摘要
目的:探讨中医耳穴压豆对人类免疫缺陷病毒(HIV)感染者睡眠障碍患者的效果。方法:选取2023年2月至2025年1月上海市第六人民医院福建医院感染科收治的HIV感染者396例作为研究对象,按照随机数字表法分为对照组和观察组,每组198例。对照组给予常规护理干预,观察组给予中医耳穴压豆疗法干预。采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的差异,采用中医证候积分比较2组患者症状改善效果,采用简体中文版艾滋病患者生命质量量表(MOS-HIV)比较2组患者干预前后生命质量的改善效果。结果:干预后,2组多梦、头晕头胀、睡后易醒、心悸健忘、睡眠不安等症状评分均有所降低,且观察组显著低于对照组,差异有统计学意义(P<0.05);观察组PSQI评分显著低于对照组,差异有统计学意义(P<0.05);观察组躯体功能、健康感受、认知功能、情绪功能高于对照组,差异有统计学意义(P<0.05)。结论:中医耳穴压豆可促进HIV感染者中医各项症状恢复,改善睡眠质量水平,提升生命质量。
Objective:To explore the clinical efficacy of traditional Chinese medicine(TCM)auricular acupressure in treating sleep disorders among patients infected with the human immunodeficiency virus(HIV).Methods:A total of 396 HIV-infected patients with sleep disorders who were admitted to the Department of Infectious Diseases,Fujian Branch of Shanghai Sixth People′s Hospital,from February 2023 to January 2025 were selected as study participants.According to the random number table method,they were divided into a control group and an observation group,with 198 cases in each group.The control group received routine nursing care,while the observation group received auricular acupressure therapy in addition to routine care.The Pittsburgh Sleep Quality Index(PSQI)was used to compare sleep quality between the two groups.The TCM syndrome score was used to evaluate symptom improvement,and the Simplified Chinese version of the Medical Outcomes Study HIV Health Survey(MOS-HIV)was used to assess quality of life before and after intervention.Results:After intervention,the scores of major symptoms such as excessive dreaming,dizziness and head distension,easy awakening after sleep,palpitations and forgetfulness,and restless sleep significantly decreased in both groups,with significantly lower scores in the observation group than in the control group(P<0.05).PSQI scores in the observation group were also significantly lower than those in the control group(P<0.05).In addition,physical function,health perception,cognitive function,and emotional function scores were higher in the observation group compared with the control group,and the differences were statistically significant(P<0.05).Conclusion:TCM auricular acupressure can effectively promote symptom improvement in HIV-infected patients with sleep disorders,enhance sleep quality,and improve overall quality of life.
作者
李芷欣
高晓雯
吴清贝
吴纯华
王美榕
LI Zhixin;GAO Xiaowen;WU Qingbei;WU Chunhua;WANG Meirong(Jinjiang Hospital of Fujian Province/Fujian Branch of Shanghai Sixth People′s Hospital,Quanzhou 362200,China)
出处
《世界睡眠医学杂志》
2025年第10期2234-2237,共4页
World Journal of Sleep Medicine
基金
2023年度晋江市医院(上海市第六人民医院福建医院)科技计划项目立项项目(2023HL04)。
关键词
耳穴压豆
HIV感染
睡眠障碍
中医证候
生命质量
认知、情绪
健康感受
Auricular acupressure
HIV infection
Sleep disorder
Traditional Chinese Medicine syndrome
Quality of life
Cognition
Emotion
Health perception
