麦粒灸联合足部穴位按摩护理对老年脑卒中合并失眠患者睡眠质量的影响  

Ef fect of moxibustion combined with foot acupoint massage on sleep quality of senile patients with cerebral apoplexy complicated with insomnia

作　　者：张敏 梁冰莲 龙雅洁 李春意 ZHAN Min;LIANG Binglian;LONG Yajie;LI Chunyi(Yangjiang Hospital of Traditional Chinese Medicine,Yangjiang,529500,China)

机构地区：[1]广东省阳江市中医医院,529500

出　　处：《护理实践与研究》2022年第5期705-708,共4页Nursing Practice and Research

基　　金：阳江市医疗卫生类科技计划项目(编号:SF2020115)。

摘　　要：目的探讨麦粒灸联合足部穴位按摩护理对老年脑卒中合并失眠患者睡眠质量及疲劳程度的影响。方法选取2019年2月—2021年2月医院收治的老年脑卒中合并失眠患者88例,按组间基本特征具有可比性的原则分为对照组和观察组,各44例。对照组予以常规护理干预,观察组加用麦粒灸联合足部穴位按摩护理干预,持续干预2周。比较两组睡眠总时间、睡眠潜伏期、觉醒时间、睡眠质量、疲劳程度、护理满意度。结果观察组护理干预后睡眠总时间长于对照组,睡眠潜伏期、觉醒时间短于对照组,差异有统计学意义(P<0.05);观察组护理干预后匹兹堡睡眠质量指数(PSQI)评分、简易疲惫量表(BFI)评分低于对照组,护理满意率高于对照组,差异有统计学意义(P<0.05)。结论麦粒灸联合足部穴位按摩护理可改善老年脑卒中合并失眠患者睡眠结构及睡眠质量,减轻疲劳程度,提升护理满意度。Objective To explore the effects of moxibustion combined with foot acupoint massage on sleep quality and fatigue degree of senile patients with cerebral apoplexy complicated with insomnia. Methods From February 2019 to February 2021, 88 elderly patients with stroke complicated with insomnia were selected and divided into a control group and an observation group according to the principle of comparability of basic characteristics between groups, with 44 cases in each group. The control group was given routine nursing intervention, the observation group was given the moxibustion combined with foot acupoint massage nursing intervention, continuous intervention for 2 weeks. Total sleep time, sleep latency, wake time, sleep quality, fatigue degree and nursing satisfaction were compared between the two groups. Results After nursing intervention, the total sleep time of observation group was longer than the control group, sleep latency and awakening time were shorter than the control group, the difference was statistically significant(P<0.05). After nursing intervention,the scores of Pittsburgh Sleep Quality Index( PSQI) and Brief Fatigue Inventory(BFI) in the observation group were lower than the control group, the nursing satisfaction rate was higher than the control group, the dif ference was statistically significant(P<0.05). Conclusion Moxibustion combined with foot acupoint massage could improve the sleep structure and quality of senile stroke patients with insomnia, reduce fatigue and improve nursing satisfaction.

关 键 词：脑卒中 失眠 麦粒灸 足部穴位按摩 睡眠质量 

分 类 号：R473.54[医药卫生—护理学]