2种中医理疗法对血液透析睡眠障碍患者睡眠质量的影响  

Effect of Two Chinese Medicine Physical Therapies on Sleep Quality of Hemodialysis Patients with Sleeping Disorders

作　　者：袁玉萍[1] 罗秀梅[1] 李莉[1] 

机构地区：[1]镇江市第二人民医院,江苏镇江212002

出　　处：《护理学报》2012年第3期68-70,共3页Journal of Nursing（China）

基　　金：镇江市卫生局科研基金资助项目(WS0707)

摘　　要：目的比较穴位按摩和中药足浴对血液透析睡眠障碍患者睡眠质量的影响。方法将80例伴有睡眠障碍、匹兹堡睡眠质量指数评分为7～18分的血液透析住院患者,随机均分为两组。分别采用中药足浴和穴位按摩进行干预,每天1次,于临睡前1 h进行,疗程2周。随访3个月,采用睡眠质量评分分别测评两组干预前、后睡眠质量情况。结果干预2周后,两组患者的睡眠质量总分、睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能障碍6个因素评分均明显下降(P<0.01),穴位按摩组入睡时间明显短于中药足浴组(P<0.05)。结论穴位按摩和中药足浴均能提高血液透析患者睡眠质量,且穴位按摩组效果优于中药足浴组。Objective To compare the effects of point massage and foot bath of Chinese medicine on sleep quality of hemodialysis patients with sleep disorders. Methods 80 hemodialysis inpatients with sleep disorders whose Pittsburgh Sleep Quality Index （PSQI） scores were ranged from 7 to 18 were randomly divided into two groups, which were respectively treated by foot bath of Chinese medicine and point massage once a day for two weeks. The sleep quality of patients was assessed with PSQI before and after the treatment. Results After the treatment, the total score of PSQI and scores of sleep quality, sleep latency, sleep time, sleep efficiency, sleep disturbances, daytime dysfunction of the two groups lowered significantly （P〈0.01）, while the sleep latency of the point massage group was significantly less than that of the foot bath of Chinese medicine group （P〈0.05）. Conclusion Foot bath of Chinese medicine and point massage can improve the sleep quality of hemodialysis patients and point massage is more effective than that of foot bath of Chinese medicine.

关 键 词：血液透析 睡眠障碍 穴位按摩 中药足浴 

分 类 号：R248[医药卫生—中医临床基础]