耳穴压豆与中药足浴联合常规医护措施对精神分裂症患者睡眠质量及阴性症状的影响
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R749.3;R248

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Effect of Auricular Point Pressing with Beans and Chinese Herbal Foot Bath Combined with Routine Medical Treatment on Sleep Quality and Negative Symptoms in Patients with Schizophrenia
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    摘要:

    目的:观察耳穴压豆与中药足浴联合现代医学常规医护措施对精神分裂症患者睡眠质量及阴性症状的影响。方法: 将 100 例患者随机分为对照组和观察组各 50 例。2 组均服用氨磺必利片、右旋佐匹克隆片治疗,连续服用 6 周,并给予心理护理、药物护理管理和睡眠护理等措施。观察组加予耳穴压豆和中药足浴进行干预,共治疗 6 周。治疗前、治疗 6 周后应用阴性症状量表 (NEG) 评价阴性症状,应用失眠严重程度指数 (ISI) 评价睡眠质量,治疗过程中应用不良反应量表 (TESS) 记录不良反应发生情况,患者出院当天通过量表评价自身对护理工作的满意度。结果:治疗后,2 组 NEG 评分、ISI 评分均较治疗前下降(P<0.01),观察组 2 项评分均低于对照组 (P<0.01)。观察组 TESS 评分低于对照组 (P<0.01),护理满意度高于对照组 (P< 0.05)。结论:在现代医学常规治疗和护理的基础上加用耳穴压豆和中药足浴,可有效减轻精神分裂症患者的阴性症状,提高其睡眠质量,减轻西药的不良反应,提高患者对护理工作的满意度。

    Abstract:

    Abstract:Objective:To observe the effect of auricular point pressing with beans and Chinese herbal foot bath combined with routine medical treatment on the sleep quality and negative symptoms in patients with schizophrenia. Methods:A total of 100 patients were randomly divided into the control group and the observation group,50 cases in each group. The two groups were treated with aminopyril tablets and dextrozopiclone tablets for six weeks, and were given psychological nursing, medicinal nursing management and sleep nursing. The observation group was additionally treated with auricular point pressing with beans and Chinese herbal foot bath for six weeks. Before and after six weeks of treatment,the negative symptoms were evaluated by Negative Symptom Scale(NEG), and the sleep quality by Insomnia Severity Index(ISI). The incidence of adverse reactions was recorded by using Treatment Emergent Symptom Scale(TESS) during treatment. On the day of discharge,the patients' satisfaction with nursing work was evaluated by a scale. Results:After treatment,the scores of NEG and ISI in both groups were decreased when compared with those before treatment(P<0.01),and the above two scores in the observation group were lower than those in the control group(P<0.01). The TESS score in the observation group was lower than that in the control group(P<0.01). The nursing satisfaction in the observation group was better than that in the control group(P<0.05). Conclusion:Based on routine treatment and nursing of modern medicine,the additional application of auricular point pressing with beans and Chinese herbal foot bath, can effectively reduce the negative symptoms of schizophrenia,improve the sleep quality of patients,reduce the adverse reactions of western medicine,and improve the satisfaction of patients with nursing work.

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金丽红,杨璐,钟蓉.耳穴压豆与中药足浴联合常规医护措施对精神分裂症患者睡眠质量及阴性症状的影响[J].新中医,2021,53(1):167-170

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  • 在线发布日期: 2021-01-11
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