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目的:探究中药足浴联合放松训练对维持性透析(MHD)尿毒症患者失眠症、情绪障碍及社会功能的影响。方法:选取2013年6月—2015年6月在我院血液透析中心进行MHD治疗的86例患者为研究对象,所有患者按随机法分为对照组和观察组,每组43例,对照组患者接受医院常规宣教,观察组患者接受中药足浴联合渐进性肌肉放松训练治疗。采用匹兹堡睡眠质量指数量表(PSQI)、社会功能缺陷评分表(SDSS),情绪障碍评分采用焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分,比较两组患者睡眠质量和情绪障碍评分和并发症发生情况。结果:观察组患者睡眠治疗总有效明显高于对照组,差异具有统计学意义(χ2=4.914,P<0.05)。治疗后两组患者睡眠质量、入睡时间、睡眠时间、睡眠障碍、日间功能障碍、催眠药物、睡眠效率及PSQI总分较治疗前均降低,且观察组在睡眠质量、睡眠时间、睡眠障碍、日间功能障碍及PSQI总分较对照组明显降低,差异具有统计学意义(P<0.05);治疗后两组患者SDSS评分、SAS评分及SDS评分较治疗前明显降低,观察组患者SDSS评分、SAS评分及SDS评分明显低于对照组,差异具有统计学意义(P<0.05)。经随访调查发现,观察组短期内并发高血压发生率为11.62%,对照组患者短期内高血压发生率32.56%,两组差异显著,具有统计学意义(χ2=5.472,P<0.05)。结论:中药足浴联合放松训练对维持性透析尿毒症患者疗效显著,能够显著改善患者睡眠障碍,消除患者焦虑、抑郁等情绪障碍,促进患者社会功能恢复,同时有利于降低高血压等并发症的发生,值得临床推广使用。
Objective: To investigate the effect of traditional Chinese medicine foot bath combined with relaxation training on insomnia, mood disorder and social function in patients with maintenance hemodialysis (MHD) uremia. METHODS: Totally 86 patients who underwent MHD in our hemodialysis center from June 2013 to June 2015 were selected as study subjects. All patients were randomly divided into control group and observation group, with 43 patients in each group and control group To accept the traditional mission of the hospital, observation group patients received traditional Chinese medicine foot bath combined with progressive muscle relaxation training. The Pittsburgh Sleep Quality Index (PSQI), Social Function Defect Scales (SDSS) and SAS were used to compare the scores of sleep quality (SAS) and depression self-rating scale And mood disorder scores and complications. Results: The total effective rate of sleep treatment in observation group was significantly higher than that in control group (χ2 = 4.914, P <0.05). After treatment, the quality of sleep, sleep time, sleep time, sleep disorders, daytime dysfunction, hypnotic drugs, sleep efficiency and PSQI score decreased in both groups after treatment. The quality of sleep, sleep time, sleep disturbance, Daytime dysfunction and PSQI score were significantly lower than the control group, the difference was statistically significant (P <0.05); after treatment, SDSS score, SAS score and SDS score were significantly lower than those before treatment in both groups, SDSS score, SAS score and SDS score were significantly lower than the control group, the difference was statistically significant (P <0.05). The follow-up survey found that the incidence of hypertension in the observation group was 11.62% in the short term, and that in the control group was 32.56% in the short term. There was significant difference between the two groups (χ2 = 5.472, P <0.05). Conclusion: Chinese herbal medicine foot bath combined with relaxation training has significant curative effect on patients with maintenance hemodialysis uremia, which can significantly improve sleep disorders, relieve anxiety, depression and other emotional disorders in patients, promote social function recovery, and help to reduce complications such as hypertension. , It is worth to promote clinical use.