| BackgroundWith the increasing incidence of diabetes,diabetes with insomnia is becoming more and more important.For diabetes is characterized by glucose metabolic disorder of endocrine metabolism,so there is a close link between diabetes and insomnia,because of the endocrine disorder,diabetes itself comorbid insomnia easily,and lack of sleep can lead to poor glycemic control as well,this will influence confidence between doctor and patient during the treatment of diabetes,and it will also affect the quality of life and health of body and mind.There are many methods for diabetes insomnia,refer to some literatures,it has western medicine treatment and herbal remedy,also it has other treatments such as ear bean,foot bath,massage,acupuncture and so on.Ear bean has better effect in insomnia treatment,with less adverse reaction and certain advantages,the theory of meridional circulation theory cooperated with time law,which can reflect the concept of “human being corresponding”,At the same time,it has wide clinical value because it has a positive effect on relieving the mental pressure of diabetic insomniacs and alleviating the social and economic burden.Through the literature review,there are few clinical studies on the application of auricular bean pressure method in patients with diabetic insomnia.Therefore,This study will introduce the theory of meridional circulation theory,and discuss the effect of auricular bean pressure on diabetic insomniacs under the guidance of meridional circulation theory.ObjectiveIn this clinical research,we discuss the improvement of sleep quality under the guidance of meridian flow theory in ear beans for diabetic patients with insomnia,which can provide a simple,convenient,flexible and effective treatment for them,with high quality and Chinese characteristics nursing care.MethodsIn this study,we selected a total of 60 type 2 diabetes patients with insomnia from October 2016 to May 2017 in the endocrinology department of the first affiliated hospital of Guangzhou University,one patient in the control group dropped out of the study because occurring cardiovascular events,the other in the control group can't cooperate with the cure,in the observation group,one person withdrew from the study because of renal failure,so the final cases collected a total of 57 cases,28 cases of control group and observation group 29 cases,two groups are regular basis of TCM nursing plan,two groups were picked from the following points: god door,heart,endocrine,subcortical,sympathetic hole;Control group to the traditional ear beans,observation group on the basis of conventional ear beans,adopting Guan Zun Hui the meridional lingers circumferential diagram calculation time,choosing daily morning 7-9am,11-1am,5 to 7 pm to the ear,on alternate days change the other side of the auricle,ears alternates,1 treatment per 7 days,3 courses for 21 days.PSQI score was statistically analyzed after the intervention,discussed the curative effect and advantage of ear beans under the guidance of meridian flow theory on 2 type diabetes patients with insomnia.Results1.There was a positive correlation between the duration of diabetes and the time of insomnia(Pearson correlation coefficient was 0.952);2.PSQI scores:(1)Self-reflection:The comparison of PSQI score in the control group was statistically significant(P<0.01).Observation group of PSQI score before and after treatment,was statistically significant(P<0.01),of which the sleep quality,sleep time,sleep efficiency,sleep disorder,daytime dysfunction score comparison,were statistically significant(P<0.01).(2)Comparison between groups:After the intervention,the comparison between the PSQI evaluation groups of the control group and the observation group was statistically significant(P<0.05).Among them,the scores of sleep time,sleep efficiency,sleep disturbance and daytime dysfunction were statistically significant(P<0.05).3.Before and after the treatment,the total efficacy of the control group and the observation group were compared,the control group was 82.14%,the observation group was 93.1%,the comparison between the two groups was statistically significant(P<0.05).Conclusions1.Under the guidance of meridional flow theory,the effect of ear beans is obvious,simple and easy to understand,which highlighting the advantage of the time treatment of Chinese medicine;2.Both the Under the guidance of meridian flow theory and the conventional ear beans can improve insomnia symptoms in patients with diabetes,reduce their sleep disorders,reduce the sleep time,improve the function of daytime activities,but compared the therapeutic effect of the former and the latter,the difference is statistically significant,the observation group is better than that of control group,it suggested that the timing on the corresponding points,can adjust the balance of Yin and Yang of the body,improve body's endocrine situation;3.This topic we observe the clinical curative effect of ear beans under theory of meridian flow in diabetic patients with insomnia,its advantage lies in:(1)to highlight the advantages of the motherland medicine time therapeutics,highlight the integrity of the unity of man and nature,highlight the relevance of lingers of vital energy and time;(2)there are few clinical studies on this kind of research;And easy operation,no side effect,has the characteristics of traditional Chinese medicine,it is easy to accept,clinical easy to publicity and education,at the same time,this study can also provide data support for the future clinical nursing study of diabetic patients with insomnia. |
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