耳穴埋豆配合按摩在脑卒中后便秘护理中的应用及对睡眠质量的影响

The Application of Ear Point Embedding Beans with Massage in PoststrokeConstipation Nursing and Its Impact on Sleep Quality

目的:分析在脑卒中后便秘护理中给予耳穴埋豆配合按摩的干预价值,及对患者睡眠质量的影响。方法:选取2022年1月至2023年6月福建中医药大学附属人民医院神经内科收治的脑卒中后便秘患者80例作为研究对象,按照随机数字表法随机分为观察组和对照组,每组40例。观察组采取耳穴埋豆配合按摩护理,对照组采取常规护理,比较2组干预后排便情况(首次排便时间、排便时长、排便间隔时间),分析2组干预前后匹兹堡睡眠质量指数(PSQI)、改良巴氏指数(Barthel指数)、睡眠障碍评定量表、中医睡眠证候积分(夜寐不安、入睡困难、晨醒过早)。结果:干预后,观察组排便时间更短,差异均有统计学意义(均P<0.05);干预前,2组PSQI、Barthel指数、睡眠障碍评定量表、中医睡眠证候积分比较,差异均无统计学意义(均P>0.05);干预后,观察组改善效果优于对照组,差异均有统计学意义(均P<0.05)。结论:对卒中后便秘患者采取耳穴埋豆配合按摩干预可有效减轻患者便秘症状,缩短排便时间,较常规护理更有助于改善干预后睡眠质量,提高生命质量,值得推广应用。

Objective:To analyze the intervention value of ear point embedding beans with massage in post stroke constipation nursing,and its impact on patients′sleep quality.Methods:A total of 80 patients with stroke constipation admitted in our hospital from January 2022 to June 2023 were taken as this observation objects,and were divided by random method(digital table method),with 40 patients in each group.The observation group received ear point embedding beans combined with massage,while the control group received routine nursing.The defecation status(first defecation time,defecation duration,defecation interval time)of the two groups after intervention was compared,and the Pittsburgh Sleep Quality Index(PSQI),Modified Barthel Index(Barthel Index),Sleep Disorder Assessment Scale,and traditional Chinese medicine sleep syndrome score(insomnia,difficulty falling asleep,and early morning awakening)were analyzed before and after intervention.Results:Comparing the defecation status between the observation group and the control group after intervention,it can be seen that the observation group has a shorter time,and the difference is statistically significant(P s<0.05).There was no statistically significant difference in PSQI,Barthel index,sleep disorder assessment scale,and traditional Chinese medicine syndrome score between the observation group and the control group before intervention(P s>0.05).After intervention,the analysis of the above indicators between the observation group and the control group showed that the improvement effect of the former was better than that of the latter,with a statistically significant difference(P s<0.05).Conclusion:Combining ear point embedding beans with massage intervention for post-stroke constipation patients can effectively alleviate their constipation symptoms,shorten defecation time,and improve sleep quality and quality of life after intervention compared to routine nursing.It is worth promoting and applying.