摘要
目的:研究芳香疗法及耳穴贴压治疗脑卒中失眠患者的临床效果。方法:采用便利抽样法,选取天津市某三级甲等神经专科医院脑卒中失眠住院患者120例为研究对象。采用随机数字表将研究对象分为对照组、芳香组、耳穴组和联合组,每组30例。比较四组患者入院时、干预7天、干预1个月睡眠质量[匹兹堡睡眠质量评估表(Pittsburgh Sleep Quality Index,PSQI)]以及抑郁情绪[汉密尔顿抑郁量表(Hamilton Depression Scale,HAMD)]的变化,并比较各组住院时间及护理服务总体满意情况的差异。结果:干预7天后,芳香组、联合组PSQI得分均低于对照组(P<0.05),耳穴组与其他三组间PSQI得分差异无统计学意义(P>0.05);而HAMD得分四组间差异无统计学意义(F=2.462,P>0.05)。干预1个月后,芳香组、耳穴组、联合组PSQI得分均低于对照组(P<0.05);芳香组、联合组HAMD得分低于对照组(P<0.05),但耳穴组与对照组相比差异无统计学意义(P>0.05)。住院时间方面联合组住院时间短于其他三组(F=3.213,P<0.05);住院患者满意度方面组间比较差异无统计学意义(H=6.629,P>0.05)。结论:芳香疗法在短期内(7天)使用即可改善脑卒中后失眠患者的睡眠质量,持续使用还可改善其抑郁情绪;耳穴贴压需要经长时间(>1月)持续治疗方可对脑卒中后失眠患者睡眠有改善作用;芳香疗法联合耳穴贴压有助于缩短住院时间,有利于维持良好的护患关系。
Objective:To investigate the clinical effects of aromatherapy and auricular plaster therapy on inpatients with post-stroke insomnia(PSI).Methods:Using a convenience sampling method,120 inpatients with post-stroke insomnia from a Class A tertiary neurological hospital in Tianjin were selected as study subjects.The research subjects were randomly divided into control group,aromatherapy group,auricular plaster group,and combination group,with 30 cases in each group.The changes in sleep quality(Pittsburgh Sleep Quality Index,PSQI)and depressive symptoms(Hamilton Depression Scale,HAMD)were compared among the four groups at admission,after 7 days of intervention,and after 1 month of intervention.Additionally,differences in hospital stay duration and overall satisfaction with nursing services among the groups were compared.Results:After 7 days of intervention,the PSQI scores in the aromatherapy group and the combined group were lower than those in the control group(P<0.05),while there was no significant difference in PSQI scores between the auricular plaster group and the other three groups(P>0.05).There was no statistically significant difference in HAMD scores among the four groups(F=2.462,P>0.05).After 1 month of intervention,the PSQI scores in the aromatherapy group,auricular plaster group,and combined group were all lower than those in the control group(P<0.05).And the HAMD scores in the aromatherapy group and combined group were lower than those in the control group(P<0.05),but there was no significant difference between the auricular plaster group and the control group(P>0.05).In terms of hospital stay duration,the combined group had a shorter hospital stay than the other three groups(F=3.213,P<0.05).There was no statistically significant difference in inpatient satisfaction among the groups(H=6.629,P>0.05).Conclusion:Aromatherapy can improve sleep quality in PSI patients with short-term use(7 days)and can also alleviate depressive symptoms with continued use.Auricular plaster requires long-term treatment(over 1
作者
于跃
金奕
杨芃
何云燕
桂娜
成诚
赵唯唯
YU Yue;JIN Yi;YANG Peng;HE Yunyan;GUI Na;CHENG Cheng;ZHAO Weiwei(Tianjin Huanhu Hospital,Tianjin 300350)
出处
《天津护理》
2024年第5期510-515,共6页
Tianjin Journal of Nursing
基金
天津市环湖医院护理科研基金项目(HL202102)。
关键词
芳香疗法
耳穴贴压
脑卒中后失眠
睡眠质量
抑郁情绪
Aromatherapy
Auricular plaster therapy
Post-stroke insomnia
Sleep quality
Depressive symptoms
