摘要
目的研究耳穴压豆联合协同护理模式改善脑卒中后失眠的应用效果。方法选择2021年3月—2022年3月聊城市第二人民医院收治的脑卒中伴失眠患者120例为研究对象,随机分为观察组和对照组各60例。对照组采用常规脑卒中护理方案,观察组采用耳穴压豆联合协同护理改善失眠症状,比较不同护理方案下两组患者睡眠质量、心理状态和生活质量的变化。结果干预前两组睡眠监测指标比较,差异无统计意义(P>0.05);干预后,观察组睡眠总时间长于对照组,睡眠潜伏期与觉醒时间短于对照组,差异有统计学意义(P<0.05)。干预前两组睡眠质量、焦虑、抑郁及幸福感量表得分比较,差异无统计意义(P>0.05);干预后观察组睡眠质量量表、焦虑与抑郁量表得分低于对照组,幸福感得分高于对照组,差异有统计学意义(P<0.05)。结论穴压豆联合协同护理模式能够改善卒中后失眠患者的心理状态与生活质量,提高睡眠质量,值得临床广泛采用。
Objective To study the application effect of auricular point bean-pressing combined with collaborative nursing model in improving insomnia after stroke.Methods A total of 120 stroke patients with insomnia treated in our hospital from March 2021 to March 2022 were included.The patients were randomly divided into observation group and control group with 60 cases in each group.The control group was treated with routine stroke nursing scheme,and the observation group was treated with auricular point bean-pressing combined with collaborative nursing to improve insomnia symptoms.The changes of sleep quality,psychological status,quality of life were compared between the two groups under different nursing schemes.Results There was no significant difference in sleep monitoring indexes between the two groups before intervention(P>0.05).After intervention,the total sleep time of the observation group was significantly longer than that of the control group,and the sleep latency and wake-up time were significantly shorter than that of the control group(P<0.05).There was no significant difference between the two groups in the scores of sleep quality,anxiety,depression and well-being before intervention(P<0.05).After the intervention,the scores of sleep quality,anxiety and depression in the observation group were significantly lower than those in the control group,and the scores of well-being were significantly higher than those in the control group(P<0.05).There was no significant difference in serum serotonin levels between the two groups before the intervention(P>0.05).After the intervention,the serotonin levels in the observation group were significantly lower than those in the control group(P<0.05).Conclusion The auricular point bean-pressing combined with collaborative nursing model could improve the psychological state and quality of life of post-stroke insomnia patients,and improve the sleep quality.
作者
辛洁
XIN Jie(Department of Neurology,Liaocheng Second People's Hospital,Liaocheng 252600,Shandong Province,China)
出处
《中国实用乡村医生杂志》
2022年第10期35-38,共4页
Chinese Practical Journal of Rural Doctor
关键词
卒中后失眠
耳穴压豆
协同护理模式
睡眠质量
焦虑
抑郁
生活质量
Insomnia after Stroke
Ear Pressure Beans Therapy
Collaborative Nursing Model
Sleep Quality
Anxiety
Depression
Quality of Life
