中医辨证护理对围绝经期不寐症患者睡眠质量及生活质量的影响

Effect of Chinese Medicine Discriminative Care on Sleep Quality and Quality of Life in Patients with Perimenopausal Sleeplessness

目的:探讨中医辨证护理对围绝经期不寐症患者睡眠质量及生活质量的影响。方法:选取2020年6月-2021年5月南阳医学高等专科学校第一附属医院就诊的74例围绝经期不寐症患者作为研究对象,采用随机数表法分为对照组和试验组,每组各37例。对照组实施常规护理干预,试验组在常规护理基础上实施中医辨证护理干预,两组患者均干预1个月。比较两组患者干预前后的睡眠质量[匹茨堡睡眠质量指数量表(PSQI)评分]、生活质量[健康调查量表(SF-36)评分]及临床疗效。结果:干预后,两组患者PSQI量表中各维度评分及总分均低于干预前,且试验组低于对照组,差异有统计学意义(t=11.043、13.540、6.767、8.543、11.416、8.716、2.275、6.426,P<0.05)。干预后,两组患者SF-36量表中各维度评分均明显高于干预前,且试验组高于对照组,差异有统计学意义(t=4.640、5.002、4.509、3.854、3.657、3.389、3.964、4.118,P<0.05)。试验组治疗总有效率为94.59%,明显高于对照组的83.78%,差异有统计学意义(χ^(2)=19.122,P<0.05)。结论:中医辨证护理能够有效减轻围绝经期不寐症患者的失眠症状,改善患者的睡眠质量,提高患者的生活质量。

Objective:To investigate the effect of TCM evidence-based care on sleep quality and quality of life in patients with perimenopausal sleeplessness.Methods:74 patients with perimenopausal dysphoric disorder attending the hospital from June 2020 to May 2021 were selected for the study and were divided into control group and experimental group using the random number table method,with 37 cases in each group.The control group implemented conventional nursing interventions,and the experimental group implemented TCM evidence-based nursing interventions on the basis of conventional nursing,and both groups of patients were intervened for 1 month.The sleep quality(Pittsburgh Sleep Quality Index scale[PSQI]scores),quality of life(Health Survey Scale[SF-36]scores)and clinical outcomes of the two groups were compared before and after the intervention.Results:After the intervention,the scores and total scores of all dimensions in the PSQI scale were lower in both groups than before the intervention,and were lower in the test group than in the control group,with statistically significant differences(t=11.043,13.540,6.767,8.543,11.416,8.716,2.275,6.426,P<0.05).After the intervention,the scores of all dimensions in the SF-36 scale were significantly higher in both groups than before the intervention,and the test group was higher than the control group,with statistically significant differences(t=4.640,5.002,4.509,3.854,3.657,3.389,3.964,4.118,P<0.05).The total effective rate of treatment in the test group was 94.59%,which was significantly higher than 83.78%in the control group,with statistically significant differences(χ^(2)=19.122,P<0.05).Conclusion:Chinese medicine evidence-based care can effectively reduce insomnia symptoms,improve sleep quality and enhance the quality of life of patients with perimenopausal sleeplessness.