A Study On The Application Of Acupressure Beans In The Ear Vagus Nerve Area In Patients With Depression With Insomnia

Research Purpose:To explore the effect of acupressure beans in the ear vagus nerve area on the improvement of depression,sleep quality and life satisfaction in patients with depression with insomnia.Research Methods:（1）Construction of intervention plan.Firstly,through literature review and clinical practice,the first draft of the intervention plan of pressing the acupoints of the vagus nerve area of the auricular concha was drawn up.An expert group was established to conduct two rounds of expert meetings to revise and improve the intervention plan.（2）Application of intervention programs.In this study,We selected 88 patients with depression with insomnia who were hospitalized in a upper first-class psychiatric hospital in Zhe Jiang province from January 2021 to December 2021.A random number table method was used to divide the study subjects into the test group and the control group,with the control group undergoing conventional treatment and the test group undergoing ear vagus nerve area acupressing bean intervention on the basis of conventional treatment.Hamilton Rating Scale for Depression（HAMD-17）,Insomnia Severity Index Scale（ISI）and Life Satisfaction Index A（LSI-A）were used to evaluate the patients before and after the intervention.Research Results:（1）There was no significant difference in the HAMD-17,ISI and LSI-A scores between the two groups before intervention（P>0.05）.（2）After the intervention,the HAMD-17 score of the test group was 8.02±3.20,and the HAMD-17 score of the control group was 10.03±2.53,the test group was lower than the control group,the difference was statistically significant（P<0.05）.（3）After the intervention,the ISI score of the test group was 7.19±2.36,and the ISI score of the control group was 8.83±2.09,the test group was lower than the control group,the difference was statistically significant（P<0.05）.（4）After the intervention,the LSI-A score of the test group was 14.07±2.82 and the LSI-A score of the control group was12.35±2.48,the test group was higher than the control group,the difference was statistically significant（P<0.05）.（5）No adverse events occurred during the trial of this study.Research Conclusion:（1）Acupoint pressure bean intervention in auricular vagus nerve area significantly improves depression,sleep quality and life satisfaction in patients with depression with insomnia.（2）Acupoint pressure bean in the ear vagus nerve area is safe,easy to operate,feasible and has good clinical application value.