护理干预对高血压患者睡眠质量及其不良情绪的影响

Effect of Nursing Intervention on Sleep Quality and Bad Mood in Patients with Hypertension

目的探讨护理干预对高血压患者睡眠质量及其不良情绪的影响。方法选取163例高血压合并失眠患者随机分为观察组(n=81)与对照组(n=82)。2组患者均给予常规护理,观察组同时给予系统化失眠护理常规。2组患者分别于入院当天及入院后第3天采用SPIEGEL睡眠量表评估睡眠质量,采用汉密尔顿焦虑量表(HAMA)及汉密尔顿抑郁量表(HAMD)对患者心理状态进行评估并记录降压效果。结果治疗后观察组的SPIEGEL总评分、各维度评分均低于对照组(P<0.05),治疗后观察组HAMA、HAMD评分低于对照组(P<0.05),且观察组降压效果高于对照组(P<0.05)。结论系统化的失眠护理干预能很好的改善高血压患者的睡眠质量与不良情绪,提高降压有效率。

Objective To investigate the effect of nursing intervention on sleep quality and bad mood in patients with hypertension. Methods A total of 163 patients diagnosed with hypertension combined with insomnia were randomly divided into observation group （n = 81 ） and control group （n = 82 ）. Two groups of patients were given care with routine nursing mode and the observation group were given systematical insomnia nursing in- tervention based on the routine nursing mode. The sleep quality were assessed using SPIEGEL and the bad mood were assed using HAMA （anxiety） and HAMD （depression） before and after 3 days of hospitalization. Results After treatment, the total score and every dimensionality of SPIEGEL and the score of HAMA, HDMA in the observation group were lower than in the control group （P 〈 0.05 ）, and the effect of depressuriztion in the ob- servation group was better than control （P 〈 0.05 ）. Conclusion Systematical insomnia nursing intervention can significantly improve the sleep qual- ity and bad mood, which can elevate the effective power of depressurization.