中医特色干预对维持性血液透析患者睡眠质量、ADL评分及并发症的影响  

Effect of Characteristic Interventions of Traditional Chinese Medicine on Sleep Quality,ADL Scores and Complications for Patients with Maintenance Hemodialysis

作　　者：段梦婕 张艳 王春燕 张维 邓丽[1] DUAN Mengjie;ZHANG Yan;WANG Chunyan(Department of Nephrology,the People's Hospital of Yuechi City,Guang'an Sichuan 638300,China)

机构地区：[1]岳池县人民医院肾内科,四川广安638300

出　　处：《四川中医》2022年第5期212-215,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：四川省科技厅资助项目(20180214231)

摘　　要：目的:分析中医特色干预对维持性血液透析患者睡眠质量、ADL评分及并发症的影响。方法:选取我院2018年2月~2020年11月收治的152例慢性肾功能衰竭经维持性血液透析患者作为研究对象,根据干预方法的差异分为研究组和对照组。其中研究组90例(给予中医特色干预),对照组62例(给予常规干预)。比较两组干预前后睡眠质量[采用匹兹堡睡眠质量指数(Pittsburghsleepqualityindex,PSQI)评估]、生活质量[采用SF-36评分量表(the Mositem short from health survey,SF-36)评估]、日常生活能力[采用Barthel(BI)指数和日常生活活动(activities of daily living,ADL)量表评估]变化情况,对比两组并发症发生情况。结果:(1)干预后两组入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能障碍、睡眠质量评分及PSQI总分均有所下降,且研究组下降程度较对照组更为显著(P<0.05)。(2)研究组干预后躯体疼痛、生理职能、生理功能、社会功能、情感职能、精神健康、总体健康、精力评分均显著高于对照组(P<0.05)。(3)干预后研究组后BI指数和ADL评分比较均高于同组干预前及对照组(P<0.05)。(4)研究组并发症发生率(8.89%)低于对照组(35.48%)(P<0.05)。结论:中医特色干预可改善维持性血液透析患者睡眠质量,有效降低临床并发症发生率,进而提高患者日常生活能力及生活质量,值得推广。Objective:To analyze the effect of characteristic interventions of traditional Chinese medicine on sleep quality,ADL scores and complications for patients with maintenance hemodialysis.Methods:152 patients with chronic renal failure undergoing maintenance hemodialysis who were admitted to our hospital from February 2018 to November 2020 were selected as the research objects,and were divided into a study group and a controlled group according to the difference of intervention methods.Among them,90 cases were in the study group(characteristic interventions of traditional Chinese medicine),and 62 cases were in the controlled group(conventional intervention).The two groups were compared with the changes before and after intervention in sleep quality[assessed by Pittsburgh sleep quality index(PSQI)],quality of life[assessed by the Mositem short from health survey(SF-36)],daily living ability[Using the Barthel(BI)index and the activities of daily living(ADL)scale].The complications of the two groups were compared.Results:(1)After the intervention,the time to fall asleep,sleep time,sleep efficiency,sleep disturbance,daytime dysfunction,sleep quality score and total PSQI score of patients in the two groups decreased,and the decline in the study group was more significant than that of the controlled group(P<0.05).(2)The scores of body pain,physiological function,physiological function,social function,emotional function,mental health,general health and energy of the study group after intervention were significantly higher than those of the controlled group(P<0.05).(3)After the intervention,the BI index and ADL score of the study group were higher than those of the same group before the intervention and higher than those of the controlled group(P<0.05).(4)The incidence of complications in the study group(8.89%)was lower than that in the controlled group(35.48%)(P<0.05).Conclusion:The characteristic intervention of traditional Chinese medicine can improve the sleep quality of patients of maintenance hemodialysis,effectively

关 键 词：中医特色干预 维持性血液透析 睡眠质量 生活质量 日常生存能力 

分 类 号：R248.1[医药卫生—中医临床基础]