中西医结合护理 (Aug 2023)
Effect of acupoint pressing and application based on midnight-noon ebb-flow theory on sleep quality of patients receiving dexamethasone pretreatment before paclitaxel (子午流注纳支法穴位按压贴敷改善地塞米松预处理紫杉醇化疗患者睡眠质量的效果研究)
Abstract
Objective To investigate the effect of acupoint pressing and application based on midnight-noon ebb-flow theory on sleep quality of patients receiving dexamethasone pretreatment before paclitaxel. Methods Totally 88 patients who received dexamethasone pretreatment before paclitaxel were randomly divided into the observation group and control group, with 44 cases in each group. Patients in the control group received routine nursing and acupoint pressing and application, and those in the observation group were given routine nursing and acupoint pressing and application based on midnight-noon ebb-flow theory. The applied interventions lasted 1 week. The sleep quality and quality of life were measured using Pittsburgh Sleep Quality Index (PSQI) and WHO quality of life assessment instrument (WHOQOL-Bref) respectively. The intervention efficacy was measured and compared between two groups. Results Patients in the observation group achieved a better PSQI compared with patients in the control group after intervention(P＜0. 05). The score of WHOQOL-BREF physiological domain in the observation group was higher than that in the control group at first day and 8th day of intervention(P＜0. 05). There was no significant difference in overall score, psychological, social or environmental score between two groups(P＞0. 05). The overall effective rate in the observation group was higher than that in the control group (81. 81% vs. 74. 45%, P＜0. 05). Conclusion Acupoint pressing and application based on midnight-noon ebb-flow theory is potentially effective to improve the sleep quality and quality of life among patients receiving dexamethasone pretreatment before paclitaxel (目的 探讨子午流注纳支法穴位按压贴敷改善地塞米松预处理紫杉醇化疗患者睡眠质量的效果。方法 选取2022年3月—2023年2月医院肿瘤内科行紫杉醇静脉治疗的88例患者作为研究对象, 随机分为观察组(n=44)和对照组(n=44)。对照组在执行常规护理的基础上, 再进行穴位按压贴敷, 但不择时。观察组在执行常规护理的基础上, 利用子午流注理论进行穴位按压贴敷。干预持续1周。在确定化疗方案当天及第8天分别进行匹兹堡睡眠质量指数(PSQI)评分及世界卫生组织生存质量测定量表简表(WHOQOL-BREF)评分, 评估两组患者干预效果。结果 PSQI量表总分改善观察组优于对照组, 差异有统计学意义(P＜0. 05)。观察组WHOQOL-Bref量表生理领域评分在干预后第1天及第8天均高于对照组(P＜0. 05); WHOQOL-Bref量表总分及其他维度评分两组间差异无统计学意义(P＞0. 05)。观察组总有效率81. 81%(36/44), 高于对照组的70. 45%(31/44), 差异有统计学意义(P＜0. 05)。结论 子午流注纳支法穴位按压贴敷能改善大剂量地塞米松预处理紫杉醇化疗患者的睡眠质量, 从而提高患者的生活质量。)
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