摘要
目的改善肾病血液透析睡眠障碍患者的睡眠质量。方法将223例肾病行血液透析存在睡眠障碍患者分为肝郁化火型、痰热内扰型、阴虚火旺型、心脾两虚型及心虚胆怯型,根据证型行耳穴贴压、中药敷贴及辨证施护。连续8周后评价效果。结果完成8周干预206例,其匹茨堡睡眠质量指数评分干预后显著低于干预前(P<0.01),睡眠障碍治疗有效率85.92%。结论耳穴贴压及中药敷贴联合辨证施护可有效改善血液透析患者睡眠。
Objective To improve sleep quality of patients with kidney diseases undergoing hemodialysis. Methods A total of 223 hemodialysis patients suffering sleep disorders were divided into five types according to TCM syndrome differentiation system：liver stagnation with heat,internal disturbance due to phlegm heat,heat hyperactivity due to Yin deficiency,insufficiency of heart and spleen,and deficiency of Qi of heart and gallbladder.Auricular compression,external application of Chinese herbs,and syndrome differentiation-based nursing care were provided for patients.Effects were evaluated after eight weeks. Results Two hundred and six patients completed the 8-week intervention.The PSQI score was significantly reduced after the intervention（P〈0.01）.The effective rate of the intervention reached 85.92%. Conclusion Auricular compression,external application of Chinese herbs,and syndrome differentiation-based nursing care can effectively improve sleep quality of hemodialysis patients.
基金
2009年度武汉市卫生局临床医学科研项目(WZ09D09)
关键词
肾病
血液透析
睡眠障碍
耳穴贴压
中药敷贴
辨证施护
kidney disease
hemodialysis
sleep disorder
auricular compression
external application of Chinese herbs
syndrome differentiation-based nursing care
