摘要
Abstract
Objective:To investigate the effects of moxibustion combined with meditation relaxation training during dialysis on fatigue,sleep quality and microinflammatory state in patients with maintenance hemodialysis(MHD).Method:A total of 104 MHD patients admitted to Shanghai Yangpu District Shidong Hospital from February 2023 to June 2024 were selected.The patients admitted during the two time periods from February to October 2023 and from November 2023 to June 2024 were included in the control group and the study group,respectively.The control group(n=52)carried out meditation relaxation training,and the study group(n=52)combined moxibustion intervention on the basis of the control group.The fatigue,sleep quality and microinflammatory state indexes(TNF-α,IL-6)were compared between the two groups.Result:A total of 97 patients(49 in the control group and 48 in the study group)completed the study.After 6 and 12 weeks of intervention,the scores of physical fatigue,mental fatigue and total scores of fatigue scale-14(FS-14)in the study group were lower than those before intervention,the mental fatigue scores and total scores of the control group were lower than those before intervention(P<0.05).After 6 and 12 weeks of intervention,the scores of physical fatigue,mental fatigue and total scores of FS-14 in the study group were lower than those in the control group(P<0.05).After 6 and 12 weeks of intervention,the scores of 7 factors and total scores of Pittsburgh sleep quality index(PSQI)in the two groups were lower than those before intervention,and the scores of other factors and total scores of PSQI except hypnotic drugs in the study group were lower than those in the control group(P<0.05).After 6 and 12 weeks of intervention,the levels of serum TNF-α and IL-6 in the study group were lower than those before intervention,and the microinflammatory state indexes in the study group were lower than those in the control group(P<0.05).Conclusion:The intervention of moxibustion combined with meditation relaxation training for MHD patients can significantly improve sleep and fatigue,and reduce the microinflammatory state of the body.关键词
艾灸/冥想放松训练/维持性血液透析/疲乏/睡眠质量/微炎症状态Key words
Moxibustion/Meditation relaxation training/Maintenance hemodialysis/Fatigue/Sleep quality/Microinflammatory state
