开天门按摩护理对老年失眠患者的影响

Effect of Massage Nursing of Open Tianmen in Elderly Patients with Insomnia

目的:研究开天门按摩护理对老年失眠患者的影响。方法:选取东莞市东部中心医院收治的老年失眠患者84例作为研究对象,按照随机数字表法随机分为对照组和观察组,每组42例。对照组接受常规护理,观察组在常规护理基础上采用开天门按摩护理干预。比较2组患者护理前后睡眠质量评分、生命质量评分、心理状态评分、血液流变学等相关指标以及不良反应发生率、治疗总有效率、护理服务满意度、睡眠恢复正常时间和住院总时间。结果:护理后,观察组患者睡眠质量指数评分、生命质量评分、心理状态评分、血液流变学相关指标的改善幅度大于对照组,2组比较差异均有统计学意义(均P<0.05);观察组不良反应发生率低于对照组,2组比较差异有统计学意义(P<0.05);治疗总有效率高于对照组,2组比较差异有统计学意义(P<0.05);观察组护理服务的满意度高于对照组,2组比较差异有统计学意义(P<0.05),睡眠恢复正常时间和治疗总时间短于对照组,2组比较差异均有统计学意义(均P<0.05)。结论:采用开天门按摩对老年失眠患者实施护理干预,能够减少相关不良反应,更好地改善患者的生命质量和睡眠质量,使患者保持良好心理状态,改善血液流变学指标,在短时间内使失眠患者恢复正常,提高了护理满意度和治疗效果。

Objective:To study the effect of massage nursing of open Tianmen in elderly patients with insomnia.Methods:A total of 84 elderly patients with insomnia treated in Dongguan East Central Hospital were selected.They were randomly divided into control group and observation group according to random number table method,with 42 cases in each group.The control group received routine nursing,and the observation group used open Tianmen massage on the basis of routine nursing to implement nursing intervention during the treatment.The sleep quality index,quality of life,psychological state score,hemorheology related indexes,adverse reactions,total effective rate of disease control,satisfaction with nursing services and sleep recovery were compared between the two groups before and after nursing.Results:The improvement range of sleep quality index,quality of life,psychological state score and hemorheology related indexes in the observation group after nursing was greater than those in the control group.There were significant differences in the data between groups(Ps<0.05).The adverse reactions were less than those in the control group,and the data difference between groups was statistically significant(P<0.05).The total effective rate of treatment was higher than that in the control group,and the data difference between groups was statistically significant(P<0.05).The satisfaction with nursing services was higher than that in the control group,and the data difference between groups was statistically significant(P<0.05).The sleep recovery time and the total treatment time in the control group were shorter than those in the control group,and the differences were statistically significant(Ps<0.05).Conclusion:Nursing intervention with open Tianmen massage for elderly patients with insomnia can reduce relevant adverse reactions,improve patients′quality of life and sleep,keep patients in good psychological state,improve hemorheological indexes,restore sleep status to normal in a short time,and improve nursing satisfaction and disease control effect.