中药穴位贴敷联合缩唇-腹式呼吸训练对慢性顽固性心力衰竭伴睡眠障碍患者睡眠质量、心功能及负性情绪的影响  

Effects of acupoint application of traditional Chinese medicine combined with lip contraction-abdominal breathing training on sleep quality,cardiac function and negative emotion of patients with chronic refractory heart failure and sleep disorder

作　　者：吴晖[1] 王燕 任耀龙 胡龙涛[1] WU Hui;WANG Yan;REN Yaolong;HU Longtao(Ankang Hospital of Traditionl Chinese Medicine,Ankang 725000;Affiliated Hospital of Shaanxi University of Chinese Medicine,Xianyang 712000,China)

机构地区：[1]安康市中医医院,陕西安康725000 [2]陕西中医药大学附属医院,陕西咸阳712000

出　　处：《临床医学研究与实践》2021年第16期159-162,共4页Clinical Research and Practice

基　　金：陕西省中医药管理局科研课题(No.2019-GJ-LC019);陕西中医药大学2019年省教育厅专项科研计划项目(No.19JK0236);安康市科技局科研项目(No.AK2019-SFZC-08)。

摘　　要：目的探讨中药穴位贴敷联合缩唇-腹式呼吸训练对慢性顽固性心力衰竭伴睡眠障碍患者睡眠质量、心功能及负性情绪的影响。方法选取我院2018年1月至2019年11月老年病科收治的86例慢性顽固性心力衰竭伴睡眠障碍患者作为研究对象,采用随机数字表法将其分为对照组(42例)和观察组(44例)。对照组给予规范抗心衰治疗及护理干预,观察组在对照组基础上给予中药穴位贴敷联合缩唇-腹式呼吸训练。比较两组干预前、后的睡眠质量、心功能指标、焦虑、抑郁状态及护理满意度。结果干预后,观察组睡眠质量Ⅰ级患者占比高于对照组,Ⅳ级患者占比低于对照组,差异具有统计学意义(P<0.05)。干预后,两组患者的LVSD、LVDD均较干预前降低,LVEF均较干预前升高,且观察组优于对照组,差异具有统计学意义(P<0.05)。干预后,两组患者的HAMA、HAMD评分均较干预前降低,且观察组低于对照组,差异具有统计学意义(P<0.05)。观察组患者的护理满意度为88.64%,高于对照组的61.90%,差异具有统计学意义(P<0.05)。结论中药穴位贴敷联合缩唇-腹式呼吸训练可显著改善慢性顽固性心力衰竭伴睡眠障碍患者的睡眠质量及心功能,缓解负性情绪,提高护理满意度。Objective To explore the effects of acupoint application of traditional Chinese medicine combined with lip contraction-abdominal breathing training on sleep quality,cardiac function and negative emotion of patients with chronic refractory heart failure and sleep disorder.Methods From January 2018 to November 2019,86 patients with chronic refractory heart failure and sleep disorder admitted in geriatrics department of our hospital were selected as the research objects,and the patients were divided into control group(42 cases)and observation group(44 cases)by random number table method.The control group was given standard anti-heart failure treatment and nursing intervention,and the observation group was given acupoint application of traditional Chinese medicine combined with lip contraction-abdominal breathing training on the basis of the control group.The sleep quality,cardiac function indexes,anxiety,depression state before and after intervention and nursing satisfaction of the two groups were compared.Results After intervention,the proportion of patients with gradeⅠsleep quality in the observation group was higher than that in the control group,the proportion of patients with gradeⅣsleep quality was lower than that in the control group,and the differences were statistically significant(P<0.05).After intervention,the LVSD and LVDD in the two groups were lower than those before intervention,the LVEF were higher than that before intervention,and those in the observation group were better than the control group,the differences were statistically significant(P<0.05).After intervention,HAMA and HAMD scores in the two groups were lower than those before intervention,and those in the observation group were lower than the control group,the differences were statistically significant(P<0.05).The nursing satisfaction of the observation group was 88.64%,which was higher than 61.90%of the control group,the difference was statistically significant(P<0.05).Conclusion Acupoint application of traditional Chinese medicine com

关 键 词：穴位贴敷 缩唇-腹式呼吸训练 慢性顽固性心力衰竭 睡眠障碍 心功能 负性情绪 

分 类 号：R473.5[医药卫生—护理学]