Application of foot massage based on the brain-gut axis theory in hemodialysis and insomnia patients with spleen-kidney yang deficiency type
10.3761/j.issn.0254-1769.2025.18.005
- VernacularTitle:基于脑-肠轴理论的足部推拿在脾肾阳虚型血液透析失眠患者中的应用研究
- Author:
Xueying SHAO
1
;
Xiaodan PEI
;
Yanjuan LI
;
Yuhong DONG
;
Liyang CHANG
;
Jingfen JIN
Author Information
1. 310007 杭州市 浙江中医药大学附属杭州市中医院中医治疗中心
- Publication Type:Journal Article
- Keywords:
Brain-Gut Axis;
Foot Massage;
Hemodialysis;
Insomnia;
Traditional Chinese Medicine Nursing
- From:
Chinese Journal of Nursing
2025;60(18):2203-2209
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application effect of foot massage based on the brain-gut axis theory in patients with spleen-kidney yang deficiency syndrome undergoing maintenance hemodialysis and suffering from insomnia,and to provide references for improving patients' sleep quality and gastrointestinal symptoms.Methods A total of 88 patients with spleen-kidney yang deficiency syndrome undergoing maintenance hemodialysis and suffering from insomnia,who were treated at a Blood Purification Center of a tertiary-A general hospital in Hangzhou,Zhejiang Province from April to September 2024,were selected as a study subjects.They were randomly divided into an experimental group and a control group using the random number table method,with 44 cases in each group.The experimental group received foot massage based on the guidance of the brain-gut axis theory in addition to conventional treatment and nursing care,while the control group received conventional treatment and nursing care only.The intervention lasted for 3 months.The differences in the Pittsburgh Sleep Quality Index(PSQI)scores,Gastrointestinal Symptom Rating Scale(GSRS)scores,traditional Chinese medicine(TCM)syndrome scores,and serum 5-hydroxytryptamine and melatonin levels between the 2 groups before and after the intervention were compared.Results During the study period,no cases were lost in the experimental group,while 5 cases were lost in the control group.Ultimately,44 cases were included in the experimental group and 39 cases in the control group.After the intervention,the PSQI scores,GSRS scores,and TCM syndrome scores in both groups were lower than those before the intervention,and those in the experimental group were lower than those in the control group.The serum 5-hydroxytryptamine and melatonin levels were higher than those before the intervention,and the levels in the experimental group were higher than those in the control group,with statistically significant differences(all P＜0.001).Conclusion Foot massage based on the brain-gut axis theory can improve gastrointestinal symptoms and TCM syndromes in patients with spleen-kidney yang deficiency syndrome undergoing maintenance hemodialysis and suffering from insomnia,and enhance their sleep quality.
