头部穴位按摩联合热奄包足浴对血液透析合并睡眠障碍患者的效果

Effect of Head Acupoint Massage Combined with Hot Package Foot Bath for Patients with Hemodialysis and Sleep Disorders

目的:观察头部穴位按摩联合热奄包足浴对血液透析合并睡眠障碍患者的效果。方法:选取2021年7月—2022年7月南通市中医院接诊的80例血液透析合并睡眠障碍患者作为研究对象,依据随机数表法将患者分为研究组与常规组,剔除1例脱落病例后,研究组40例,常规组39例。两组均给予常规护理,常规组应用头部穴位按摩,研究组在常规组基础上应用热奄包足浴干预,两组均干预2个月。比较两组干预前后睡眠质量、生存质量及尿素下降率(urea reduction ratio,URR)。结果:研究组干预后日间功能障碍、催眠药物、睡眠障碍、睡眠效率、睡眠时间、入睡时间、睡眠质量评分及匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)总分低于常规组,精神健康、情感职能、社会功能、活力、总体健康、躯体疼痛、生理职能、生理功能评分高于常规组,差异有统计学意义(P<0.05)。两组干预前后URR比较,差异无统计学意义(P>0.05)。结论:头部穴位按摩联合热奄包足浴能改善血液透析合并睡眠障碍患者睡眠质量及生存质量,且对患者透析充分性无明显不良影响。

Objective:To observe the effect of head acupoint massage combined with hot package foot bath on patients with hemodialysis and sleep disorders.Method:A total of 80 patients with hemodialysis and sleep disorders who admitted to Nantong Traditional Chinese Medicine Hospital from July 2021 to July 2022 were selected as the research objects,the patients were divided into study group and routine group according to the random number table method,after 1 case of shedding was removed,there were 40 cases in the study group and 39 cases in the routine group.Two groups were given routine nursing,the routine group was given head acupoint massage,and the study group was given hot package foot bath intervention on the basis of the routine group,two groups were intervened for 2 months.The sleep quality,quality of life and urea reduction ratio(URR)were compared between two groups before and after intervention.Result:The daytime dysfunction,hypnotic drugs,sleep disorders,sleep efficiency,sleep time,sleep time,sleep quality scores and Pittsburgh sleep quality index(PSQI)total score of the study group after intervention were lower than those of the routine group,and the scores of mental health,emotional function,social function,vitality,general health,physical pain,physiological function and physiological function were higher than those of the routine group,the differences were statistically significant(P<0.05).There were no statistically significant differences in URR between two groups before and after intervention(P>0.05).Conclusion:Head acupoint massage combined with hot package foot bath can improve the sleep quality and quality of life of patients with hemodialysis and sleep disorders,and has no significant adverse effect on the adequacy of dialysis.