Influence of Auricular Point Sticking Combined with Acupoint Massage on Postoperative Delirium and Sleep Quality in Elderly Patients with Femoral Neck Fractures
Objective:To observe the effects of auricular point sticking combined with acupoint massage on postoperative delirium and sleep quality in elderly patients with femoral neck fracture.Method:A total of 82 elderly patients with femoral neck fracture admitted to Nanchang People's Hospital from July 2020 to July 2023 were selected as the study objects,and they were divided into observation group and control group according to numbered envelope method,with 41 cases in each group.Both groups received surgical treatment,the control group received postoperative routine nursing intervention,the observation group received postoperative routine nursing+acupoint massage+auricular point sticking.The incidence of delirium[confusion assessment scale(CAM)],cognitive function[mini-mental state examination(MMSE)],state of consciousness(Glasgow coma scale,GCS),fatigue(Christensen fatigue score),sleep quality[Pittsburgh sleep quality index(PSQI)],sleep status,neutrophil/lymphocyte ratio(NLR),monocyte/lymphocyte ratio(MLR),platelet/lymphocyte ratio(PLR)and sleep traditional Chinese medicine symptom score were compared between two groups.Result:After 7 and 14 d of intervention,MMSE and GCS scores of two groups were higher than those before intervention,and those in the observation group were higher than those in the control group;the Christensen fatigue score of two groups was significantly lower than that before intervention,and that in the observation group was lower than that in the control group,the differences were statistically significant(P<0.05).After 7 and 14 d of intervention,total sleep time and rapid eye movement sleep time in two groups were significantly higher than those before intervention,and those in observation group were higher than those in control group;the PSQI score,sleep time and wake times of two groups were significantly lower than those before intervention,and those in the observation group were lower than those in control group,the differences were statistically significant(P<0.05).After 14 d of intervention,the sleep traditional Chinese medicine syndrome score and the levels of NLR,MLR and PLR in two groups were significantly lower than those before intervention,and those in observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Auricular point sticking combined with acupoint massage can effectively reduce postoperative delirium in elderly patients with femoral neck fracture,improve sleep quality,cognitive function and state of consciousness,and reduce inflammatory response and fatigue degree.
Elderly femoral neck fractureAcupoint massageAuricular point stickingDeliriumSleep quality
万方数据
维普
