Nursing Case Report on the "Simultaneous Regulation of the Head and Ear" Scraping Therapy for Improving Insomnia in a Patient with Chronic Renal Failure
|更新时间:2026-09-11
|
Nursing Case Report on the "Simultaneous Regulation of the Head and Ear" Scraping Therapy for Improving Insomnia in a Patient with Chronic Renal Failure
LI Yuxin. Nursing Case Report on the "Simultaneous Regulation of the Head and Ear" Scraping Therapy for Improving Insomnia in a Patient with Chronic Renal Failure[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI:
LI Yuxin. Nursing Case Report on the "Simultaneous Regulation of the Head and Ear" Scraping Therapy for Improving Insomnia in a Patient with Chronic Renal Failure[DB/OL].Clinical Archives of Integrative Medicine, 2026.DOI: 10.12209/CAIM202606160011.
Nursing Case Report on the "Simultaneous Regulation of the Head and Ear" Scraping Therapy for Improving Insomnia in a Patient with Chronic Renal Failure
This article reports a nursing case involving a patient with chronic renal failure at the uremic stage complicated by insomnia who received scalp scraping therapy combined with auricular scraping therapy nursing care. On the basis of conventional hemodialysis and chronic disease management, targeted Traditional Chinese Medicine (TCM) characteristic nursing interventions were implemented, aiming to improve sleep quality and alleviate associated discomfort. Following a two-week nursing course, the patient's insomnia improved significantly, confirming the effectiveness of this nursing protocol. The "simultaneous regulation of the head and ear" scraping therapy , as a non-invasive external TCM approach, is simple to perform and demonstrates remarkable therapeutic effects, thereby providing a practical reference for clinical nursing care of such patients.
Wu X Y , Wu X M , Li J . Effect of auricular point burying beans combined with sleep psychological and behavioral nursing on sleep quality of elderly insomnia patients [J]. Guid J Tradit Chin Med Pharm , 2024 , 30 ( 7 ): 106 - 108, 117 . (in Chinese)
Yang H L , Zhou B , Luo S Y . Application effect of thunder fire moxibustion combined with auricular point burying bean in insomnia patients with liver kidney Yin deficiency [J]. China Mod Med , 2023 , 30 ( 4 ): 141 - 144 . (in Chinese)
Li H C , Li W . Observation on the occurrence of hypotension after ultrafiltration in maintenance hemodialysis patients with end-stage renal disease by improved programmed ultrafiltration mode [J]. Shandong Med J , 2017 , 57 ( 23 ): 84 - 86 . (in Chinese)
Shang Z J , Zhang Z , Li H W . Clinical analysis of drug therapy for chronic insomnia [J]. China J Heal Psychol , 2021 , 29 ( 2 ): 197 - 200 . (in Chinese)
Li X F , Chen M . Design and application of improved barthel index rating scale [J]. Chin Nurs Res , 2015 , 29 ( 13 ): 1657 - 1658 . (in Chinese)
Buysse D J , Reynolds C F , Monk T H , et al . The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research [J]. Psychiatry Res , 1989 , 28 ( 2 ): 193 - 213 .
Morin C M , Belleville G , Bélanger L , et al . The insomnia severity index: psychometric indicators to detect insomnia cases and evaluate treatment response [J]. Sleep , 2011 , 34 ( 5 ): 601 - 608 .
Zung W W K . A rating instrument for anxiety disorders [J]. Psychosomatics , 1971 , 12 ( 6 ): 371 - 379 .
