中医调欲疗法对老年性皮肤瘙痒症患者睡眠质量的影响

发布时间：2018-01-04 22:00

本文关键词：中医调欲疗法对老年性皮肤瘙痒症患者睡眠质量的影响　出处：《中华护理杂志》2017年02期 　论文类型：期刊论文

【摘要】：目的探讨中医调欲疗法对老年性皮肤瘙痒症(Senile Pruritus,SP)患者睡眠质量的影响。方法采用便利抽样法,选取四川省某中医院皮肤科SP患者60例,按照随机表分为试验组和对照组,每组各30例,两组均服用养血润肤饮加减,外用自制复硼止痒洗剂,试验组在常规护理的基础上采用中医调欲疗法对患者的搔抓行为进行干预,对照组仅采用常规护理。两组在干预前、干预后4、8、12周时采用匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评价患者的睡眠质量。结果干预前两组PSQI得分比较,差异无统计学意义(P0.05);试验组在干预后各时间点PSQI得分均低于同期对照组(P0.05);重复测量方差结果显示,两组的时间、组间及交互效应均有统计学意义(P0.05);对试验组干预前后各时间点得分进一步两两比较,发现后一时间点得分均低于前一时间点(P0.05)。结论中医调欲疗法能有效控制SP患者的搔抓行为,缓解瘙痒症状,从而改善患者睡眠质量。
[Abstract]:Objective to investigate the effect of traditional Chinese medicine (TCM) on sleep quality in patients with senile pruritus pruritus. Sixty cases of SP in dermatology department of a Chinese medicine hospital in Sichuan province were selected and divided into experimental group and control group with 30 cases in each group according to random list. Both groups were treated with Yangxue Runfu decoction plus or minus and external application of self-made boron antipruritic lotion. On the basis of routine nursing, the experimental group used traditional Chinese medicine to regulate desire therapy to interfere with the scratching behavior of patients, while the control group only used routine nursing. The Pittsburgh sleep quality index was used for 12 weeks. Results there was no significant difference in PSQI scores between the two groups before intervention (P 0.05). The PSQI score of the experimental group was lower than that of the control group at each time point after intervention (P 0.05). The results of repeated measurement of variance showed that the time, intergroup and interaction effects of the two groups were statistically significant (P 0.05). The scores of each time point before and after intervention in the experimental group were further compared, and it was found that the score of the latter time point was lower than that of the previous time point P0.05.Conclusion TCM therapy of regulating desire can effectively control the scratching behavior of patients with SP. Relieve itching symptoms and improve sleep quality.
【作者单位】：成都中医药大学实验室建设与管理处;
【基金】：四川省高等教育人才培养质量和教学改革项目(川教函〔2014〕156号)
【分类号】：R248.9
【正文快照】： 老年性皮肤瘙痒症(Senile prirutus,SP)指老年人无原发性皮肤损害,仅以瘙痒为主要症状的皮肤疾病[1]。近年来SP患病率高达42.4%[2],且随年龄的增长而增高,其临床表现为患者皮肤干燥变薄,表面有糠状脱屑,长期搔抓可见抓痕、血痂、苔藓样变及色素沉着等,甚至可继发皮肤感染[3]

【相似文献】