Effect of inducing yang into yin massage on sleep disturbance and negative emotion in puerperae with syndrome of deficiency of heart and spleen after cesarean section
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摘要:目的 探讨引阳入阴推拿对剖宫产后心脾两虚证睡眠障碍产妇睡眠障碍以及负性情绪的影响。方法 选取产科病房行剖宫产的100例心脾两虚证睡眠障碍产妇为研究对象，随机分为观察组和对照组，每组50例。对照组实施常规产后心理护理，观察组在对照组基础上实施引阳入阴推拿。比较2组匹兹堡睡眠质量指数量表(PSQI)评分、中医证候积分、焦虑自评量表(SAS)评分以及抑郁自评量表(SDS)评分。结果 干预后，观察组产妇PSQI评分以及中医证候积分均低于对照组, SAS和SDS评分均低于对照组，差异有统计学意义(P < 0.05)。结论 引阳入阴推拿能有效改善心脾两虚证剖宫产产妇的睡眠障碍，缓解负性情绪。Abstract:Objective To investigate the effect of inducing yang into yin massage on sleep disorder and negative emotions in puerperae with syndrome of deficiency of heart and spleen after cesarean section.Methods A total of 100 women with sleep disorder with deficiency of heart and spleen syndrome who underwent cesarean section in obstetric ward were selected as research objects, and were randomly divided into observation group and control group, with 50 cases in each group. The control group was given routine postpartum psychological nursing, and the observation group was given inducing yang into yin massage based on the control group. The Pittsburgh Sleep Quality Index (PSQI) score, TCM syndrome score, Self-rating Anxiety Scale (SAS) score and Self-rating Depression Scale (SDS) score were compared between the two groups.Results After intervention, the scores of PSQI and TCM syndrome in the observation group were significantly lower than those in the control group, the SAS and SDS scores were lower than those of the control group (P < 0.05).Conclusion Inducing yang into yin massage can effectively improve the sleep disorder and recieve the negative emotions of cesarean section women with deficiency of heart and spleen.
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表 1 2组剖宫产产妇干预后PSQI评分、中医证候积分比较(x±s)
分 组别 n 睡眠质量 入睡时间 睡眠时间 睡眠效率 睡眠障碍 日常功能障碍 PSQI总分 中医证候积分 对照组 50 2.32±0.51 1.30±0.46 1.66±0.69 1.32±0.47 1.36±0.48 1.36±0.48 9.26±1.29 15.32±0.65 观察组 50 2.02±0.14* 1.12±0.33* 1.42±0.49* 1.14±0.41* 1.14±0.45* 1.14±0.45* 7.94±1.15* 14.52±0.93* 与对照组比较, *P < 0.05。 
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表 2 2组剖宫产产妇干预前后SAS、SDS评分比较(x±s)
分 组别 n SAS评分 SDS评分 干预前 干预后 干预前 干预后 对照组 50 48.75±4.27 47.61±4.48* 49.39±28.19 43.96±3.38* 观察组 50 49.95±4.65 44.18±9.10*# 50.64±20.71 42.93±1.93*# SAS: 焦虑自评量表; SDS: 抑郁自评量表。与干预前比较, *P < 0.05; 与对照组比较, #P < 0.05。
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[1] DØRHEIM S K, BONDEVIK G T, EBERHARD-GRAN M, et al. Sleep and depression in postpartum women: a population-based study[J]. Sleep, 2009, 32(7): 847-855. doi: 10.1093/sleep/32.7.847
[2] 公小纪, 王丽萍, 张新红, 等. 不同分娩方式对产妇抑郁的影响[J]. 西部医学, 2015, 27(5): 667-668, 671. https://www.cnki.com.cn/Article/CJFDTOTAL-XIBU201505008.htm [3] 郭志敏. 剖宫产产妇泌乳及产后抑郁的护理干预效果[J]. 实用临床医药杂志, 2020, 24(9): 120-123. doi: 10.7619/jcmp.202009035 [4] 孟垂霞, 董文文. 孕产妇围孕期抑郁的护理干预研究进展[J]. 实用临床医药杂志, 2019, 23(17): 130-132. doi: 10.7619/jcmp.201917037 [5] 彭莉, 甘琴, 吴英, 等. 血府逐瘀汤治疗缺血性脑卒中患者睡眠障碍的临床疗效[J]. 实用临床医药杂志, 2020, 24(21): 46-49. doi: 10.7619/jcmp.202021014 [6] 邓玲. 中医病证诊断疗效标准[M]. 北京: 中国中医药出版社, 2017: 36-39. [7] BAGLIONI C, NANOVSKA S, REGEN W, et al. Sleep and mental disorders: a meta-analysis of polysomnographic research[J]. Psychol Bull, 2016, 142(9): 969-990. doi: 10.1037/bul0000053
[8] TAN M. Milley: Readiness for ground combat is No. 1 priority[EB/OL]. (2015-08-29)[2021-09-26]. https://www.armytimes.com/news/pentagon-congress/2015/08/28/milley-readiness-for-ground-combat-is-no-1-priority/.
