都荣　姜兵　刘斯立

[摘要]目的 探討艾灸联合中医健康教育在更年期失眠症患者护理中的应用价值。方法 选取2017年4月～2019年4月我院收治的118例更年期失眠患者作为研究对象，采用随机数字表法分为对照组和研究组，每组各59例。对照组实施常规护理干预，研究组在此基础上采用艾灸联合中医健康教育，为期4周。比较两组心理状态、睡眠质量及生活质量。结果 两组护理前汉密顿抑郁量表（HAMD）、汉密顿焦虑量表（HAMA）、匹兹堡睡眠质量指数量表（PSQI）和健康调查简表（SF-36）评分比较，差异无统计学意义（P>0.05）;两组护理后的HAMD、HAMA、PSQI评分低于护理前，SF-36评分高于护理前，差异有统计学意义（P<0.05）;研究组护理后HAMD和HAMA评分为（9.54±3.16）、（10.49±2.96）分，低于对照组的（11.40±3.32）和（12.52±3.19）分，差异有统计学意义（P<0.05）;研究组护理后PSQI量表评分为（7.45±3.18）分，低于对照组的（9.57±3.23）分，SF-36量表评分为（84.89±9.42）分，高于对照组的（79.14±9.27）分，差异有统计学意义（P<0.05）。结论 艾灸联合中医健康教育在更年期失眠症患者护理中应用价值高，能改善患者不良情绪，提升患者睡眠质量及生活质量。

[关键词]更年期失眠症;艾灸;中医健康教育;心理情绪;睡眠质量

[中图分类号] R256.23     [文献标识码] A     [文章编号] 1674-4721（2020）3（b）-0244-04

Application of moxibustion combined with traditional Chinese medicine health education in nursing of patients with insomnia during menopause

DU Rong   JIANG Bing   LIU Si-li

Department of Traditional Chinese Medicine， Dalian Maternal and Child Health Hospital， Liaoning Province， Dalian   116033， China

[Abstract] Objective To explore the application value of moxibustion combined with TCM health education in the nursing of patients with insomnia during menopause. Methods A total of 118 patients with menopausal insomnia admitted to our hospital from April 2017 to April 2019 were enrolled in the study. They were divided into control group and research group according to random number table method， 59 cases in each group. The control group underwent routine nursing intervention. On the basis of this， the research group used moxibustion combined with traditional Chinese medicine health education for a period of 4 weeks. The psychological status， sleep quality and quality of life of the two groups were compared. Results There were no differences in the pre-treatment Hamiltonian depression scale （HAMD）， Hamiltonian anxiety scale （HAMA）， Pittsburgh sleep quality index （PSQI） and health survey profile （SF-36） scores （P>0.05）; the HAMD and HAMA scores of the study group were （9.54±3.16） and （10.49±2.96） points， which were lower than those of the control group （11.40±3.32） and （12.52±3.19） points， the differences were statistically significant （P<0.05）. The PSQI score of the study group was （7.45±3.18） points， lower than that of the control group （9.57±3.23） points， and the SF-36 scale was （84.89±9.42） points， which was higher than that of the control group （79.14±9.27） points， and the differences were statistically significant （P<0.05）. Conclusion Moxibustion combined with traditional Chinese medicine health education has high application value in the nursing of menopausal insomnia patients， which can improve patients′ bad mood and improve their sleep quality and quality of life.

[Key words] Menopausal insomnia; Moxibustion; TCM health education; Psychological emotion; Sleep quality

更年期失眠症是更年期常见疾病，以女性较多见，临床表现为睡眠质量下降，睡眠时间缩短，且伴有焦虑、抑郁等不良情绪，并严重影响患者日间生活活动。更年期失眠与更年期女性雌激素分泌降低，男性雄激素分泌降低，造成一时性内分泌功能及神经系统功能紊乱相关，这一系列变化及不适症状则会对睡眠造成影响[1-2]。中医认为阴阳失调、脏腑功能紊乱扰动心神是导致失眠症的主要病因，临床需注重平衡阴阳、调理脏腑、调节情志[3]。艾灸作为常用中医疗法，可有效调节紊乱的生理生化功能，在失眠治疗中有重要作用[4]。更年期失眠与更年期复杂的心理、生理变化相关，维持健康的行为习惯在改善失眠中意义重大。但多……