压力接种训练结合耳穴压豆在高血压伴失眠患者中的应用效果  

Application effect of stress inoculation training combined with auricular acupoint pressing with beans in patients with hypertension and insomnia

作　　者：苏淑华 谭颜华[2] 刘芹 SU Shuhua;TAN Yanhua;Liu Qin(Yanggu County People's Hospital,Liaocheng,Shandong,252300,China;Liaocheng People's Hospital,Liaocheng,Shandong,252300,China)

机构地区：[1]山东省阳谷县人民医院,山东聊城252300 [2]聊城市人民医院,山东聊城252300

出　　处：《中西医结合护理（中英文）》2023年第6期69-72,共4页Journal of Clinical Nursing in Practice

摘　　要：目的考察压力接种训练结合耳穴压豆在高血压伴失眠患者中的应用效果。方法选取2021年1月至2022年5月在山东省阳谷县人民医院诊治的90例高血压伴失眠患者作为研究对象,根据干预方式的不同分为2组,每组45例。对照组给予常规护理干预方式,观察组给予压力接种训练结合耳穴压豆。比较2组患者在不同时间点的血压水平、睡眠质量、知觉压力水平、心理状况、服药依从性自我效能和生活质量。结果干预4周和8周后,2组的收缩压和舒张压水平,以及匹兹堡睡眠质量指数、知觉压力量表、焦虑自评量表和抑郁自评量表评分均低于干预前,高血压患者服药依从性自我效能量表修订版和健康调查量表36评分均高于干预前,均有统计学差异(P均<0.05);观察组的上述血压水平和量表评分均优于同期对照组(P均<0.05);2组在干预8周后的上述血压水平和量表评分均优于干预4周后(P低<0.05)。结论压力接种训练结合耳穴压豆能够有效调节高血压伴失眠患者的血压和知觉压力水平,改善其睡眠质量和心理状况,提高其服药依从性自我效能和生活质量。Objective To investigate the application effect of stress inoculation training combined with auricular acupoint pressing with beans in patients with hypertension and insomnia.Methods Ninety patients with hypertension and insomnia diagnosed and treated at Yanggu County People's Hospital from January 2021 to May 2022 were selected as the research subjects.They were divided into two groups based on different intervention methods,with 45 patients in each group.The control group received routine nursing intervention method,while the observation group received stress inoculation training combined with auricular acupoint pressing with beans.The blood pressure level,sleep quality,perceived stress level,psychological status,self-efficacy of medication adherence,and quality of life were compared between two groups at different time points.Results After 4 and 8 weeks of intervention,the systolic and diastolic blood pressure levels and the scores of the Pittsburgh Sleep Quality Index,Chinese version of the Perceived Stress Scale,Self-Rating Anxiety Scale,and Self-Rating Depression Scale in the two groups were lower than those before the intervention,and the scores of the Medication Adherence Self-Efficacy Scale-Revised and 36-Item Short-Form Health Survey were higher than those before the intervention,with significant differences(all P<0.05).The above blood pressure levels and scale scores of the observation group were better than those of the control group on the corresponding period(all P<0.05).The above blood pressure levels and scale scores of both groups after 8 weeks of intervention were better than those after 4 weeks of intervention(all P<0.05).Conclusion Stress inoculation training combined with auricular acupoint pressing with beans can effectively regulate the blood pressure and perceived stress in patients with hypertension and insomnia,improve their sleep quality and psychological status,and enhance their medication adherence self-efficacy and quality of life.

关 键 词：高血压 失眠 耳穴压豆 压力接种训练 心理状况 

分 类 号：R473.5[医药卫生—护理学]