[9] 曹蕾. 剖宫产术后母婴同室产妇睡眠质量影响因素分析及干预研究[D]. 南宁: 广西医科大学, 2017. [10] PERLMAN C A, JOHNSON S L, MELLMAN T A. The prospective impact of sleep duration on depression and Mania[J]. Bipolar Disord, 2006, 8(3): 271-274. doi: 10.1111/j.1399-5618.2006.00330.x
[11] NEGRON R, MARTIN A, ALMOG M, et al. Social support during the postpartum period: mothers' views on needs, expectations, and mobilization of support[J]. Matern Child Health J, 2013, 17(4): 616-623. doi: 10.1007/s10995-012-1037-4
[12] 宋芬, 杨玉芹, 邢云香. 临产妇的健康教育及心理护理[J]. 现代中西医结合杂志, 2009, 18(29): 3645-3645. https://www.cnki.com.cn/Article/CJFDTOTAL-XDJH200929097.htm [13] 卫坚, 杨向利. 柴胡桂枝龙骨牡蛎汤加味治疗围绝经期焦虑性失眠的效果[J]. 实用临床医药杂志, 2020, 24(21): 43-45, 49. doi: 10.7619/jcmp.202021013 [14] GOYAL D, GAY C, LEE K. Fragmented maternal sleep is more strongly correlated with depressive symptoms than infant temperament at three months postpartum[J]. Arch Womens Ment Health, 2009, 12(4): 229-237. doi: 10.1007/s00737-009-0070-9
[15] 卢根娣, 秦秀芳, 孙青. 曙光医院护理人员中医技术使用手册[S]. 2019: 58-60. [16] 何锟, 韩霜, 张丽, 等. 经皮穴位电刺激对睡眠障碍孕产妇剖宫产术后睡眠质量及产后抑郁的影响[J]. 中华麻醉学杂志, 2021, 41(8): 946-950. [17] BUYSSE D J, REYNOLDS C F III, MONK T H, et al. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research[J]. Psychiatry Res, 1989, 28(2): 193-213. doi: 10.1016/0165-1781(89)90047-4
[18] ZUNG W W. A rating instrument for anxiety disorders[J]. Psychosomatics, 1971, 12(6): 371-379. doi: 10.1016/S0033-3182(71)71479-0
[19] 杭嘉敏, 盖海云. 中医情志护理结合引阳入阴推拿对围绝经期不寐症患者心理状况及睡眠质量的影响[J]. 海南医学, 2021, 32(2): 269-272. https://www.cnki.com.cn/Article/CJFDTOTAL-HAIN202102036.htm [20] 刘一然, 周薇. 腹针联合艾灸治疗心脾两虚型失眠症患者的疗效观察[J]. 湖南中医药大学学报, 2021, 41(4): 552-557. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZX202104011.htm [21] 佚名. 灵枢经[M]. 北京: 人民卫生出版社, 1956: 113-119. [22] 陈洁, 俞小平, 董慧萍, 等. "引阳入阴"推拿配合"五行音乐"对不寐患者睡眠质量的影响[J]. 浙江中医杂志, 2017, 52(11): 804-805. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJZZ201711019.htm [23] 李琼瑶, 陈后良, 田丹杏, 等. 引阳入阴推拿联合芳香疗法改善乳腺癌围化疗患者失眠及生活质量的效果研究[J]. 中华现代护理杂志, 2020, 26(28): 3893-3898. [24] 吴晗. 呼吸放松训练对乳腺癌患者睡眠质量及应激心理的影响[D]. 大连: 大连医科大学, 2019. [25] 孙洪生. 不寐病证的文献研究与学术源流探讨[D]. 北京: 北京中医药大学, 2006. [26] 庄丽, 汪小冬, 张雅丽. 引阳入阴推拿改善非器质性睡眠障碍的效果研究[J]. 上海护理, 2013, 13(5): 32-34. https://www.cnki.com.cn/Article/CJFDTOTAL-SHHL201305011.htm [27] 肖红, 李金明, 严鹏飞, 等. 心理应激和心理弹性在执行大项任务官兵睡眠质量与工作压力间的中介效应[J]. 第三军医大学学报, 2021, 43(4): 354-358. https://www.cnki.com.cn/Article/CJFDTOTAL-DSDX202104013.htm -
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