失眠患者应用耳部刮痧+耳穴压豆在改善睡眠质量中的护理价值分析
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熊伟伟
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余杭区径山镇社区卫生服务中心，浙江杭州，311116
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摘要：目的 分析耳部刮痧+耳穴压豆对失眠患者的影响。方法 以82例失眠患者为样本，按单双号分组，比照组、实验组各41 例，比照组采取耳部刮痧护理，实验组辅以耳穴压豆护理，均在2024 年10月-2025 年10 月入选，统计护理优良率，观察睡眠改善情况，比较睡眠结构，而后分析不良反应。结果 护理优良率在实验组（95.12%）偏高，而比照组（75.61%）偏低，P<0.05。护理前PSQI 评分在实验组、比照组无差异，P>0.05；护理后PSQI 评分在实验组低于比照组，P<0.05。护理前睡眠结构在实验组、比照组无差异，P>0.05；护理后睡眠潜伏期在实验组短于比照组，总睡眠时间在实验组长于比照组，觉醒次数在实验组低于比照组，P<0.05。不良反应在实验组（4.00%）和比照组（0.00%）并无差异，P>0.05。结论 耳部刮痧+耳穴压豆的作用好，能快速调整睡眠结构，改善睡眠质量，且不良反应少，适用于失眠患者。
关健词：耳穴压豆；失眠；护理价值；睡眠质量；耳部刮痧
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Analysis of the Nursing Value of Auricular Scraping Therapy Combined with Auricular Acupoint Bean Pressing in Improving Sleep Quality for Insomnia Patients
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Weiwei Xiong
Jingshan Town Community Health Service Center, Yuhang District，Hangzhou Zhejiang 311116，China
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Abstract：Objective To analyze the effect of auricular scraping therapy combined with auricular acupoint bean pressing on insomniapatients. Methods A sample of 82 insomnia patients was selected from October 2024 to October 2025 and divided intotwo groups by odd and even number assignment: a control group and an experimental group, each with 41 cases. The controlgroup received auricular scraping therapy care, while the experimental group received additional care with auricular acupointbean pressing. The excellent-good nursing rate was calculated, sleep improvement was observed, sleep structure was compared,and adverse reactions were subsequently analyzed. Results The excellent-good nursing rate was higher in the experimentalgroup (95.12%) compared to the control group (75.61%), P<0.05. Before nursing, there was no difference in PSQI scores betweenthe experimental and control groups, P>0.05; after nursing, the PSQI score in the experimental group was lower than thatin the control group, P<0.05. Before nursing, there was no difference in sleep structure between the experimental and controlgroups, P>0.05; after nursing, sleep latency was shorter in the experimental group than in the control group, total sleep time waslonger in the experimental group than in the control group, and the number of awakenings was lower in the experimental groupthan in the control group, P<0.05. There was no difference in adverse reactions between the experimental group (4.00%) and the control group (0.00%), P>0.05. Conclusion The combination of auricular scraping therapy and auricular acupoint bean pressingis effective, capable of quickly adjusting sleep structure and improving sleep quality, with few adverse reactions, making it suitablefor insomnia patients.
Keywords : Auricular acupoint bean pressing; Insomnia; Nursing value; Sleep quality; Auricular scraping therapy
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