耳穴埋豆结合五行情志干预对原发性高血压伴焦虑患者睡眠质量、血压控制及应对方式的影响

Effects of ear acupoint bean embedding combined with five elements emotional intervention on sleep quality,blood pressure control and coping style in patients with essential hypertension and anxiety

目的探讨耳穴埋豆结合五行情志干预对原发性高血压伴焦虑患者睡眠质量、血压控制及应对方式的影响。方法选取2019年9月至2020年10月我院接收的58例原发性高血压伴焦虑患者作为研究对象,以抽签法将其分为对照组和观察组,每组29例。对照组采用五行情志干预,观察组在对照组基础上加施耳穴埋豆干预。比较两组的睡眠质量及焦虑抑郁程度、血压、应对方式。结果干预后,两组的PSQI、HADS评分均降低,且观察组低于对照组,差异具有统计学意义(P<0.05)。干预后,两组的SBP、DBP均降低,且观察组低于对照组,差异具有统计学意义(P<0.05)。干预后,两组的面对评分均升高,回避、屈服评分均降低,且观察组优于对照组,差异具有统计学意义(P<0.05)。结论耳穴埋豆结合五行情志干预用于原发性高血压伴焦虑患者护理中,不仅可有效提高患者的睡眠质量,改善血压控制情况,还能纠正应对方式,值得临床推广。

Objective To explore the effects of ear acupoint bean embedding combined with five elements emotional intervention on sleep quality,blood pressure control and coping style in patients with essential hypertension and anxiety.Methods A total of 58 patients with essential hypertension and anxiety received in our hospital from September 2019 to October 2020 were selected as the research objects.The patients were divided into control group and observation group by lottery method,with 29 cases in each group.The control group was treated with five elements emotional intervention,and the observation group was treated with ear acupoint bean embedding intervention on the basis of the control group.The sleep quality,anxiety and depression,blood pressure and coping style were compared between the two groups.Results After intervention,the PSQI and HADS scores of the two groups decreased,and those in the observation group were lower than the control group,the differences were statistically significant(P<0.05).After intervention,the SBP and DBP in the two groups decreased,and those in the observation group were lower than the control group,the differences were statistically significant(P<0.05).After intervention,the face score of the two groups increased,the avoidance and yield scores decreased,and those in the observation group were better than the control group,the differences were statistically significant(P<0.05).Conclusion The ear acupoint bean embedding combined with five elements emotional intervention applied in the nursing of patients with essential hypertension and anxiety can not only effectively improve the sleep quality and ameliorate blood pressure control,but also correct coping style,which is worthy of clinical promotion.