耳穴贴压配合协同护理干预对卒中后失眠患者睡眠质量的影响

Effect of Ear Acupoint Pressure Combined with Collaborative Nursing Intervention on Sleep Quality in Insomnia Patients after Stroke

目的:观察耳穴贴压配合协同护理干预对卒中后失眠患者睡眠质量的影响。方法:选取2022年7月至2023年7月福建省福州市第二总医院卒中后失眠患者94例为研究对象,按照护理方法的不同分为观察组和对照组,每组47例。对照组采用常规护理,观察组在对照组的基础上给予耳穴贴压配合协同护理。比较2组护理前后多导睡眠仪监测结果、匹兹堡睡眠质量指数(PSQI)量表评分及简明疲乏量表(BFI)评分。结果:护理后,2组睡眠时间均较本组治疗前增加(P<0.05),睡眠潜伏期及觉醒时间均较本组护理前缩短(P<0.05),且观察组睡眠时间多于对照组(均P<0.05),睡眠潜伏期及觉醒时间短于对照组(P<0.05)。护理后,2组PSQI、BFI评分均较本组护理前降低(均P<0.05),且观察组均明显低于对照组(均P<0.05)。结论:耳穴贴压配合协同护理能改善卒中后失眠患者睡眠质量,减轻其疲劳感。

Objective:To explore the effect of auricular acupoint pressure combined with collaborative nursing intervention for insomnia patients after stroke.Methods:For retrospective analysis,insomnia patients diagnosed in a grade A hospital by doctors and scored in the Pittsburgh Sleep Quality Index scale were selected.The final sample size was 94 cases(from July 2022 to July 2023),and they were grouped according to different nursing methods,with 47 cases in each group.The control group used routine nursing care,while the observation group received collaborative nursing in addition to auricular acupoint pressure therapy.Sleep parameters were monitored using polysomnography,and Pittsburgh Sleep Quality Index(PSQI)and Brief Fatigue Inventory(BFI)scores were assessed before and after the intervention.Results:After nursing care,sleep duration significantly increased in both groups compared to pre-intervention(P<0.05),while sleep latency and wake time of the observation group were shortened(P<0.05).The observation group showed greater improvements in sleep duration,sleep latency,and wake time compared to the control group(all P<0.05).PSQI and BFI scores also significantly decreased post-intervention in both groups(P<0.05),with the observation group achieving significantly lower scores than the control group(P<0.05).Conclusion:Collaborative nursing combined with auricular acupoint pressure for insomnia patients after stroke is relatively significant,which can significantly improve sleep quality of patients and reduce their fatigue feelings.