耳穴压豆对高血压伴焦虑患者的影响

Effect of Auricular Point Pressure Bean on Patients with Hypertension and Anxiety

目的:分析耳穴压豆对高血压伴焦虑患者的影响。方法:选取2020年7月—2022年9月湛江市第一中医医院收治的84例高血压伴焦虑患者,采用随机数表法将其分为对照组(n=42)和观察组(n=42)。对照组进行常规护理干预,基于此,观察组进行耳穴压豆干预,均干预1个月。比较两组干预前后血压水平[收缩压(SBP)、舒张压(DBP)]、心理状况[焦虑自评量表(SAS)、汉密尔顿抑郁量表(HAMD)]及睡眠质量[匹茨堡睡眠质量量表(PSQI)]。结果:干预后,两组SBP、DBP水平显著降低,且观察组低于对照组,差异有统计学意义(P<0.05);干预后,两组SAS评分、HAMD评分、PSQI的7个因子得分及总分均显著下降,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:耳穴压豆应用于高血压伴焦虑患者中,能够减轻患者焦虑、抑郁等不良心理状况,提高睡眠质量,降低血压水平。

Objective:To analyze the effect of auricular point pressure bean on patients with hypertension and anxiety.Method:A total of 84 patients with hypertension and anxiety admitted to Zhanjiang First Hospital of Traditional Chinese Medicine from July 2020 to September 2022 were selected,and they were divided into control group(n=42)and observation group(n=42)by random number table method.The control group received routine nursing intervention,based on this,the observation group received auricular point pressure bean intervention,intervention for 1 month.Blood pressure[systolic blood pressure(SBP),diastolic blood pressure(DBP)],psychological status[self-rating anxiety scale(SAS),Hamilton depression scale(HAMD)]and sleep quality[Pittsburgh sleep quality index(PSQI)]of the two groups were compared before and after intervention.Result:After intervention,the levels of SBP and DBP in two groups were significantly decreased,and those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After intervention,the scores of SAS,HAMD,7 factors and total scores of PSQI in the two groups were significantly decreased,and those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The application of auricular point pressure bean in patients with hypertension and anxiety can alleviate the adverse psychological conditions such as anxiety and depression,improve the quality of sleep and reduce the level of blood pressure.