薰衣草芳香疗法提高老年髋部骨折患者术后睡眠质量的临床研究

发布时间：2018-03-14 05:22

本文选题：薰衣草　切入点：芳香疗法　出处：《广州中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:本研究旨在采用薰衣草芳香疗法干预老年髋部骨折患者术后睡眠,通过睡眠质量指数的评估,了解该疗法提高老年髋部骨折患者术后睡眠质量的临床疗效及安全性,并针对其相关影响因素作出分析,为进一步研究如何提高老年髋部骨折患者术后睡眠质量,改善患者精神状况、体力及生活质量,促进机体康复的护理工作提供一种简便、易行、安全、有效的方法,并为临床相关研究提供数据支持。方法:本研究采用简单随机化的方法分组,将2016年3月到2016年12月收住广东省中医院创伤骨科病被确诊为髋部骨折的患者130例,对照组65例,观察组65例。对照组患者给予常规治疗与常规护理,观察组患者在常规治疗与常规护理基础上,给予薰衣草芳香疗法干预,干预方法:采用薰衣草芳香疗法于术前一天开始干预髋部骨折拟进行手术的患者。每日干预时间为晚上9点到次日早上7点(10个小时),每人每次薰衣草用量为8-10g,用统一香囊(规格为:8cm × 5cm涤纶刺绣袋子)包装,每五天更换薰衣草一次。干预周期为28日。干预前,使用视觉模糊评分法(visual analogue scale,VAS,见附录2)评估两组患者疼痛评分,使用阿森斯失眠量表(Athens Insomnia Scale,AIS,见附录3)进行两组患者睡眠障碍的自我评估,VAS评分、AIS评分作为本研究其中的纳入排除标准。干预前后使用匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI,见附录4)量表评估、对比观察两组患者干预前后的睡眠质量指数,以评价薰衣草芳香疗法在提高老年髋部骨折患者术后睡眠质量中的临床疗效及安全性。结果:1.本研究共纳入老年髋部骨折术后睡眠障碍患者130例,其中对照组65例,观察组65例。研究期间,观察组患者脱落7例,其中4例要求放弃继续使用薰衣草而脱落,3例未回访到而脱落,其余患者均能按照要求完成整个干预过程及观察指标的评估。对照组患者脱落3例,均为未回访到而脱落,其余患者均按照要求完成了整个干预及观察指标的评估。最终,实际纳入研究的病例共120例,其中观察组58例,对照组62例。2.本研究干预前两组患者在性别、年龄、身高、体重、住院时间、服用安眠药、接受的手术方法等方面比较,差异均无统计学意义(P0.05),具有可比性。两组患者术前一天VAS评分比较、术后第二天VAS评分比较,差异没有统计学意义(P0.05),具有可比性。干预前两组患者的AIS评分比较,差异没有统计学意义(P0.05),具有可比性。3.睡眠质量指数总分方面,干预后第29天,无论是ITT分析还是PPS分析,两组间比较差异均有统计学意义(P0.05),观察组患者PSQI评分较对照组患者改善明显。入睡时间方面,干预后第29天,观察组患者评分较对照组患者改善明显,两组间比较差异均有统计学意义(P0.05);睡眠时间方面,干预后第29天,观察组患者评分较对照组患者改善明显,两组间比较差异均有统计学意义(P0.05);睡眠效率方面,干预后第29天,观察组患者评分较对照组患者改善明显,两组间比较差异均有统计学意义(P0.05);睡眠质量方面,干预后第29天,观察组患者评分较对照组患者改善明显,两组间比较差异均有统计学意义(P0.05);睡眠障碍方面,干预后第29天,观察组患者评分较对照组患者改善明显,两组间比较差异均有统计学意义(P0.05);使用催眠药物方面,干预后第29天,观察组患者评分较对照组患者改善明显,两组间比较差异均有统计学意义(P0.05);日间功能障碍方面,干预后第29天,观察组患者评分较对照组患者改善明显,两组间比较差异均有统计学意义(P0.05)。安全性评估方面,两组患者在干预期间,均未出现明显不适或其他不利于机体恢复的不良反应。结论:1.薰衣草芳香疗法能有效缩短老年髋部骨折患者术后入睡时间、延长睡眠时间。2.薰衣草芳香疗法能有效提高老年髋部骨折患者术后睡眠效率、改善其睡眠质量,降低睡眠障碍发生率。3.薰衣草芳香疗法能帮助患者减少服用催眠药物,提高日间社会功能。4.薰衣草芳香疗法具有原料价格便宜、容易获取、操作简单、疗效保证、安全可靠的特点集中体现了中医外治法、非药物疗法、非侵入性的特点,这是无污染、无副作用的绿色疗法,值得在临床中推广应用。
[Abstract]:Objective: the purpose of this study is to use lavender therapy in elderly patients with hip fracture after sleep, through the assessment of sleep quality index, to understand the clinical curative effect and safety of the treatment of elderly patients with hip fracture after improving sleep quality, and according to the related factors analysis, for further research on how to improve the elderly patients with hip fracture after operation the quality of sleep, improve the mental status of the patients, and the physical quality of life, providing a simple, easy, safe and promote nursing rehabilitation, effective methods, and provide data support for clinical research. Methods: This study adopts the method of simple random grouping, the March 2016 to December 2016 admitted to the Department of orthopedics Guangdong Province Traditional Chinese Medical Hospital disease was diagnosed for 130 cases of hip fracture patients, 65 cases in the control group, 65 cases in the observation group. Routine treatment and control group were given routine nursing care, view Observation group of patients in the routine treatment and routine nursing care on the basis of giving lavender aromatherapy intervention, intervention methods: using lavender aromatherapy on the day before the operation began to intervene in hip fracture surgery patients. The proposed daily intervention time was 9 p.m. to 7 a.m. the next day (10 hours), the dosage of 8-10g per lavender with a unified, sachet (specifications: 8cm x 5cm polyester embroidery bag packaging), replacing Lavender once every five days. The intervention period was 28 days. Before the intervention, the use of visual analogue scale (visual analogue scale, VAS, see Appendix 2) to evaluate two groups of patients with pain score, the use of the Athens Insomnia Scale (Athens Insomnia Scale, AIS, see Appendix 3) two groups of patients with sleep disorders self assessment, VAS score, AIS score as the study of the inclusion and exclusion criteria. The use of sleep quality before and after the intervention of Pittsburgh index (Pittsburgh Sleep Qua Lity Index, PSQI, see Appendix 4) scale assessment, comparative observation of sleep quality index of two groups of patients before and after intervention, to evaluate the clinical efficacy and safety of lavender aromatherapy in improving sleep quality