磁珠耳穴疗法结合中医情志护理改善乳腺癌失眠患者睡眠质量的效果观察

目的探讨磁珠耳穴疗法结合中医情志护理改善乳腺癌失眠患者睡眠质量的效果。方法采用便利抽样法,选取2016年3月—2019年4月河北北方学院附属第一医院收治的乳腺癌失眠患者152例为研究对象,按入院顺序编号后采用随机数字表法分为观察组、对照组各76例。对照组予以常规护理干预,观察组采用磁珠耳穴疗法结合中医情志护理。使用匹兹堡睡眠质量指数(PSQI)、疼痛视觉模拟评分(VAS)、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)比较两组患者睡眠质量以及负性情绪。比较两组患者睡眠质量干预有效率。结果观察组睡眠质量干预有效率为90.79%(69/76),高于对照组的78.95%(60/76),两组比较差异有统计学意义(P<0.05);干预后1、3周观察组PSQI评分低于对照组,两组比较差异有统计学意义(P<0.05);干预后观察组VAS、HAMA、HAMD评分低于对照组,两组比较差异有统计学意义(P<0.05)。结论磁珠耳穴疗法结合中医情志护理可较好地改善乳腺癌失眠患者睡眠质量,减轻疼痛、负性情绪,值得在临床推广实践。

Effects of magnetic bead auricular therapy combined with Traditional Chinese Medicine emotional nursing on improving sleep quality among breast cancer patients losing sleep

Objective To explore the effects of magnetic bead auricular therapy combined with Traditional Chinese Medicine(TCM)emotional nursing on improving sleep quality among breast cancer patients losing sleep.Methods From March 2016 to April 2019,this study selected 152 breast cancer patients losing sleep at the First Affiliated Hospital of Hebei North University as subjects by convenient sampling.All of patients were divided into observation group and control group with the random number table according to admission order,76 cases in each group.Control group carried out routine nursing,while observation group implemented magnetic bead auricular therapy combined with TCM emotional nursing.Sleep quality,pain and negative emotions of patients between two groups were evaluated with the Pittsburgh Sleep Quality Index(PSQI),Visual Analogue Scale(VAS),Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)respectively.Besides,the effective rate of sleep quality intervention and incidence of adverse reaction of patients were compared between two groups.Results The effective rate of sleep quality intervention in observation group was 90.79%(69/76)higher than that(78.95%,60/76)in control group with a statistical difference(P<0.05).One and three weeks after intervention,the scores of PSQI of observation group were lower than those of control group with statistical differences(P<0.05).After intervention,the scores of VAS,HAMA and HAMD of observation group were lower than those of control group with statistical differences(P<0.05).Conclusions Magnetic bead auricular therapy combined with TCM emotional nursing can effectively improve sleep quality of breast cancer patients losing sleep,ease pain and negative emotions which is worthy of being clinical popularization and practice.