睡眠护理联合耳穴掀针对抑郁症患者失眠症状的改善效果

Improvement effect of sleep nursing combined with auricular lifting acupuncture on insomnia of patients with depression

目的探讨抑郁症患者接受睡眠护理联合耳穴掀针对其失眠症状的改善效果。方法选取2020年12月至2021年12月广西壮族自治区脑科医院收治的120例抑郁症患者进行研究,应用随机数字表法分为对照组(60例)和观察组(60例)。对照组患者于护理期间实施心理护理,观察组患者采取睡眠护理加耳穴掀针。对比2组患者的睡眠质量、失眠症状和负性情绪。结果护理2周和出院时,2组的匹兹堡睡眠质量指数问卷(PSQI)评分均低于同组入院时(P均<0.05);观察组的PSQI评分均低于同期对照组(P均<0.05)。出院时,2组患者的早醒、入睡困难、睡眠浅和多梦症状评分均低于同组入院时(P均<0.05),且观察组均低于对照组(P均<0.05)。护理2周和出院时,2组患者的汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)评分均低于同组入院时(P均<0.05),且观察组均低于同期对照组(P均<0.05)。结论抑郁症患者接受睡眠护理联合耳穴掀针干预,有助于改善负性情绪,提升睡眠质量,并减轻失眠症状。

Objective To investigate the effect of sleep nursing combined with auricular lifting acupuncture on improving the insomnia of patients with depression.Methods A total of 120 patients with depression admitted to the Guangxi Zhuang Autonomous Region Brain Hospital from December 2020 to December 2021 were selected for the study.They were assigned into a control group(60 cases)and an observation group(60 cases)by the use of a random number table.The control group carried out psychological nursing during nursing,while the observation group carried out sleep nursing combined with auricular lifting acupuncture.The sleep quality,insomnia symptoms,and negative emotions were compared between the two groups.Results After 2 weeks of nursing and at discharge,the Pittsburgh Sleep Quality Index(PSQI)scores in both groups were lower than those at admission(all P<0.05).The observation group had lower PSQI scores than the control group(both P<0.05).At discharge,the scores of early awakening,difficulty in falling asleep,light sleep,and dreaminess in both groups were lower than those at admission(all P<0.05),and the observation group had lower symptom scores than the control group(all P<0.05).After 2 weeks of nursing and at discharge,the scores of the Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)in both groups were lower than those at admission(all P<0.05),and the observation group had lower scores than the control group(all P<0.05).Conclusion Sleep nursing combined with auricular lifting acupuncture for patients with depression can help improve the negative emotions,sleep quality,and insomnia symptoms.