老年高血压患者睡眠障碍的影响因素及护理对策  

Influencing factor of the sleep disorder in elderly hypertensive patients and its nursing countermeasures

作　　者：薛卫红[1] 杨静芳[1] 王瑛[1] 

机构地区：[1]南京医科大学附属常州第二人民医院老年病科老干部科,江苏常州213000

出　　处：《蚌埠医学院学报》2015年第12期1729-1732,共4页Journal of Bengbu Medical College

摘　　要：目的:探讨老年高血压患者睡眠障碍的影响因素及其护理对策。方法:选择80例老年高血压患者进行回顾性研究,分析其睡眠障碍的影响因素。采用匹兹堡睡眠质量指数(PSQI)评价患者睡眠质量,对睡眠障碍患者采取有效的护理干预,比较护理干预前后患者睡眠和血压变化。结果:老年高血压患者并发睡眠障碍,其中心理焦虑和环境因素是影响患者睡眠质量的重要因素。经过针对性护理干预后,睡眠障碍患者PQSI评分及血压均显著低于入院时(P<0.01)。系统的护理干预后患者PQSI评分明显低于对照组(P<0.01)。结论:心理焦虑和环境因素是影响患者睡眠质量的主要原因,单纯降低血压虽然对于患者的PSQI有显著的降低作用,但合理有效地针对性护理干预可明显改善患者睡眠质量,进一步提高患者降压治疗效果。Objective： To investigate the influencing factors of the sleep disorder in elderly hypertensive patients and its nursing countermeasures. Methods： The influencing factors of the sleep disorder in 80 elderly hypertensive patients were retrospectively analyzed. The sleep quality of patients was evaluated by Pittsburgh sleep quality index（ PSQI）,the patients with sleep disorder were treated with nursing intervention. The changes of sleep and blood pressure in sleep disorders patients were compared before and after the treatment. Results： The psychological anxiety and environment were the critical factors of sleep disorder in elderly hypertensive patients.After nursing intervention,the PQSI scores and blood pressure of patients were significantly lower than those in the patients at admission（ P〈0. 01）,and the PQSI scores of patients were significantly lower than that in control group（ P〈0. 01）. Conclusions： The psychological anxiety and environment are the main reasons of sleep disorder in elderly hypertensive patients. Only decreasing blood pressure treatment can decrease the PQSI score of sleep disorder patients,but the reasonable nursing intervention can significantly improve the sleep quality and effects of antihypertensive therapy of patients.

关 键 词：睡眠障碍 高血压 老年 护理 

分 类 号：R741[医药卫生—神经病学与精神病学]