本文選題：薰衣草　切入點(diǎn)：芳香療法　出處：《廣州中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:本研究旨在采用薰衣草芳香療法干預(yù)老年髖部骨折患者術(shù)后睡眠,通過(guò)睡眠質(zhì)量指數(shù)的評(píng)估,了解該療法提高老年髖部骨折患者術(shù)后睡眠質(zhì)量的臨床療效及安全性,并針對(duì)其相關(guān)影響因素作出分析,為進(jìn)一步研究如何提高老年髖部骨折患者術(shù)后睡眠質(zhì)量,改善患者精神狀況、體力及生活質(zhì)量,促進(jìn)機(jī)體康復(fù)的護(hù)理工作提供一種簡(jiǎn)便、易行、安全、有效的方法,并為臨床相關(guān)研究提供數(shù)據(jù)支持。方法:本研究采用簡(jiǎn)單隨機(jī)化的方法分組,將2016年3月到2016年12月收住廣東省中醫(yī)院創(chuàng)傷骨科病被確診為髖部骨折的患者130例,對(duì)照組65例,觀察組65例。對(duì)照組患者給予常規(guī)治療與常規(guī)護(hù)理,觀察組患者在常規(guī)治療與常規(guī)護(hù)理基礎(chǔ)上,給予薰衣草芳香療法干預(yù),干預(yù)方法:采用薰衣草芳香療法于術(shù)前一天開(kāi)始干預(yù)髖部骨折擬進(jìn)行手術(shù)的患者。每日干預(yù)時(shí)間為晚上9點(diǎn)到次日早上7點(diǎn)(10個(gè)小時(shí)),每人每次薰衣草用量為8-10g,用統(tǒng)一香囊(規(guī)格為:8cm × 5cm滌綸刺繡袋子)包裝,每五天更換薰衣草一次。干預(yù)周期為28日。干預(yù)前,使用視覺(jué)模糊評(píng)分法(visual analogue scale,VAS,見(jiàn)附錄2)評(píng)估兩組患者疼痛評(píng)分,使用阿森斯失眠量表(Athens Insomnia Scale,AIS,見(jiàn)附錄3)進(jìn)行兩組患者睡眠障礙的自我評(píng)估,VAS評(píng)分、AIS評(píng)分作為本研究其中的納入排除標(biāo)準(zhǔn)。干預(yù)前后使用匹茲堡睡眠質(zhì)量指數(shù)(Pittsburgh Sleep Quality Index,PSQI,見(jiàn)附錄4)量表評(píng)估、對(duì)比觀察兩組患者干預(yù)前后的睡眠質(zhì)量指數(shù),以評(píng)價(jià)薰衣草芳香療法在提高老年髖部骨折患者術(shù)后睡眠質(zhì)量中的臨床療效及安全性。結(jié)果:1.本研究共納入老年髖部骨折術(shù)后睡眠障礙患者130例,其中對(duì)照組65例,觀察組65例。研究期間,觀察組患者脫落7例,其中4例要求放棄繼續(xù)使用薰衣草而脫落,3例未回訪到而脫落,其余患者均能按照要求完成整個(gè)干預(yù)過(guò)程及觀察指標(biāo)的評(píng)估。對(duì)照組患者脫落3例,均為未回訪到而脫落,其余患者均按照要求完成了整個(gè)干預(yù)及觀察指標(biāo)的評(píng)估。最終,實(shí)際納入研究的病例共120例,其中觀察組58例,對(duì)照組62例。2.本研究干預(yù)前兩組患者在性別、年齡、身高、體重、住院時(shí)間、服用安眠藥、接受的手術(shù)方法等方面比較,差異均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),具有可比性。兩組患者術(shù)前一天VAS評(píng)分比較、術(shù)后第二天VAS評(píng)分比較,差異沒(méi)有統(tǒng)計(jì)學(xué)意義(P0.05),具有可比性。干預(yù)前兩組患者的AIS評(píng)分比較,差異沒(méi)有統(tǒng)計(jì)學(xué)意義(P0.05),具有可比性。3.睡眠質(zhì)量指數(shù)總分方面,干預(yù)后第29天,無(wú)論是ITT分析還是PPS分析,兩組間比較差異均有統(tǒng)計(jì)學(xué)意義(P0.05),觀察組患者PSQI評(píng)分較對(duì)照組患者改善明顯。入睡時(shí)間方面,干預(yù)后第29天,觀察組患者評(píng)分較對(duì)照組患者改善明顯,兩組間比較差異均有統(tǒng)計(jì)學(xué)意義(P0.05);睡眠時(shí)間方面,干預(yù)后第29天,觀察組患者評(píng)分較對(duì)照組患者改善明顯,兩組間比較差異均有統(tǒng)計(jì)學(xué)意義(P0.05);睡眠效率方面,干預(yù)后第29天,觀察組患者評(píng)分較對(duì)照組患者改善明顯,兩組間比較差異均有統(tǒng)計(jì)學(xué)意義(P0.05);睡眠質(zhì)量方面,干預(yù)后第29天,觀察組患者評(píng)分較對(duì)照組患者改善明顯,兩組間比較差異均有統(tǒng)計(jì)學(xué)意義(P0.05);睡眠障礙方面,干預(yù)后第29天,觀察組患者評(píng)分較對(duì)照組患者改善明顯,兩組間比較差異均有統(tǒng)計(jì)學(xué)意義(P0.05);使用催眠藥物方面,干預(yù)后第29天,觀察組患者評(píng)分較對(duì)照組患者改善明顯,兩組間比較差異均有統(tǒng)計(jì)學(xué)意義(P0.05);日間功能障礙方面,干預(yù)后第29天,觀察組患者評(píng)分較對(duì)照組患者改善明顯,兩組間比較差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。安全性評(píng)估方面,兩組患者在干預(yù)期間,均未出現(xiàn)明顯不適或其他不利于機(jī)體恢復(fù)的不良反應(yīng)。結(jié)論:1.薰衣草芳香療法能有效縮短老年髖部骨折患者術(shù)后入睡時(shí)間、延長(zhǎng)睡眠時(shí)間。2.薰衣草芳香療法能有效提高老年髖部骨折患者術(shù)后睡眠效率、改善其睡眠質(zhì)量,降低睡眠障礙發(fā)生率。3.薰衣草芳香療法能幫助患者減少服用催眠藥物,提高日間社會(huì)功能。4.薰衣草芳香療法具有原料價(jià)格便宜、容易獲取、操作簡(jiǎn)單、療效保證、安全可靠的特點(diǎn)集中體現(xiàn)了中醫(yī)外治法、非藥物療法、非侵入性的特點(diǎn),這是無(wú)污染、無(wú)副作用的綠色療法,值得在臨床中推廣應(yīng)用。
