护理干预对睡眠障碍老年高血压患者的血压影响  

Nursing Intervention on Blood Pressure Effects of Sleep Disorders in Elderly Hypertensive Patients

作　　者：陈其珍[1] 

机构地区：[1]江苏省常州市德安医院护理部,江苏常州213000

出　　处：《航空航天医学杂志》2012年第5期541-543,共3页Journal of Aerospace medicine

摘　　要：目的:通过调查住院老年高血压患者影响睡眠的因素,针对各种因素采取护理干预,探讨住院老年高血压患者睡眠质量对降压治疗效果的影响。方法:运用匹兹堡睡眠质量指数(PSQI)对156例住院高血压老年患者评估睡眠质量,其中65例"睡眠差"(PSQI≥7)的患者设为研究组,实施针对性的护理干预;91例"睡眠良好"(PSQI<7)的患者设为对照组,实施高血压常规护理。比较两组护理干预前后患者睡眠改善情况和血压变化。结果:住院老年高血压患者存在睡眠不良的约占43%,其中心情焦虑和不适应医院环境是引起患者睡眠障碍的主要因素。护理干预前研究组患者PSQI评分及血压水平明显高于对照患者(P<0.01)。护理干预后,研究组患者PSQI评分及血压水平比干预前显著降低(P<0.05),且PSQI评分及舒张压降低程度显著大于对照组(P<0.01)。结论:针对患者心情焦虑和对医院环境不适应是影响住院期间睡眠质量的主要因素,针对主要因素进行护理干预,能够有效改善老年高血压患者的睡眠质量,提高了降压治疗的效果。Objective：Factors hospitalized elderly patients with hypertension affects sleep through the investigation, intervention, for a variety of factors to take care of hospitalized elderly hypertensive patients with sleep quality on the effect of antihypertensive treatment. Methods：Using the Pittsburgh Sleep Quality Index （PSQI） of 156 inpatients with hypertension in elderly patients with assessment of sleep quality, including 65 cases of poor sleep （ PSQI ≥7） of the patients is set to the study group, the implementation of specific nursing interventions; 91 cases good sleep （PSQI 〈7） of the patients served as controls, the implementation of the routine care of hypertension. Were compared between the two groups to improve the situation and changes in blood pressure before and after the nursing intervention in patients with sleep. Results：In hospitalized elderly patients with hypertension the main factors of poor sleep about 43%, including feelings of anxiety and no（ suited to the hospital environment is the cause in patients with sleep disorders. Nursing intervention before the study group patients with PSQI score and blood pressure levels were significantly higher than the control patients （ P 〈 0. 01 ）. Of nursing intervention, the study group patients with PSQI score and blood pressure levels than before the intervention was significantly lower （P 〈 0. 05）, and PSQI score and the degree of diastolic blood pressure decreased significantly larger than the control group （P 〈 0. 01 ）. Conclusions：For patients with mood anxiety and hospital environment is not suited to the main factors to affect the sleep quality of hospital nursing intervention can effectively improve sleep quality in elderly hypertensive patients, the effect of antihypertensive treatment for the main factors.

关 键 词：老年人 高血压 睡眠障碍 护理干预 

分 类 号：R473.5[医药卫生—护理学]