综合护理干预改善高血压患者睡眠质量及血压待定作用

王文红

摘要 目的：探讨综合护理干预对高血压患者睡眠质量及其血压控制的影响。方法：选取2019年1月至2019年12月平原县第一人民医院心内科收治的高血压患者102例作为研究对象，随机分为对照组和观察组，每组51例。对照组给以基础护理，观察组给予综合护理干预，比较2组患者的干预后的血压和睡眠情况。結果：干预前，对照组和观察组患者血压情况、患者睡眠质量等总分情况比较，差异均无统计学意义（P>0.05）;干预后，对照组和观察组患者血压情况、患者睡眠质量等总分情况比较，差异有统计学意义（P<0.05）。结论：脑出血患者根据患者个体情况及时采取有效综合护理干预措施可控制血压和改善患者的睡眠质量。

关键词 高血压;控制;睡眠质量;综合护理干预

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

中图分类号：R338.63;R541.3  文献标识码：A  doi：10.3969/j.issn.2095-7130.2020.09.060

目前，高血压作为一种常见病，发病率呈上升趋势。相关研究[1]显示，高血压是心血管疾病迄今为止最重要和普遍的危险因素，对高血压患者来说睡眠障碍是其常见的并发症之一[2]，会严重影响患者身心健康，严重的睡眠障碍可诱发高血压患者发生脑出血，甚至死亡[3]。因此改善高血压患者的睡眠质量十分必要，本文选取我院心内科收治的高血压患者102例作为研究对象，比较了传统护理方式和综合护理方式对高血压患者睡眠治疗和血压的影响，现将结果报道如下。

1 资料与方法

1.1 一般资料 选取2019年1月至2019年12月平原县第一人民医院心内科收治的高血压患者102例作为研究对象，随机分为观察组和对照组，每组51例。其中男68例，女70例，年龄35～72岁，平均年龄（49.54±5.21）岁。对照组中男28例，女23例，年龄35～72岁，平均年龄（49.55±5.16）岁;观察组中男28例，女23例，年龄36～71岁，平均年龄（49.35±5.24）岁。一般资料经统计学分析，差异无统计学意义（P>0.05），具有可比性。

1.2 纳入标准 1）患者依从性好者;2）无肝肾等其他器质性病变者。

1.3 排除标准 1）认知障碍和精神障碍者;2）继发性高血压者。