摘要
目的:观察基于六西格玛管理法应用耳穴贴压对社区高血压失眠患者血压水平及睡眠质量的疗效。方法:选取2023年1月至6月福建省厦门市同安区祥平街道社区卫生服务中心参与慢病管理符合高血压伴失眠诊断的患者94例作为研究对象,按照随机数字法分为观察组和对照组,每组47例。对照组采用常规高血压伴失眠慢病管理模式,观察组在对照组基础上给予基于六西格玛管理法耳穴贴压干预,每周2次,干预4周。比较2组干预前后血压水平、匹兹堡睡眠质量指数量表(PSQI)评分。结果:干预后2组收缩压、舒张压和睡眠质量均明显改善(均P<0.05),且观察组收缩压、舒张压和PSQI评分均低于对照组(P<0.05)。结论:基于六西格玛管理法耳穴贴压能够有效降低社区高血压失眠患者的血压水平,改善睡眠质量。
Objective:To observe the effect of the application of auricular point pressing based on the Six Sigma management on blood pressure level and sleep quality in patients with hypertension and insomnia in the community.Methods:From January to June 2023,94 patients who participated in the management of chronic diseases and met the diagnostic criteria of hypertension and insomnia in the Community Health Service Center of Xiangping Street,Tong′an District,Xiamen City,Fujian Province were randomly divided into the observation group and control group,with 47 cases in each group.Patients in both groups were treated with conventional chronic disease management mode for hypertension and insomnia,and those in the observation group were additionally given an auricular point pressing based on the Six Sigma management.Interventions were conducted twice a week for 4 weeks.Blood pressure levels and the Pittsburgh Sleep Quality Index(PSQI)before and after intervention were compared between the two groups.Results:Systolic blood pressure,diastolic blood pressure and sleep quality were significantly improved in the two groups after intervention(all P<0.05).Systolic blood pressure,diastolic blood pressure and PSQI scores in the observation group were significantly lower than the control group(P<0.05).Conclusion:The method of auricular point pressing based on the Six Sigma management method can effectively reduce the blood pressure level and improve the sleep quality of patients with hypertension and insomnia in the community.
作者
林梅香
黄冬梅
陈玲炫
LIN Meixiang;HUANG Dongmei;CHEN Lingxuan(Department of Traditional Chinese Medicine,the First Affiliated Hospital of Xiamen University,Xiamen 361003,China)
出处
《世界睡眠医学杂志》
2025年第5期1042-1045,共4页
World Journal of Sleep Medicine
基金
2022年福建省卫生健康科技计划项目(2022TG026)。
关键词
高血压
入睡和睡眠障碍
耳穴贴压疗法
六西格玛理论
血压
收缩压
舒张压
睡眠质量
Hypertension
Sleep and sleep disorders
Auricular point pressing therapy
Six Sigma theory
Blood pressure
Systolic blood pressure
Diastolic blood pressure
Sleep quality
