健康促进生活方式与社会支持对社区老年高血压患者的影响

Influence of health-promotion lifestyle and social support on elderly patients with hypertension in the community

目的探讨健康促进生活方式与社会支持对社区老年高血压患者的影响。方法分析大连市社会福利院2015年2月~2017年2月收治的60例社区老年高血压患者的临床资料,依据护理措施不同进行临床分组,对照组(常规护理措施)30例和观察组(健康促进生活方式与社会支持)30例。观察两组患者护理前后的睡眠质量评分、社会支持评分。结果两组患者护理前的睡眠质量、睡眠潜伏期、睡眠持续性、睡眠效率、睡眠紊乱、睡眠药物、白天睡眠功能紊乱及睡眠质量总评分、客观支持、主观支持及对社会支持的利用度评分差异均无统计学意义(P>0.05),护理后,两组患者的睡眠质量、睡眠潜伏期、睡眠持续性、睡眠效率、睡眠紊乱、睡眠药物、白天睡眠功能紊乱及睡眠质量总评分均低于护理前,客观支持、主观支持及对社会支持的利用度评分均高于护理前,观察组患者护理后的睡眠质量、睡眠潜伏期、睡眠持续性、睡眠效率、睡眠紊乱、睡眠药物、白天睡眠功能紊乱及睡眠质量总评分均低于对照组,客观支持、主观支持及对社会支持的利用度评分均高于对照组,差异有统计学意义(P<0.05)。结论健康促进生活方式与社会支持应用于社区老年高血压患者中,可提高患者睡眠质量及社会支持度,值得临床推广应用。

Objective To explore the influence of health-promotion lifestyle and social support on the elderly patients with hypertension in the community.Methods The clinical data of 60 elderly patients with hypertension in our welfare house from February 2015 to February 2017 were analyzed.According to different nursing measures,they were evenly divided into control group （conventional nursing measures） and observation group （health-promotion lifestyle and social support）.The score of sleep quality and social support before and after nursing between the two groups were observed. Results Before nursing,the score of sleep quality,sleep latency,sleep duration,sleep efficiency,sleep disturbance,sleep medication,and daytime sleep disorders,total score of sleep quality,and the utilization degree score of objective support, subjective support,and social support were not displayed statistical differences in the two groups （P〉0.05）.After nursing, the score of sleep quality,sleep latency,sleep duration,sleep efficiency,sleep disturbance,sleep medication,and daytime sleep disorders,and total score of sleep quality were all lower than those before nursing.The utilization degree score of objective support,subjective support,and social support were all higher than those before nursing.In the observation group,the score of sleep quality,sleep latency,sleep duration,sleep efficiency,sleep disturbance,sleep medication,and daytime sleep disorders as well as the total score of sleep quality were all lower than that in the control group and the utilization degree score of objective support,subjective support,and social support were higher than those of the control group,and there was a statistical difference （P〈0.05）.Condusion Application of health-promotion lifestyle and social support in elderly patients with hypertension in the community can improve their sleep quality as well as social support,which is worthy of clinical promotion and application.