摘要
[目的]探讨杵针疗法结合五音疗法对消化系统恶性肿瘤心脾两虚型失眠病人睡眠质量的影响。[方法]选取2015年12月—2016年10月在四川省某中医院肿瘤科住院的105例消化系统恶性肿瘤心脾两虚型失眠病人为研究对象,随机分为对照组、杵针组和杵针五音组,各35例。对照组在常规治疗的基础上按不寐护理常规进行干预,杵针组在对照组的基础上实施杵针疗法,杵针五音组在对照组的基础上实施杵针疗法和五音疗法。采用匹兹堡睡眠质量指数(PSQI)测评3组病人干预前和干预4周后睡眠质量。[结果]杵针组、杵针五音组病人干预前后睡眠质量、入睡时间、睡眠时间、睡眠效率、日间功能障碍评分及总分比较差异均有统计学意义(P<0.05);杵针组和对照组、杵针五音组和对照组睡眠质量、入睡时间、睡眠时间、睡眠效率、日间功能障碍评分及总分比较差异均有统计学意义(P<0.05);杵针五音组和杵针组入睡时间、睡眠效率、日间功能障碍维度评分和总分比较差异有统计学意义(P<0.05)。[结论]杵针疗法结合五音疗法可提高消化系统恶性肿瘤心脾两虚型失眠病人的睡眠质量,且效果优于单一使用杵针疗法。
Objective:To probe into the influence of Chinese pestle therapy combined with five tone therapy on sleep quality in patients with gastrointestinal cancer with heart and spleen deficiency.Methods:From December 2015 to October 2016,105 insomnia patients with digestive system malignant tumors of heart and spleen deficiency type were randomly divided into control group,pestle group and pestle five tone group,35 cases in each group.The patients in control group were intervened according to sleepless nursing routine on the basis of routine treatment,the patients in pestle group were treated with Chinese pestle therapy on the basis of routine,and patients in the pestle five tone group were treated with Chinese pestle therapy and five tone therapy on the basis of routine.The sleep quality of patients in three groups were measured by PSQI before intervention and at four weeks after intervention.Results:There were statistically significant differences in sleep quality,falling asleep time,sleep time,sleep efficiency,daytime dysfunction score and total score before and after intervention between pestle group and pestle five tone group(P<0.05).There were statistically significant differences in sleep quality,falling asleep time,sleep time,sleep efficiency,daytime dysfunction score and total score between the pestle group and the control group,and between the pestle five tone group and the control group(P<0.05).There were statistically significant differences in the dimensions of falling asleep time,sleep efficiency,daytime dysfunction and total score between the pestle five tone group and pestle group(P<0.05).Conclusion:The combination of Chinese pestle therapy and five tone therapy could improve the quality of sleep in patients with digestive malignancies of both heart and sleep deficiency,and its effect was better than that of single pestle.
作者
刘一弦
蒋运兰
刘婉琳
Liu Yixian;Jiang Yunlan;Liu Wanlin(Guangyuan Central Hospital,Sichuan 628000 China)
出处
《护理研究》
北大核心
2018年第22期3553-3557,共5页
Chinese Nursing Research
基金
四川省中医药管理局中医药科学技术研究专项2016年度科研项目立项计划
编号:2016C025
关键词
失眠
心脾两虚
杵针
五音疗法
恶性肿瘤
睡眠质量
宫调
徵调
消化系统
insomnia
heart spleen deficiecy
Chinese pestle therapy
five tone therapy
malignant tumor
sleep quality
gong diao
ahi diao
digestive system
作者简介
刘一弦,护士,硕士研究生,单位:628000,广元市中心医院;
