耳穴贴压治疗维持性血液透析患者失眠的效果及护理 - 现代临床护理杂志.pdf

现代临床护理（Modern Clinical Nursing）2014.13（2） 17 耳穴贴压治疗维持性血液透析患者失眠的效果及护理 霍中芬 （连云港市中医院血透室，江苏连云港，222004） ［摘要］　目的　探讨耳穴贴压治疗维持性血液透析患者失眠的效果，总结护理要点。方法　选择本院血透中心血液透 析失眠症患者 64 例，随机分为观察组和对照组，每组各 32 例。对照组患者采用常规护理，睡前给予口服舒乐安定 1mg，治疗组 患者在中医辨证施护基础上采用耳穴贴压法。治疗 4 周及 8 周后观察两组患者匹兹堡睡眠质量指数（pittsburgh sleep quality index，PSQI）评分情况及睡眠治疗效果。结果　两组患者 4 周及 8 周后 PSQI 评分比较，均 P ＜0.05，差异具有统计学意义，观 察组患者评分明显低于对照组；两组患者睡眠治疗效果比较， ＜0.05，差异具有统计学意义，观察组患者治疗效果明显优于对 P 照组。结论　在辨证施护基础上采用耳穴贴压治疗维持性血液透析患者失眠疗效优于采用西药治疗，值得临床推广应用。 ［关键词］ 　维持性血液透析；失眠；耳穴贴压法；护理 ［中图分类号］　R471　［文献标识码 ］　A　［文章编号 ］　 1671-8283（2014）02-0017-04　［DOI］　 10.3969/j.issn.1671-8283.2014.02.05 Effect of auricular point sticking on insomnia in patients undergoing maintenance hemodialysis Huo Zhongfen // Modern Clinical Nursing，-2014，13（2）：17. ［Abstract］　Objective　To investigate the effect of auricular point sticking on insomnia in patients undergoing maintenance hemodialysis．Methods　Sixty-four patients undergoing maintenance hemodialysis as well as suffering from insomnia were randomly divided into observation group and control group with equal number: The control group were treated by administering 1mg estazolam before going to bed and the observation group by auricular point sticking based on TCM theory．The two groups were compared in terms of score by Pittsburgh sleep quality index （PSQI） as well as the curative effects at weeks 4 and 8，respectively．Results　The scores by PSQI in the observation group were significantly lower that those of the control group at the two time points （ ＜0.05，for both） and the P sleep curative effect in the former was significantly better than the latter （ ＜0.05）．Conclusion　The auricular point