Abstract:

Objective　To analyze the effect of meridian point therapy combined with ear point pressing for patients taking maintenance hemodialysis (MHD). Methods　Eighty-four patients taking MHD at Hospital Affiliated to Jiangxi University of Traditional Chinese Medicine from January 2023 to January 2024 were selected, and were divided into a control group and an observation group by the random number table method, with 42 cases in each group. There were 27 males and 15 females in the control group; they were (54.29±3.40) years old. There were 29 males and 13 females in the observation group; they were (54.40±3.26) years old. The control group took routine intervention; in addition, the observation group took meridian point therapy and ear point pressing. Both groups were intervened for 4 weeks. The psychological status, disease-related symptoms, fatigue symptoms, and sleep quality were compared between two groups by χ² and t tests. Results　After the intervention, the scores of the Hamilton Depression Scale, Hamilton Anxiety Scale, symptoms of Dialysis Fatigue Scale, Fatigue Scale-14, and Pittsburgh Sleep Quality Index in the observation group were lower than those in the control group [(9.33±1.26) vs. (13.29±1.59), (8.61±1.02) vs. (12.25±1.53), (1.02±0.16) vs. (1.77±0.25), (1.35±0.19) vs. (2.16±0.20), (0.89±0.16) vs. (1.55±0.21), (1.02±0.18) vs. (1.73±0.24), (0.96±0.19) vs. (1.62±0.25), (4.35±0.69) vs. (6.21±1.25), and (6.80±1.16) vs. (10.31±1.54)], with statistical differences (t=12.650, 12.829, 16.376, 19.029, 16.201, 15.338, 13.622, 8.443, and 11.798; all P<0.05). Conclusion　Meridian point therapy combined with ear point pressing for patients taking MHD can improve their psychological state and life quality, and alleviate their fatigue symptoms.

Key words:

Maintenance hemodialysis, Meridian point therapy, Ear point pressing, Psychological state, Sleep quality

摘要：

目的　分析循经点穴疗法联合耳穴贴压对维持性血液透析（MHD）患者的影响。方法　选取2023年1月至2024年1月江西中医药大学附属医院收治的84例MHD患者，随机数字表法分为两组，各42例。对照组中男27例，女15例，年龄（54.29±3.40）岁，采用常规干预；观察组中男29例，女13例，年龄（54.40±3.26）岁，在对照组基础上加以循经点穴疗法联合耳穴贴压。持续干预4周，对比两组心理状态、疾病相关症状、疲乏症状、睡眠质量。统计学方法采用χ²、t检验。结果　干预后，观察组的汉密尔顿抑郁量表、汉密尔顿焦虑量表、透析疲乏量表内各症状、疲劳量表-14、匹兹堡睡眠质量指数评分分别为（9.33±1.26）分、（8.61±1.02）分、（1.02±0.16）分、（1.35±0.19）分、（0.89±0.16）分、（1.02±0.18）分、（0.96±0.19）分、（4.35±0.69）分、（6.80±1.16）分，均低于对照组［（13.29±1.59）分、（12.25±1.53）分、（1.77±0.25）分、（2.16±0.20）分、（1.55±0.21）分、（1.73±0.24）分、（1.62±0.25）分、（6.21±1.25）分、（10.31±1.54）分］，差异均有统计学意义（t=12.650、12.829、16.376、19.029、16.201、15.338、13.622、8.443、11.798，均P<0.05）。结论　循经点穴疗法联合耳穴贴压可改善MHD患者心理状态，减轻疲乏症状，提高生活质量。

关键词:

维持性血液透析, 循经点穴疗法, 耳穴贴压, 心理状态, 睡眠质量