分析家庭签约模式下认知行为干预对高血压合并失眠患者的睡眠质量影响效果

Analysis of the Impact of Cognitive Behavioral Intervention on Sleep Quality in Hypertensive Patients with Insomnia under the Family Contract Model

目的:分析家庭签约模式下认知行为干预对高血压(HBP)合并失眠患者的睡眠质量影响效果。方法:选取2021年7月至2023年7月新疆石河子大学第一附属医院体检科收治的社区高血压合并失眠患者152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76例。对照组给予常规护理干预,观察组给予家庭签约模式下认知行为干预,2组患者均持续干预8周。采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的差异,采用爱泼沃斯嗜睡量表(ESS)比较2组患者干预前后睡眠质量的变化,并比较2组患者的血压变化。结果:干预8周后,观察组24 h平均收缩压、24 h平均舒张压、24 h收缩压标准差、24 h舒张压标准差均低于对照组,差异有统计学意义(P<0.05);干预8周后,观察组PSQI评分、ESS评分显著低于对照组,差异有统计学意义(P<0.05)。结论:家庭签约模式下认知行为干预可明显改善社区HBP合并失眠患者血压,并提高其睡眠质量,值得临床推广应用。

Objective:To analyze the effect of cognitive behavioral intervention under the family contract model on the sleep quality of patients with hypertension(HBP)combined with insomnia.Methods:A total of 152 community hypertensive patients with insomnia admitted to the Physical Examination Department of the First Affiliated Hospital of Xinjiang Shihezi University from July 2021 to July 2023 were selected as the research subjects.They were randomly divided into a control group and a control group,with 76 cases in each group.The control group received routine nursing intervention,while the observation group received cognitive behavioral intervention under family contract mode.Both groups of patients received continuous intervention for 8 weeks.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the differences in sleep quality between two groups of patients.The Epworth Sleepiness Scale(ESS)was used to compare the changes in sleep quality between the two groups of patients before and after intervention,and blood pressure changes were compared between the two groups of patients.Results:After 8 weeks of intervention,the average systolic blood pressure at 24 hours,average diastolic blood pressure at 24 hours,standard deviation of systolic blood pressure at 24 hours,and standard deviation of diastolic blood pressure at 24 hours in the observation group were all lower than those in the control group,and the difference between the two groups was statistically significant(P<0.05);after 8 weeks of intervention,the PSQI score and ESS score of the observation group were significantly lower than those of the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion:Cognitive behavioral intervention under the family contract model can significantly improve blood pressure and sleep quality in community HBP patients with insomnia,and is worthy of clinical promotion and application.