护理方法分为对照组和观察组各32例。对照组给予常规治疗与护理干预,观察组在对照组基础上给予择时穴位贴敷结合强化健康教育干预,穴位贴敷于三伏天及三九天进行。对比2组干预前后24 h尿蛋白定量,比较2组临床疗效、心理状态及睡眠质量,观察不良反应发生情况。结果:干预后,2组24 h尿蛋白定量均较干预前下降(P<0.05),观察组24 h尿蛋白定量比对照组下降更明显(P<0.05)。观察组总有效率90.63%,显著高于对照组的62.50%(P<0.05)。干预后,2组抑郁自评量表(SDS)、焦虑自评量表(SAS)及匹兹堡睡眠质量指数(PSQI)评分均较干预前降低(P<0.05),观察组SDS、SAS及PSQI评分均低于对照组(P<0.05)。干预期间,2组均未出现严重不良反应。结论:择时穴位贴敷结合强化健康教育干预CGN,可有效缓解患者的临床症状,改善其心理状态及睡眠质量,且安全性良好。

Objective:To observe the clinical effect of timing point application combined with intensive health education for chronic glomerulonephritis(CGN) and its effect on psychological state and sleep quality of patients. Methods:A total of 64 cases of CGN patients were divided in to the control group and the observation group according to their different treatment and nursing methods,32 cases in each group. The control group was given routine treatment and nursing;the observation group was additionally given timing point application combined with intensive health education based on the intervention of the control group,and the point application was applied in the three ten-day periods of the hot season and the three nine-day periods of the cold season. Before and after intervention,the 24-hour urinary protein in the two groups were compared. The clinical effect,psychological state and sleep quality in the two groups were evaluated and compared,and the incidences of adverse reactions in the two groups were observed. Results: After intervention, the 24-hour urinary protein in the two groups were decreased when compared with those before intervention(P<0.05),and the decrease in the observation group was more significant than that in the control group(P<0.05). The total effective rate was 90.63% in the observation group,significantly higher than that of 62.50% in the control group(P<0.05). After intervention, the scores of Self-Rating Depressing Scale(SDS), Self-Rating Anxiety Scale(SAS) and Pittsburgh Sleep Quality Index(PSQI) in the two groups were decreased when compared with those before intervention(P<0.05), and the above scores in the observation group were lower than those in the control group(P<0.05). During treatment,there was no severe adverse reaction in the two groups.Conclusion: Timing point application combined with intensive health education for CGN can effectively relieve clinical symptoms,and improve psychological state and sleep quality of patients with good safety.