Nursing Research On Insomnia Of Heart And Spleen Deficiency Type With Meridian Flowing And Timing Ear Acupoint Sticking And Pressing Combined With Acupoint Massage

Objective:By comparing the effect differences of Ziwu Liuzhu timing auricular point sticking and pressing combined with acupoint massage and auricular point sticking and pressing combined with acupoint massage on improving sleep quality and traditional Chinese medicine symptoms of insomnia patients with deficiency of heart and spleen,this paper explored the relationship between time and effect of auricular point combined with acupoint massage in the treatment of insomnia with deficiency of heart and spleen,so as to provide reference for clinical practice.Method:70 cases of insomnia with deficiency of both heart and spleen were divided into observation group(36 cases)and control group(34 cases).After removal of 5 cases,33 cases was in the observation group and 32 cases was in the control group.The control group carried out auricular point sticking and pressing combined with acupoint massage based on the routine nursing,while the observation group carried out auricular point sticking and pressing combined with acupoint massage based on the routine nursing.Pittsburgh sleep quality index(PSQI)and traditional Chinese medicine symptom scale were used to evaluate the sleep quality and traditional Chinese medicine symptoms of the patients before and 4 weeks after the intervention.Results:1.After the intervention,the total score of PSQI and the score of six factors in the two groups decreased,the difference was statistically significant,and the observation group was better than the control group in improving the score of the total score of PSQI,sleep quality,fall asleep time,sleep time,sleep efficiency(P<0.05).2.After the intervention,the total score of traditional Chinese medicine symptoms,uneasiness to sleep,dreaminess,easy to wake up,mental exhaustion,lusterless face and dizziness in the two groups was lower than that before the intervention(P<0.05),and the total score of traditional Chinese medicine symptoms,uneasiness to sleep,dreaminess,easy to wake up in the observation group were significantly lower than those in the control group(P<0.05).3.After the intervention,the total effective rate of the observation group was higher than that of the control group(P<0.05),the difference was statistically significant.Conclusion:Ziwu Liuzhu timing auricular point sticking and pressing combined with acupoint massage and auricular point sticking and pressing combined with acupoint massage can effectively improve the sleep quality and symptoms of insomnia patients with deficiency of both heart and spleen.But the effect of Ziwu Liuzhu timing auricular point sticking and pressing combined with acupoint massage is better to improve sleep(PSQI total score,sleep quality,fall asleep time,sleep time,sleep efficiency)and two deficiency symptoms of the heart and spleen(total score,uneasiness to sleep,dreaminess,easy to wake up),and its clinical therapeutic effect is better than that of auricular point sticking and pressing combined with acupoint massage.