中医穴位贴敷联合耳穴压豆在妊娠期失眠患者护理中对PSQI评分及睡眠时长的影响

Effect of Acupoint Application of Traditional Chinese Medicine combined with Auricular Point ressure on PsQI Score and Sleep Duration in Nursing of Patients with Insomnia During Pregnancy

目的 探究分析中医穴位贴敷联合耳穴压豆在妊娠期失眠患者护理中对PSQI评分及睡眠时长的影响。方法 选取2020年1月-2022年10月在医院接受治疗的68例妊娠期失眠患者作为研究对象,随机分为对照组和观察组,对照组使用常规失眠护理方法,保证孕妇各项生命指标的稳定,观察组使用中医穴位贴敷联合耳穴压豆优质护理方法。干预后比较两组匹兹堡睡眠质量指数(PSQI)评分,疲劳乏力、心悸、浅睡易醒、入睡困难中医证候积分,心理状态,入睡时间和睡眠时长。结果 (1)观察组匹兹堡睡眠质量指数(PSQI)评分低于对照组;(2)观察组疲劳乏力、心悸、浅睡易醒、入睡困难中医证候积分低于对照组;(3)观察组SAS焦虑评分、SDS抑郁评分低于对照组;(4)观察组入睡时间短于对照组,睡眠持续时间长于对照组,差异均有统计学意义(P<0.05)。结论 中医穴位贴敷联合耳穴压豆优质护理可以改善妊娠期失眠患者疲劳乏力、心悸、浅睡易醒、入睡困难等中医证候积分,通过简单安全的中医护理操作方法降低妊娠对身体产生的影响,使用情志护理纾解妊娠期失眠患者担忧、抑郁、紧张等不良心理状态,降低她们的匹兹堡睡眠质量指数评分,延长睡眠持续时间,使其睡眠质量得到显著的提升。

Objective To explore and analyze the influence of acupoint application of traditional Chinese medicine combined with auricular point pressure bean on PSQI score and sleep duration in nursing of patients with insomnia during pregnancy.Methods 68 patients with insomnia during pregnancy who received treatment in our hospital from January 2020 to October 2022 were selected as research objects and randomly divided into control group and observation group.The control group was treated with routine insomnia nursing methods to ensure the stability of various vital indicators of pregnant women,and the observation group was treated with high-quality nursing methods of traditional Chinese acupuncture point application combined with auricular point pressure bean.After intervention,Pittsburgh Sleep Quality Index(PSQI)scores,fatigue,palpitation,light sleep easy to wake up,difficulty falling asleep TCM symptom scores,mental state,fall asleep time and sleep duration were compared between the two groups.Results The Pittsburgh Sleep Quality index(PSQI)score of the observation group was lower than that of the control group;②The scores of TCM symptoms of fatigue,palpitation,light sleep and difficulty in falling asleep in the observation group were lower than those in the control group;The SAS anxiety score and SDS depression score of the observation group were lower than those of the control group;(4)The time to fall asleep in the observation group was shorter than that in the control group,and the duration of sleep was longer than that in the control group,with statistical significance(P<0.05).Conclusion TCM acupoint application combined with ear point pressure bean quality care can improve the TCM symptom scores of patients with insomnia during pregnancy,such as fatigue,palpitation,easy to wake up from light sleep and dfficulty in falling asleep,reduce the impact of pregnancy on the body through simple and safe TCM nursing operation methods,and use emotional nursing to relieve the adverse psychological states of patients with insomnia during pregnancy,such as worry,depression,tension and so on.Lowering their Pittsburgh Sleep Quality Index scores,extending their sleep duration,and significantly improving their sleepquality.