强化护理人文关怀与健康教育对社区高血压伴睡眠障碍患者的影响
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摘要
目的:探讨强化护理人文关怀与健康教育对社区高血压伴睡眠障碍患者的影响。方法:选取2017年2月至2019年2月采育镇中心卫生院收治的高血压伴睡眠障碍患者114例作为研究对象,随机分为对照组与观察组,每组57例,均予以规律降压药物治疗。此外,对照组接受常规护理,观察组在此基础之上采用强化护理人文关怀与健康教育,2组患者均予干预4周后比对。观察影响高血压患者睡眠的因素,比较2组患者护理干预前后睡眠质量及血压值变化情况。结果:问卷调查显示,社区高血压伴睡眠障碍的主要因素为头晕、头痛等头部症状,占比达49. 12%,显著高于其他因素,差异有统计学意义(P <0. 05)。睡眠质量比较则显示,观察组患者干预后PSQI评分优于对照组患者,差异有统计学意义(P <0. 05)。干预前后2组患者血压值比较,观察组干预后收缩压和舒张压均显著低于对照组患者,差异有统计学意义(P <0. 05)。结论:强化护理人文关怀与健康教育可显著改善社区高血压伴睡眠障碍患者睡眠质量,降低血压值,对改善患者预后有积极作用。
Objective: To investigate the the effect of intensive nursing humanistic care and health education on community patients with hypertension and sleep disorder. Methods: A total of 114 cases of hypertension and sleep disorder in our hospital from Feb. 2017 to Feb. 2019 were enrolled in the study,and were divided into 2 groups randomly. 57 patients in each group were regularly treated with antihypertensive drugs. In addition,the control group received routine care,observation group on the basis of this use of intensive care and health education,the two groups were given intervention after 4 weeks compared. To observe the factors affecting the sleep of patients with hypertension and compare the changes of sleep quality and blood pressure before and after nursing intervention between the two groups. Results: According to the questionnaire survey,dizziness,headache and other head symptoms were the main factors for hypertension with sleep disorders in the community,accounting for 49. 12%,which was significantly higher than other factors,and the difference was statistically significant( P < 0. 05). Comparison of sleep quality showed that the PSQI score of the observation group was better than that of the control group after intervention,and the difference was statistically significant( P < 0. 05). Compared with the blood pressure of the two groups before and after the intervention,the systolic and diastolic blood pressure of the observation group were significantly lower than those of the control group after the intervention,and the difference was statistically significant( P < 0. 05). Conclusion: Intensive nursing humanistic care and health education can significantly improve the sleep quality of patients with hypertension and sleep disorders in the community,reduce blood pressure,and have a positive effect on improving the prognosis of patients.
Objective: To investigate the the effect of intensive nursing humanistic care and health education on community patients with hypertension and sleep disorder. Methods: A total of 114 cases of hypertension and sleep disorder in our hospital from Feb. 2017 to Feb. 2019 were enrolled in the study,and were divided into 2 groups randomly. 57 patients in each group were regularly treated with antihypertensive drugs. In addition,the control group received routine care,observation group on the basis of this use of intensive care and health education,the two groups were given intervention after 4 weeks compared. To observe the factors affecting the sleep of patients with hypertension and compare the changes of sleep quality and blood pressure before and after nursing intervention between the two groups. Results: According to the questionnaire survey,dizziness,headache and other head symptoms were the main factors for hypertension with sleep disorders in the community,accounting for 49. 12%,which was significantly higher than other factors,and the difference was statistically significant( P < 0. 05). Comparison of sleep quality showed that the PSQI score of the observation group was better than that of the control group after intervention,and the difference was statistically significant( P < 0. 05). Compared with the blood pressure of the two groups before and after the intervention,the systolic and diastolic blood pressure of the observation group were significantly lower than those of the control group after the intervention,and the difference was statistically significant( P < 0. 05). Conclusion: Intensive nursing humanistic care and health education can significantly improve the sleep quality of patients with hypertension and sleep disorders in the community,reduce blood pressure,and have a positive effect on improving the prognosis of patients.
引文
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[13]Bathgate CJ,Fernandez-Mendoza J.Insomnia,Short Sleep Duration,and High Blood Pressure:Recent Evidence and Future Directions for the Prevention and Management of Hypertension[J].Curr Hypertens Rep,2018,20(6):52.
[14]吕洁文,李京花,黄泳红,等.老年高血压患者睡眠障碍影响因素与护理研究[J].临床合理用药杂志,2013,6(15):23-24.
[15]朱宇清,龙杞,肖琦凡,等.原发性高血压伴睡眠障碍患者血压变异度与睡眠稳定性的相关性[J].中华医学杂志,2018,98(10):755-758.
[2]姚玉红,张敏,阿丽艳·阿合麦提.耳穴压豆联合情志干预对高血压伴睡眠障碍患者焦虑状态、睡眠质量及血压的影响[J].医学临床研究,2018,35(2):339-341.
[3]刘科峰,彭忠禄,罗祎敏.佐匹克隆对Ⅰ级高血压合并睡眠障碍患者血压的影响[J].中国动脉硬化杂志,2017,25(9):914-918.
[4]Yang Y,Dong B,Wang S,et al.Prevalence of high blood pressure subtypes and its associations with BMI in Chinese children:a national cross-sectional survey[J].BMC Public Health,2017,17(1):598.
[5]王莉,杨峰.中药与舒乐安定治疗高血压病患者睡眠障碍的比较研究[J].世界中医药,2017,12(2):319-322.
[6]中国高血压防治指南修订委员会.中国高血压防治指南2010[J].中国医学前沿杂志(连续型电子期刊),2011,3(5):42-93.
[7]中华医学会精神病学分会.中国精神障碍分类与诊断标准第3版(精神障碍分类)[J].中华精神科杂志,2001,34(3):184-188.
[8]Curcio G,Tempesta D,Scarlata S,et al.Validity of the Italian version of the Pittsburgh Sleep Quality Index(PSQI)[J].Neurol Sci,2013,34(4):511-519.
[9]朱宇清,龙杞,肖琦凡,等.原发性高血压伴睡眠障碍患者血压变异度与睡眠稳定性的相关性[J].中华医学杂志,2018,98(10):755-758.
[10]方华,王娜,张高峰,等.上海市某社区老年高血压患者睡眠质量调查[J].中国临床医学,2017,24(3):451-454.
[11]Isaacs D,Riley AC,Prasad-Reddy L,et al.Jazzin'Healthy:Interdisciplinary Health Outreach Events Focused on Disease Prevention and Health Promotion[J].J Racial Ethn Health Disparities,2017,4(2):223-232.
[12]赵显超,程金湘,雷革胜,等.单中心8037例睡眠障碍患者的流行病学及临床特征分析[J].中华神经科杂志,2017,50(8):579-584.
[13]Bathgate CJ,Fernandez-Mendoza J.Insomnia,Short Sleep Duration,and High Blood Pressure:Recent Evidence and Future Directions for the Prevention and Management of Hypertension[J].Curr Hypertens Rep,2018,20(6):52.
[14]吕洁文,李京花,黄泳红,等.老年高血压患者睡眠障碍影响因素与护理研究[J].临床合理用药杂志,2013,6(15):23-24.
[15]朱宇清,龙杞,肖琦凡,等.原发性高血压伴睡眠障碍患者血压变异度与睡眠稳定性的相关性[J].中华医学杂志,2018,98(10):755-758.