穴位按摩联合耳穴压豆干预对老年冠心病伴失眠患者睡眠及生命质量的影响

Effect of Acupoint Massage Combined with Auricular Point Pressure on Sleep and Quality of Life in Elderly Patients with Coronary Heart Disease and Insomnia

目的:探究穴位按摩结合耳穴压豆干预对老年冠心病伴失眠患者睡眠及生命质量的影响。方法:选取2022年2月至2023年2月厦门大学附属中山医院中医科收治的老年冠心病伴失眠患者60例作为研究对象,采用抽签法分为对照组和观察组,每组30例。对照组予以穴位按摩,观察组在此基础上予以耳穴压豆。比较2组睡眠质量、生命质量、中医证候积分、负性情绪变化。结果:干预后,观察组睡眠质量、生命质量、中医证候积分、负性情绪变化均优于对照组,差异均有统计学意义(均P<0.05)。结论:穴位按摩联合耳穴压豆干预老年冠心病伴失眠,可有效调节患者心理状态,缓解失眠症状,提高生命质量水平,值得临床推广。

Objective:To explore the effects of acupoint massage combined with ear point pressure on sleep and quality of life in elderly patients with coronary heart disease and insomnia.Methods:A total of 60 elderly patients with coronary heart disease and insomnia admitted to the Department of Traditional Chinese Medicine,Zhongshan Hospital Affiliated to Xiamen University from February 2022 to February 2023 were selected for the study.The patients were divided into a control group(n=30)and an observation group(n=30).The control group received acupoint massage,while the observation group was given auricular point pressure in addition to the acupoint massage.Sleep quality,quality of life,TCM syndrome scores and negative mood change were compared between the two groups.Results:After intervention,sleep quality,quality of life,TCM syndrome score and negative emotion changes in the observation group were better than those in the control group,and the differences were statistically significant(all P<0.05).Conclusion:The use of acupressure combined with ear point pressure bean to intervene in elderly coronary heart disease with insomnia can effectively adjust the psychological state of patients to alleviate insomnia symptoms,improve the quality of life level,which is worthy of clinical promotion.