耳穴按压联合渐进性肌肉放松训练对维持性血液透析患者睡眠质量的影响

Effect of Auricular Point Pressing Combined with Progressive Muscle Relaxation Training on Sleep Quality of Maintenance Hemodialysis Patients

目的探讨耳穴按压联合渐进性肌肉放松训练对维持性血液透析(MHD)患者睡眠质量的影响。方法选取2020年9月—2022年8月于菏泽市立医院行MHD治疗的96例睡眠障碍患者作为研究对象,采用随机数表法分为两组,包括对照组(48例)与研究组(48例)。两组均采取常规护理措施,对照组应用渐进性肌肉放松训练,研究组在此基础上联合耳穴按压干预。观察与比较两组干预前后匹兹堡睡眠质量指数(PSQI)评分、Piper疲乏量表(RPFS)评分、肾病相关生存质量(KDTA)评分以及护理满意度情况。结果干预4周后,两组PSQI评分均低于干预前,且研究组评分低于对照组,差异有统计学意义(P<0.05)。干预4周后,两组RPFS评分均低于干预前,且研究组评分低于对照组,差异有统计学意义(P<0.05)。干预4周后,两组KDTA评分均高于干预前,且研究组评分高于对照组,差异有统计学意义(P<0.05)。研究组护理满意率高于对照组,差异有统计学意义(P<0.05)。结论耳穴按压联合渐进性肌肉放松训练可以有效改善MHD患者的睡眠质量与疲乏感,保障生活质量,且提高了护理满意度,具有临床应用价值。

Objective To investigate the effect of auricular point pressing combined with progressive muscle relaxation training on sleep quality in patients with maintenance hemodialysis(MHD).Methods 96 patients with MHD sleep disorder in our hospital from September 2020 to August 2022 were randomly divided into control group(48 cases)and study group(48 cases).The control group applied progressive muscle relaxation training,and the research group combined auricular point pressing intervention on this basis.The Pittsburgh Sleep Quality Index(PSQI)score,Piper Fatigue Scale(RPFS)score,nephrotic related quality of life(KDTA)score and nursing satisfaction were observed and compared between the two groups before and after the intervention.Results After 4 weeks of intervention,the PSQI scores of both groups were lower than that before intervention,and the score of the study group was lower than that of the control group(P<0.05).After 4 weeks of intervention,RPFS scores in both groups were lower than those before intervention,and the scores in the study group were lower than those in the control group(P<0.05).After 4 weeks of intervention,the KDTA scores in both groups were higher than those before intervention,and the scores in the study group were higher than those in the control group(P<0.05).The nursing satisfaction rate of the study group was higher than that of the control group(P<0.05).Conclusion Auricular point pressing combined with progressive muscle relaxation training can effectively improve the sleep quality and fatigue of MHD patients,ensure the quality of life,and improve nursing satisfaction,which has clinical application value.