摘要
总结1例糖尿病患者感染新型冠状病毒后顽固性失眠护理经验。护理要点：失眠护理，运用中医整体观及辩证施护理念，予辨证分型，基于子午流注择时实施耳部铜砭刮痧联合耳穴压豆治疗；全方位血糖管理，连续动态血糖监测，加强患者血糖自我管理能力；心理护理，五音疗法，在五行理论指导下选取“角”调为主的音乐；加强健康教育，积极预防和治疗并发症；带领患者进行经络穴位拍打操、八段锦运动疗法等护理措施。经治疗护理18天后，患者睡眠质量改善，焦虑抑郁状态好转，血糖控制平稳出院，出院后进行内分泌科门诊和微信随访，一个月后患者的睡眠质量保持良好。
关键词： 顽固性失眠；铜砭刮痧；耳穴压豆
Abstract
The nursing experience of a diabetic patient with intractable insomnia after infection with novel coronavirus was summarized. Nursing points: insomnia nursing, the use of holistic view of traditional Chinese medicine and dialectical nursing thoughts, to the differentiation of syndrome types, based on the midafternoon flow injection time to implement near Tongbian Gua Sha combined with ear point pressure bean treatment; Comprehensive blood glucose management, continuous dynamic blood glucose monitoring, strengthen patients' blood glucose self-management ability; Psychological nursing, five-tone therapy, under the guidance of the five-element theory to choose "Angle" key music; Strengthen health education and actively prevent and treat complications; Lead the patient to carry out meridians account beating exercise, Baduanjin exercise therapy and other nursing measures. After 18 days of treatment and nursing, the patient's sleep quality improved, her anxiety and depression state improved, and her blood sugar control was stable and she was discharged from the hospital. After discharge, the patient's sleep quality remained good one month later.
Key words： Intractable insomnia; Copper bian guasha; Ear point pressure bean
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