针对性护理对精神分裂症并高血压患者睡眠、精神症状及血压水平的影响分析

The effect of targeted nursing on sleep and mental symptoms and blood pressure in patients with schizophrenia and hypertension

目的:探究针对性护理方法改善精神分裂症并高血压患者睡眠、精神症状及血压水平的应用效果。方法:笔者整理我院2016年5月-2017年8月期间接收的120例精神分裂症并高血压患者,将其作为研究对象,按照护理方法的差异性分为对照组(60例,常规护理)和观察组(60例,常规护理+针对性护理),对比观察组和对照组患者护理后的各项指标。结果:(1)观察组在入睡时间、睡眠时间、睡眠效率以及睡眠质量等睡眠质量评分方面低于对照组,差异显著(P <0.05),有统计学意义;(2)两组患者护理后HAMD总评分相对于护理前明显降低,在护理后的HAMD总评分方面,观察组低于对照组,差异显著且存在统计学意义(P <0.05);(3)观察组护理后的舒张压以及收缩压指标低于对照组上述指标,差异存在统计学意义(P<0.05)。结论:对精神分裂症并高血压患者实施针对性护理,能够明显促进患者睡眠质量、精神症状以及血压水平的改善,保证患者临床治疗效果,值得推广应用。

Objective To explore the effect of targeted nursing on sleep, mental symptoms and blood pressure in patients with schizophrenia and hypertension. Methods： 120 patients were selected as the research object and divided into the control group （60 cases, given routine nursing） and observation group （60 cases, given routine nursing plus targeted nursing） according to the diference of nursing methods. Various indicators after nursing in groups were compared. Results： The sleep quality scores including sleep latency, sleep time, sleep efciency and sleep quality in the observation group were lower than the control group, with signifcant diferences （P〈0.05）. The HAMD scores in groups were signifcantly lower than before nursing; those in the observation group were lower than the control group, with statistically signifcant diferences （P〈0.05）. The diastolic pressure and systolic pressure index in the observation group were lower than those in the control group; the diference was statistically signifcant （P〈0.05）. Conclusion： The targeted nursing on schizophrenia and hypertension can obviously improve the quality of sleep, mental symptoms and blood pressure, and ensure the efect, is worth popularizing.