Du A Y , Lin Z . Effect of empowerment education on diet compliance and nutritional status of maintenance hemodialysis patients [J]. J Nurs Sci , 2015 , 30 ( 17 ): 69 - 71, 105 . (in Chinese)
Lin B Y . Analysis of nutritional problems in patients with mental disorders associated with psychoactive substances [J]. Guide China Med , 2025 , 23 ( 3 ): 137 - 139 . (in Chinese)
Renal Rehabilitation Professional Committee, Chinese Medical Doctor Association, Rehabilitation Medicine Branch, Ma Y C . Expert consensus on exercise rehabilitation for Chinese adults with chronic kidney disease [J]. Chin J Nephrol , 2019 , 35 ( 7 ): 537 - 543 . (in Chinese)
Ou X H , Li J , Cai B Q . Effect of individualized exercise rehabilitation training on dialysis adequacy and self perceived burden in hemodialysis patients [J]. China Mod Med , 2026 , 33 ( 6 ): 163 - 167 . (in Chinese)
Zhou X R , Leng Y J , Fu X R , et al . Effect of proper exercise training during dialysis on dialysis sufficiency and fatigue in hemodialysis patients [J]. Med Innov China , 2023 , 20 ( 20 ): 102 - 106 . (in Chinese)
Ren Y P , Liu Y Y , Zhou J N , et al . Discussion on the academic thought of Li Peixu, a famous old Chinese medicine doctor, in treating chronic renal failure [J]. Tradit Chin Med Res , 2023 , 36 ( 7 ): 11 - 16 . (in Chinese)
Nian S P . A Brief Discussion on Psychological Issues and Nursing Interventions in Patients with Chronic Kidney Disease [J]. World Latest Medical Information Abstract (Continuous Electronic Journal) , 2018 , 18 ( 66 ): 217 . (in Chinese)
Zhang Y Y , Wu H , Liu F , et al . Factors influencing malnutrition in uremic patients undergoing maintenance hemodialysis and establishment of a nomogram model [J]. Pract Prev Med , 2025 , 32 ( 9 ): 1112 - 1115 . (in Chinese)
Cui Y . Analysis of influencing factors of poor prognosis in early stage of peritoneal dialysis in patients with chronic renal failure [J]. Doctor , 2025 , 10 ( 17 ): 94 - 97 . (in Chinese)
Qi M L , Ren D S . Analysis on risk factors for cerebrovascular disease in patients with chronic renal failure [J]. Clin Med Eng , 2024 , 31 ( 7 ): 893 - 894 . (in Chinese)
He M X . Analysis of causes of sleep disorders in maintenance hemodialysis patients and nursing countermeasures [J]. World J Sleep Med , 2024 , 11 ( 11 ): 2560 - 2562 . (in Chinese)
Wen Z C , Meng N , Liang Y F . Effects of target responsibility system nutrition management on nutritional status, inflammatory response level and self-efficacy in elderly diabetic nephropathy hemodialysis patients [J]. Int J Transplant Hemopurification , 2024 , 22 ( 1 ): 15 - 18 . (in Chinese)
Wang Y H , Bai R X , Gong Y R . Clinical observation on acupoint catgut embedding combined with comprehensive nursing for elderly patients with chronic insomnia [J]. Chin J Conval Med , 2020 , 29 ( 8 ): 853 - 856 . (in Chinese)
Zhao Y C , Xu J , Fan C Y , et al . Clinical observation of modified Xuefu Zhuyu decoction combined with ear triple therapy in treating migraine with blood stasis obstructing collaterals pattern [J]. Acta Chin Med Pharmacol , 2025 , 53 ( 10 ): 102 - 107 . (in Chinese)
Ling Y H , Yan Q , Wang C Y . Analysis of the effect of application of traditional Chinese medicine nursing in patients with nephrotic syndrome [J]. China Continuing Med Educ , 2019 , 11 ( 17 ): 174 - 176 . (in Chinese)
Wang J J , Qian A M , Gao L J . Antihypertensive effect of holographic head scraping on elderly patients with hypertension and sleep disorder and its influence on sleep quality and blood lipid [J]. J Med Theory Pract , 2022 , 35 ( 7 ): 1235 - 1237 . (in Chinese)
Ji A Q , Cui J , Xu Y . Clinical observation on effect of inducing Yang into Yin tuina combined with traditional Chinese medicine sleeping pillow in treatment of insomnia(liver fire disturbing heart syndrome) [J]. Liaoning J Tradit Chin Med , 2021 , 48 ( 12 ): 165 - 168 . (in Chinese)
Nursing Care Report of One Case of Facial Melanosis Treated by Thunder-Fire Moxibustion Combined with Scraping Therapy
Nursing Experience of Fire Dragon Cupping Combined with Auricular Acupoint Therapy in Treating Insomnia in a Patient with Chronic Obstructive Pulmonary Disease: A Case Report
Application and Practice of Case-Oriented Traditional Chinese Medicine External Treatment Techniques in Community Nursing Education for a Pediatric Patient with Allergic Rhinitis
Nursing Care Report on Moxibustion Combined with Auricular Acupressure for Insomnia in a Patient with Chronic Renal Failure
Nursing Report on Integrated Traditional Chinese and Western Medicine Nursing for One Patient with Refractory Insomnia
Related Author
BIAN Yanli
BAI Mei
WU Yang
WANG Liangmin
ZHAO Dandan
SHI Mingjie
WANG Shuxia
LIU Jing
Related Institution
Moxibustion Therapy Center, Beijing Muslim Hospital
Department of Respiratory and Febrile Diseases, Dongfang Hospital Beijing University of Chinese Medicine
Andingmen Community Health Service Center of Dongcheng District
Department of Nursing, Beijing Changping District Hospital of Integrated Traditional Chinese and Western Medicine
Department of Pediatrics, Beijing Changping District Hospital of Integrated Traditional Chinese and Western Medicine