in elderly patients with hip fracture after operation. Results: 1. of 130 patients were enrolled in the study of sleep disorders in elderly patients with hip fracture among them, 65 cases in the control group, the observation group of 65 cases. During the study period, patients in the observation group and 7 cases of loss, among which 4 cases were asked to give up to continue to use lavender off, 3 cases did not return to off, the rest of the patients were in accordance with the assessment requirements to complete the whole process of intervention and observation index. The patients in the control group lost 3 patients were not followed up and fall off, the remaining patients were assessed in accordance with the requirements of the intervention and observation index. Finally, the study included 120 cases, 58 cases in the observation group, 62 cases in the control group the.2. two before intervention Groups in gender, age, height, weight, duration of hospitalization, sleeping pills, comparison of surgery methods, there were no significant differences (P0.05), comparable. VAS score compared with the day before operation in the two groups, compared the VAS score of second day after surgery, the difference was not statistically significant (P0.05), comparable. Two groups of patients with AIS score compared with before intervention, the difference was not statistically significant (P0.05), comparable.3. sleep quality index score, after twenty-ninth days, both ITT analysis and PPS analysis, the difference between the two groups had statistical significance (P0.05) group. The PSQI scores of the patients observed than the control group improved significantly. Sleep time, twenty-ninth days of intervention, observation group were compared with the control group improved significantly, the difference between the two groups were statistically significant (P0.05); sleep time, twenty-ninth days of intervention, the observation group patients Scores than patients in the control group improved significantly, the difference between the two groups were statistically significant (P0.05); sleep efficiency, twenty-ninth days of intervention, observation group were compared with the control group improved significantly, the difference between the two groups were statistically significant (P0.05); the quality of sleep, twenty-ninth days of intervention, patients was observed compared with the control group improved significantly, the difference between the two groups were statistically significant (P0.05); sleep disorder, intervention group patients were observed for twenty-ninth days, compared with the control group improved significantly, the difference between the two groups were statistically significant (P0.05); the use of hypnotic drugs, the intervention group for twenty-ninth days. The patients were observed compared with the control group improved significantly, the difference between the two groups were statistically significant (P0.05); daytime dysfunction, twenty-ninth days of intervention group were observed, compared with the control group improved significantly, The difference between the two groups were statistically significant (P0.05). The safety assessment, two groups of patients in the intervention period, there were no obvious discomfort and other adverse reactions is not conducive to the recovery of 1.. Conclusion: lavender aromatherapy can effectively shorten the elderly patients with hip fracture after prolonged sleep time, sleep time.2. Lavender therapy can effectively improve the elderly patients with hip fracture after sleep efficiency, improve sleep quality, reduce the incidence of sleep disorder.3. lavender aromatherapy can help patients reduce use of hypnotic drugs, improve the social function of daytime.4. lavender aromatherapy with cheap raw materials, simple operation, easy to obtain, guarantee the curative effect, safe and reliable characteristics embodied the external therapy of traditional Chinese medicine, non drug therapy, non-invasive characteristics, it is pollution-free, green therapy without side effects, it is worthy of popularization and application in clinical.

【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.6

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