綜合護(hù)理干預(yù)改善高血壓患者睡眠質(zhì)量及血壓待定作用

王文紅

摘要?目的：探討綜合護(hù)理干預(yù)對(duì)高血壓患者睡眠質(zhì)量及其血壓控制的影響。方法：選取2019年1月至2019年12月平原縣第一人民醫(yī)院心內(nèi)科收治的高血壓患者102例作為研究對(duì)象，隨機(jī)分為對(duì)照組和觀察組，每組51例。對(duì)照組給以基礎(chǔ)護(hù)理，觀察組給予綜合護(hù)理干預(yù)，比較2組患者的干預(yù)后的血壓和睡眠情況。結(jié)果：干預(yù)前，對(duì)照組和觀察組患者血壓情況、患者睡眠質(zhì)量等總分情況比較，差異均無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05）;干預(yù)后，對(duì)照組和觀察組患者血壓情況、患者睡眠質(zhì)量等總分情況比較，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論：腦出血患者根據(jù)患者個(gè)體情況及時(shí)采取有效綜合護(hù)理干預(yù)措施可控制血壓和改善患者的睡眠質(zhì)量。

關(guān)鍵詞?高血壓;控制;睡眠質(zhì)量;綜合護(hù)理干預(yù)

Comprehensive Nursing Intervention to Improve Sleep Quality and Blood Pressure in Patients with Hypertension

WANG Wenhong

（Pingyuan County First People′s Hospital，Pingyuan 253100，China）

Abstract?Objective：To explore the effect of comprehensive nursing intervention on sleep quality and blood pressure control in patients with hypertension.Methods：A total of 102 hypertensive patients admitted to the Department of Cardiology，The First People′s Hospital of Pingyuan County from January 2019 to December 2019 were selected as study subjects and randomly divided into observation group and control group，with 51 patients in each group.The control group was given basic nursing，the observation group was given comprehensive nursing intervention，and the blood pressure and sleep status of the 2 groups were compared after the intervention.Results：Before intervention，there were no statistically significant differences in blood pressure，sleep quality and other total scores between the control group and the observation group（P>0.05）.After intervention，the differences in blood pressure，sleep quality and other total scores between the control group and the observation group were statistically significant（P<0.05）.Conclusion：Effective comprehensive nursing intervention can control blood pressure and improve sleep quality in patients with cerebral hemorrhage.

Keywords?Hypertension; Control; Sleep quality; Comprehensive nursing intervention

中圖分類號(hào)：R338.63;R541.3??文獻(xiàn)標(biāo)識(shí)碼：A??doi：10.3969/j.issn.2095-7130.2020.09.060

目前，高血壓作為一種常見病，發(fā)病率呈上升趨勢(shì)。相關(guān)研究[1]顯示，高血壓是心血管疾病迄今為止最重要和普遍的危險(xiǎn)因素，對(duì)高血壓患者來(lái)說(shuō)睡眠障礙是其常見的并發(fā)癥之一[2]，會(huì)嚴(yán)重影響患者身心健康，嚴(yán)重的睡眠障礙可誘發(fā)高血壓患者發(fā)生腦出血，甚至死亡[3]。因此改善高血壓患者的睡眠質(zhì)量十分必要，本文選取我院心內(nèi)科收治的高血壓患者102例作為研究對(duì)象，比較了傳統(tǒng)護(hù)理方式和綜合護(hù)理方式對(duì)高血壓患者睡眠治療和血壓的影響，現(xiàn)將結(jié)果報(bào)道如下。

1?資料與方法

1.1?一般資料?選取2019年1月至2019年12月平原縣第一人民醫(yī)院心內(nèi)科收治的高血壓患者102例作為研究對(duì)象，隨機(jī)分為觀察組和對(duì)照組，每組51例。其中男68例，女70例，年齡35～72歲，平均年齡（49.54±5.21）歲。對(duì)照組中男28例，女23例，年齡35～72歲，平均年齡（49.55±5.16）歲;觀察組中男28例，女23例，年齡36～71歲，平均年齡（49.35±5.24）歲。一般資料經(jīng)統(tǒng)計(jì)學(xué)分析，差異無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05），具有可比性。

1.2?納入標(biāo)準(zhǔn)?1）患者依從性好者;2）無(wú)肝腎等其他器質(zhì)性病變者。

1.3?排除標(biāo)準(zhǔn)?1）認(rèn)知障礙和精神障礙者;2）繼發(fā)性高血壓者。