| Objective: to explore the effect of rehabilitation nursing on insomnia with deficiency of both heart and spleen treated by cognitive behavior therapy combined with press needle.Methods: 240 patients with insomnia of deficiency of heart and spleen type were randomly divided into four groups: A,B,C and D,each group had 60 patients,according to the method of random number table,group A was the routine nursing group,Group B was the routine nursing + cognitive behavior therapy group,Group C was the routine nursing + press needle group,and Group D was the cognitive behavior therapy + press needle + routine nursing group.Group A,B,C,D were given cognitive behavior therapy intervention,press needle intervention and general drug care intervention,At the beginning of treatment,1 month after treatment and 2 months after treatment,the patients were evaluated with PSQI,Hamilton Anxiety Rating Scale,Hamilton depression scale(Hamd).Results: After intervention,PSQI,Hama,Hamd and TCM Syndrome scores of A,B,C and D patients decreased significantly(p < 0.05)The scores in Group B,C and D were lower than those in Group A,which suggested that cognitive behavior therapy and press needle could improve insomnia and reduce insomnia emotion(p < 0.05)There was no significant difference between Group B and Group C(p > 0.05),the scores of Group D were lower than those of Group B and Group C(p < 0.05),The total therapeutic efficiency of group A was 76.67%,the total effective rate of Group B was 81.67%,that of group C was 83.33%,that of group D was 90%.The effective rate of routine nursing was obviously lower than that of the other three groups,there was no significant difference(p > 0.05)between routine nursing + cognitive behavior therapy and routine nursing + press needle,but the effective rate was lower than that of routine nursing + cognitive behavior therapy + press needle(p < 0.05),cognitive behavior therapy and the application of press can obviously improve the insomnia symptoms of patients with deficiency of both heart and spleen.CONCLUSION: Cognitive behavior therapy combined with press needle application can obviously improve the sleep quality of patients with insomnia of deficiency of both heart and spleen type,and has a definite and good therapeutic effect,which is of great significance for the prevention of insomnia recurrence and treatment,at the same time,cognitive-behavioral therapy and the application of the needle therapy can not only improve the quality of insomnia,but also can further improve the anxiety and depression of patients,it can obviously improve the quality of life of patients while improving their symptoms,and has the value of clinical popularization. |
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