认知行为干预对老年高血压患者失眠的影响  

The effect of a cognitive-behavioral intervention on the elderly hypertensive patient

作　　者：余晓波[1] 雷俊[2] 

机构地区：[1]九江学院护理学院,江西九江332000 [2]中南大学湘雅附三医院办公室,湖南长沙410013

出　　处：《中国现代医学杂志》2013年第31期76-78,共3页China Journal of Modern Medicine

摘　　要：目的探讨认知行为干预对老年高血压患者睡眠障碍的影响。方法将76例老年高血压性睡眠障碍患者随机分为干预组和对照组,干预组给予认知行为干预,对照组仅给予高血压常规护理。干预前后应用匹兹堡睡眠指数量表(PSQI)评价2组患者睡眠质量。结果干预组与对照组相比,干预后的入睡时间、睡眠时间、睡眠效率、催眠药物及日间功能障碍与对照组比较,评分结果差异有显著性(P<0.01,P<0.05)。睡眠障碍得到改善。结论认知行为干预可以提高老年高血压患者的睡眠质量。【Objective】To examine the effects of a cognitive-behavioral intervention on the elderly hypertensive patients. 【Method】A total of 96 elderly hypertensive patients were selected in the experiment. The patients were randomly assigned to an experimental group or a control group. The experimental group received a standard nursing and the cognitive-behavioral intervention. A control group received only a standard nursing. The Pittsburgh Sleep Quality Index（PSQI） was used to assess the sleep quality of the two group before and after the intervention.【Re- sults】Intervention group participants benefited with moderateor large-scale effects on sleep latency（P 0.001）, sleep duration（P 0.001）, sleep efficiency（P 0.001）, sleep quality（P 0.001）, sleep medication（P 0.05） and day- time dysfunction（P 0.01）. 【Conclusion】The use of a cognitive-behavioral intervention could enhance the sleep quality of the elderly hypertensive patient.

关 键 词：高血压 睡眠障碍 放松训练 

分 类 号：R544.1[医药卫生—心血管疾病]