生物全息耳穴綜合干預對老年慢性心力衰竭伴失眠患者睡眠質量的影響

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Effects of Comprehensive Intervention of Holographic Ear Acupoints on Sleep Quality inElderlyPatientswith ChronicHeartFailureand Insomnia

CHENG Menglu，XU Ju，CHEN Ying，ZHANG Juan，CHEN Yan （Taizhou Hospital ofTraditional Chinese Medicine，Taizhou 2253oO，China）

AbstractObjective：Toadoptacomprehensiveinterventionofbiological holographicearacupointsonelderlypatientswithchro nicheartfailure（CHF）andinsomnia，andaalyze itsimpactsonnegativeemotionsandslepquality.Methods：SixtyeightelderlyCHFpatients withinsomniaadmitedtotheGeriatricDepartmentofTaizhouHospitalofTraditionalChinese MedicinefromJanuary2023 to December2O24 wereselectedasthestudysubjects.Theywererandomlydividedintoacontrol groupandanobservation group，with34 patients ineach group，usingarandom numbertable method.Thecontrol groupreceivedroutinenursing intervention，hiletheobservationgroupreceivedcomprehensiveinterventionofiologicalholographicaracupointsonthebasisofthe controlgroupfor4consecutive weeks.Pitsburgh SleepQuality Index（PSQI）wasused tocompare the diferences insleepquality，sleep timeand sleep eficiencybetweenthe two groups.The Hamilton Anxiety Scale（HAMA）and Hamilton Depression Scale （HAMD）wereused tocomparetheimprovement effctsof anxietyand depresion status beforeandafter intervention.And the treatment eficacyofthetwo groups werecompared.Resuts：Afterintervention，thePSQIscores，HMAscores，and HAMDscores of theobservationgroupweresignificantlylowerthanthoseof thecontrol group.Thesleptimeandslepeficiencyscoresof the PSQI scoresscaleintheoservationgroupwere significantlylowerthanthoseinthecontrolgroup，andthetotalefectiveateof theobservationgroupwassignficantlyhigherthanthatof thecontrol group.Therewasastatisticallysignificantdiferencebetween the two observation groups （ P<0.05 ）. Conclusion：Applying the comprehensive intervention measures of biological holographic earacupointstoelderlyCHFpatients with insomniacanefectivelyimprovetheir insomniasymptoms，ositivelyafecttheiregative emotions，and improve their sleep quality.

KeywordsChronic heart failure；Insomnia；Oldage；Comprehensive interventionofbiological holographic ear acupoints；Negative emotions；Sleep quality；Anxiety；Depression

中圖分類號： R541.6+1 ;R338.63 文獻標識碼：A doi：10.3969/j. issn.2095-7130.2025.02.026

慢性心力衰竭（ChronicHeartFailure，CHF）是心臟收縮和舒張功能長期受損的結果，導致心排血量不足，無法滿足組織代謝的需求，并伴有靜脈血回流不暢的嚴重疾病[1]。（剩余4741字）