Nursing Effect Of Acupoint Massage On COPD Patients With Cognitive Function, Sleep Quality And Quality Of Life

Objectives To observe the rehabilitation effect of acupoint massage on cognitive function,sleep quality and quality of life of COPD patients,so as to provide a scientific and effective basis for developing effective and practical rehabilitation nursing treatment for COPD patients.Methods Methods from October 2016 to September 2017,70 cases of COPD pa tients with cognitive dysfunction and dyssomnia who were hospitalized in respirato ry department and two respiratory department of Affiliated Hospital of North Univ ersity of science and technology were selected as research subjects.According to th e order of admission,odd number into the control group,even into the interventio n group,35 cases in each group.The control group used the routine rehabilitation nursing methods,including respiratory function exercise,diet nursing,psychologic al nursing,medication nursing,oxygen therapy and so on.The experimental group was treated with acupoint massage on the basis of the control group,each time of 40 min,5 times per week,for 3 months.Acupoint massage is based on meridia n and acupoint learning,through the massage stimulation of acupoints,it can mak e meridians smooth,Qi and blood run vigorously,and regulate the function of Za ng Fu organs through the conduction of meridians,so as to achieve the purpose o f disease prevention and treatment.This study selected acupoint massage temples,Baihui,Sishencong,Fengchi,Yintang,Shenmen,Zusanli,Fenglong,Anmian,Sanyinjiao,N eiguanxue,Yongquanxue,Dazhui,Dingchuan,Feishu,Pishu,Shenshu,danzhong,Gaohuang,Lieque20 points.Preintervention and 1 month and 3 month post-intervention,using t he Montreal cognitive assessment(MOCA),Pittsburgh sleep quality index(PSQI),COPD assessment test(CAT)to evaluate two groups of patients,nursing intervent ion effect evaluation of acupoint massage.Establish a database using the Excel so ftware,after verification of SPSS19.0 software was used for statistical analysis,the data were measured by mean + standard deviation((?)±s),and the data betwe en two groups were analyzed by multivariate analysis of variance;and at each ti me point group and two groups of data comparison over time by repeated measur e analysis of variance,P<0.05 said there was significant difference.Results 1 Two groups of COPD patients with cognitive function comparison: bef ore the intervention,there is no statistical significance in the difference of the total score of MOCA and every dimension in experimental group and control group(P>0.05).after 1 months of intervention,the total score of MOCA and each dimen sion in the experimental group were higher than those in the control group,there i s no statistical significance in the difference(P> 0.05).after 3 months of interven tion,the total score of MOCA and visual space and execution function,name,attenti on,language,abstract ability,delayed recollection six dimensions in the experimental group were significantly higher than those in the control group and differences are statistically significant(P<0.05).2 Two groups of COPD patients with sleep quality comparison:before the intervention,there is no statistical significance in the differe nce of the total score of PSQI and every dimension in experimental group and co ntrol group(P>0.05).after 1 months of intervention,the total score of PSQI and sl eep latency dimension in the experimental group were significantly lower than tho se in the control group and differences are statistically significant(P<0.05).after 3 months of intervention,the total score of PSQI and Subjective sleep quality,sleep latency,sleep persistence,sleep efficiency,sleep disorder,sleep drugs,dysfunction seven dimensions in the experimental group were significantly lower than those in the control group and differences are statistically significant(P<0.05).3 Two groups of COPD patients with quality of life comparison: before the intervention,there is no statistical significance in the difference of the score of COPD assessment test in experimental group and control group(P>0.05).after 1 months of intervention,the score of COPD assessment test in the experimental group were significantly lower than those in the control group and differences are statistically significant(P<0.05).after 3 months of intervention,the score of COPD assessment test in the experime ntal group were significantly lower than those in the control group anddifferences are statistically significant(P< 0.05).Conclusions Acupoint massage could improve cognitive function and sleep quality of patients with COPD,and improve the quality of life,acupoint massage is simple and feasible.It can be used as an effective method in clinical promotion.