[Abstract]:Objective: the purpose of this study is to use lavender therapy in elderly patients with hip fracture after sleep, through the assessment of sleep quality index, to understand the clinical curative effect and safety of the treatment of elderly patients with hip fracture after improving sleep quality, and according to the related factors analysis, for further research on how to improve the elderly patients with hip fracture after operation the quality of sleep, improve the mental status of the patients, and the physical quality of life, providing a simple, easy, safe and promote nursing rehabilitation, effective methods, and provide data support for clinical research. Methods: This study adopts the method of simple random grouping, the March 2016 to December 2016 admitted to the Department of orthopedics Guangdong Province Traditional Chinese Medical Hospital disease was diagnosed for 130 cases of hip fracture patients, 65 cases in the control group, 65 cases in the observation group. Routine treatment and control group were given routine nursing care, view Observation group of patients in the routine treatment and routine nursing care on the basis of giving lavender aromatherapy intervention, intervention methods: using lavender aromatherapy on the day before the operation began to intervene in hip fracture surgery patients. The proposed daily intervention time was 9 p.m. to 7 a.m. the next day (10 hours), the dosage of 8-10g per lavender with a unified, sachet (specifications: 8cm x 5cm polyester embroidery bag packaging), replacing Lavender once every five days. The intervention period was 28 days. Before the intervention, the use of visual analogue scale (visual analogue scale, VAS, see Appendix 2) to evaluate two groups of patients with pain score, the use of the Athens Insomnia Scale (Athens Insomnia Scale, AIS, see Appendix 3) two groups of patients with sleep disorders self assessment, VAS score, AIS score as the study of the inclusion and exclusion criteria. The use of sleep quality before and after the intervention of Pittsburgh index (Pittsburgh Sleep Qua Lity Index, PSQI, see Appendix 4) scale assessment, comparative observation of sleep quality index of two groups of patients before and after intervention, to evaluate the clinical efficacy and safety of lavender aromatherapy in improving sleep quality in elderly patients with hip fracture after operation. Results: 1. of 130 patients were enrolled in the study of sleep disorders in elderly patients with hip fracture among them, 65 cases in the control group, the observation group of 65 cases. During the study period, patients in the observation group and 7 cases of loss, among which 4 cases were asked to give up to continue to use lavender off, 3 cases did not return to off, the rest of the patients were in accordance with the assessment requirements to complete the whole process of intervention and observation index. The patients in the control group lost 3 patients were not followed up and fall off, the remaining patients were assessed in accordance with the requirements of the intervention and observation index. Finally, the study included 120 cases, 58 cases in the observation group, 62 cases in the control group the.2. two before intervention Groups in gender, age, height, weight, duration of hospitalization, sleeping pills, comparison of surgery methods, there were no significant differences (P0.05), comparable. VAS score compared