八段锦功法锻炼改善轮班睡眠障碍女性护理人员疲劳状态的临床观察

Clinical observation of Baduanjin exercises on improving the fatigue state of female nurses with shift work sleep disorder

目的观测八段锦功法锻炼在改善轮班睡眠障碍女性护理人员疲劳状态的临床疗效及安全性。方法选择2015年1月至2019年12月在我市多家医院招募的55例患者,随机分为治疗组与对照组,对照组给予睡眠健康宣教及平秘脏腑推拿;治疗组在对照组的基础上,指导患者睡前进行低强度的八段锦“辨证习功”自我功法锻炼。治疗前后,采用Flinders疲劳量表评估两组患者日间疲劳状态;VAS疲劳评分对患者治疗周期内的疲劳情况进行动态观察;同时使用Pittsburgh睡眠量表观测睡眠质量情况。运用睡眠质量和日间疲劳VAS评分在治疗结束后进行随访。结果疗程结束后,治疗组Flinders疲劳评分高于对照组,差异有统计学意义(P<0.05);但VAS疲劳评分多个观测节点组间比较,治疗组均无优势,差异无统计学意义(P>0.05),仅在VAS评分均值下降趋势上,治疗组变化差异较对照组相对明显。两组患者Pittsburgh睡眠量表评分组间比较,差异无统计学意义(P>0.05)。随访时睡眠质量和日间疲劳状态VAS评分比较,差异无统计学意义(P>0.05)。结论八段锦联合平秘脏腑推拿的主要优势在于能更有效地改善轮班睡眠障碍患者的日间疲劳症状,虽然远期疗效不佳,但功法锻炼重在“简便易学”,适合长期规律性运用,继而维持医护人员对夜班工作的适应能力,具备一定的临床推广价值。

Objective To observe the clinical efficacy and safety of Baduanjin exercises in improving the fatigue status of female nurses with shift work sleep disorder.Methods A total of 55 patients recruited from many hospitals in our city from January 2015 to December 2019 were selected and randomly divided into the treatment group and the control group.The control group was given sleep health education and Tuina for Pingmi Viscera.The treatment group was guided for low-intensity Baduanjin"syndrome differentiation exercises"self-gong exercises before going to bed,based on the control group's treatment.Before and after treatment,the Flinders fatigue scale was used to assess the daytime fatigue status of the two groups.The VAS fatigue score was used to dynamically observe the fatigue of the patients during the treatment cycle.The Pittsburgh sleep scale was used to observe the sleep quality.The sleep quality and daytime fatigue VAS score were used for follow-up after the treatment.Results After the treatment,the Flinders fatigue score of the treatment group was better than that of the control group,the difference was statistically significant(P<0.05).However,there was no advantage in the treatment group in the multiple observation node of the VAS fatigue score between groups.And there was no statistically significant difference(P>0.05).Only the downward trend of the mean value of the VAS score in the treatment group was relatively noticeable compared with the control group.There was no statistically significant difference in the Pittsburgh sleep scale score between the two groups(P>0.05).There was no significant difference in sleep quality and daytime fatigue status VAS score during follow-up(P>0.05).Conclusion The main advantage of Baduanjin combined with Pingmi Viscera Tuina is that it can more effectively improve the daytime fatigue symptoms of patients with shift work sleep disorders.Although the long-term effect is not good,the exercises focus on"easy to learn",which is suitable for long-term regular use,and can maintain the adaptability of medical staff to night shift work,which has specific clinical promotion value.