综合护理对脑卒中睡眠障碍患者动态血压的影响

The influence of comprehensive nursing on ambulatory blood pressure in stroke patients with sleep disorder

目的:探讨综合护理干预对急性脑卒中睡眠障碍患者昼夜血压变化的影响。方法:应用匹兹堡睡眠质量指数量表(PSQI)判断270例脑卒中患者的睡眠情况,对165例存在睡眠障碍(PSQI>7分)的患者采用综合护理干预。结果 :综合护理前合并睡眠障碍的患者动态血压参数晨起收缩压、夜间收缩压、夜间舒张压、夜间脉压高于非睡眠障碍患者,夜间血压下降平均值低于非睡眠障碍患者,差异具有显著性(P<0.05)。综合护理干预后睡眠质量优于干预前(P<0.05);综合护理对于合并睡眠障碍患者动态血压的影响明显,可使其更加平稳,差异具有显著性(P<0.05)。结论:综合护理干预可使患者血压平稳,改善患者睡眠质量。

Objective： To investigate the influence of comprehensive nursing on ambulatory blood pressure in stroke patients with sleep disorder. Methods： The Pittsburgh sleep quality index（PSQI） was used to judge the sleep quality of 270 stroke patients, the 165 stroke patients with sleep disorder（PSQI〉7） were treated by comprehensive nursing. Results： The morning systolic blood pressure, nighttime systolic and diastolic blood pressure, nighttime pulse pressure of patients with sleep disorder were higher,but nocturnal blood pressure decrease rate was lower in patients of sleep disorder group than non-sleep disorder group before comprehensive nursing. There was obvious statistical difference between the two groups （P〈0.05）. Comprehensive nursing could obviously improve sleep quality（P〈0.05） and made ambulatory blood pressure more stable in stroke patients with sleep disorder （P〈0.05）. Conclusion： Comprehensive nursing can recover the blood pressure rhythm and improve sleep quality in stroke patients with sleep disorder.