with the day before operation in the two groups, compared the VAS score of second day after surgery, the difference was not statistically significant (P0.05), comparable. Two groups of patients with AIS score compared with before intervention, the difference was not statistically significant (P0.05), comparable.3. sleep quality index score, after twenty-ninth days, both ITT analysis and PPS analysis, the difference between the two groups had statistical significance (P0.05) group. The PSQI scores of the patients observed than the control group improved significantly. Sleep time, twenty-ninth days of intervention, observation group were compared with the control group improved significantly, the difference between the two groups were statistically significant (P0.05); sleep time, twenty-ninth days of intervention, the observation group patients Scores than patients in the control group improved significantly, the difference between the two groups were statistically significant (P0.05); sleep efficiency, twenty-ninth days of intervention, observation group were compared with the control group improved significantly, the difference between the two groups were statistically significant (P0.05); the quality of sleep, twenty-ninth days of intervention, patients was observed compared with the control group improved significantly, the difference between the two groups were statistically significant (P0.05); sleep disorder, intervention group patients were observed for twenty-ninth days, compared with the control group improved significantly, the difference between the two groups were statistically significant (P0.05); the use of hypnotic drugs, the intervention group for twenty-ninth days. The patients were observed compared with the control group improved significantly, the difference between the two groups were statistically significant (P0.05); daytime dysfunction, twenty-ninth days of intervention group were observed, compared with the control group improved significantly, The difference between the two groups were statistically significant (P0.05). The safety assessment, two groups of patients in the intervention period, there were no obvious discomfort and other adverse reactions is not conducive to the recovery of 1.. Conclusion: lavender aromatherapy can effectively shorten the elderly patients with hip fracture after prolonged sleep time, sleep time.2. Lavender therapy can effectively improve the elderly patients with hip fracture after sleep efficiency, improve sleep quality, reduce the incidence of sleep disorder.3. lavender aromatherapy can help patients reduce use of hypnotic drugs, improve the social function of daytime.4. lavender aromatherapy with cheap raw materials, simple operation, easy to obtain, guarantee the curative effect, safe and reliable characteristics embodied the external therapy of traditional Chinese medicine, non drug therapy, non-invasive characteristics, it is pollution-free, green therapy without side effects, it is worthy of popularization and application in clinical.

【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R473.6

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