正向反馈式心理护理结合行为转变理论护理对老年抑郁症伴高血压患者血压、睡眠质量的影响

The Effect of Positive Feedback Psychological Nursing Combined with Behavioral Change Theory Nursing Intervention on Blood Pressure Levels and Sleep Quality in Elderly Depression Patients with Hypertension

目的:观察在老年抑郁症伴高血压患者护理过程中开展正向反馈式心理护理结合行为转变理论护理对其血压水平以及睡眠质量的影响。方法:选取2022年3月至2023年4月福建省泉州市第三医院精神科收治的老年抑郁症伴高血压患者76例作为研究对象,按照随机数字表法分为对照组和观察组,每组38例。对照组开展常规护理支持,观察组则接受正向反馈式心理护理结合行为转变理论护理。评估2组血压水平、心理状态以及睡眠质量效果。结果:干预后观察组的收缩压、舒张压均显著低于对照组(均P<0.01),干预后观察组的汉密尔顿抑郁量表(HAMD)评分显著低于对照组(P<0.01),观察组匹兹堡睡眠质量指数(PSQI)睡眠时间、睡眠效率、睡眠质量维度评分均显著低于对照组(均P<0.01)。结论:在对老年抑郁症伴高血压患者护理过程中,将正向反馈式心理护理结合行为转变理论的护理可以降低患者血压水平,改善患者抑郁症状,提升患者睡眠质量。

Objective:To observe the effects of positive feedback-oriented psychological nursing combined with behavioral change theory nursing on blood pressure levels and sleep quality in elderly patients with depression and hypertension.Methods:Seventy-six elderly patients with depression and hypertension admitted to the Psychiatry Department of Quanzhou Third Hospital,Fujian Province,from March 2022 to April 2023 were selected and randomly divided into a control group and an observation group using a random number table method,with 38 patients in each group.The control group received standard nursing support,while the observation group received positive feedback-oriented psychological nursing combined with behavioral change theory nursing.The blood pressure levels,psychological state,and sleep quality of the two groups were assessed.Results:After the intervention,both systolic and diastolic blood pressure levels in the observation group were significantly lower than those in the control group(P s<0.01).The Hamilton Depression Rating Scale(HAMD)scores in the observation group were significantly lower than those in the control group(P<0.01),and the Pittsburgh Sleep Quality Index(PSQI)scores for sleep duration,sleep efficiency,and sleep quality in the observation group were significantly better than those in the control group(P s<0.01).Conclusion:Implementing positive feedback-oriented psychological nursing combined with behavioral change theory nursing in the care of elderly patients with depression and hypertension can reduce blood pressure levels,improve depressive symptoms,and enhance sleep quality.