综合性护理干预对高血压患者睡眠质量、不良情绪及生活方式依从性的影响

目的 探讨综合性护理干预对高血压患者睡眠质量、不良情绪及生活方式依从性的影响.方法 选取我院2010年1月～2013年1月住院治疗的原发性高血压患者80例,分为干预组和对照组各40例,两组均予以降压及对症支持治疗,对照组实施常规随机对症护理,干预组实施综合性的护理干预,尤其是心理护理干预,比较两组患者睡眠质量的优良率及两组患者治疗前后SAS、SDS评分和生活方式依从性,如摄盐量、饮食、运动、戒烟限酒方面.结果 干预组患者治疗期间睡眠质量优良率达70％,明显高于对照组,差异有统计学意义（P＜0.05）.治疗前干预组患者的SAS及SDS评分与对照组比较,差异无统计学意义（P＞0.05）.治疗后干预组和对照组患者的SAS及SDS评分均较治疗前明显降低,且干预组较对照组降低更显著,差异有统计学意义（P＜0.05）.干预组患者的生活方式如摄盐量、饮食、运动、戒烟限酒方面的依从性均明显高于对照组,差异有统计学意义（P＜0.05）.结论 综合性护理干预能明显改善高血压患者睡眠质量,减少其焦虑、抑郁等不良情绪,提高患者生活方式如摄盐量、饮食、运动、戒烟限酒的依从性,促进疾病恢复,提高患者的生活质量.

Impact of comprehensive nursing intervention on quality of sleep,bad mood and lifestyle adherence in patients with high blood pressure

Objective To investigate the effects of comprehensive nursing intervention on quality of sleep, bad mood and lifestyle adherence in patients with hypertension. Methods From January 2010 to January 2013 in our hospital, 80 cases patients were randomly divided into intervention group and control group, each of 40 cases, two groups were giv- en antihypertensive therapy and symptomatic and supportive treatment, the control group received conventional random symptomatic care, the intervention group received comprehensive nursing intervention, especially psychological care in- tervention, the sleep quality excellent rate of two groups were compared, two groups of patients before and after treat- ment, and SAS, SDS scores and patients salt intake, diet, exercise, quit alcohol limit compliance aspects of lifestyle were compared. Results The intervention group patients＇ sleep quality excellent rate was 70%, significantly higher than that of the control group, there were significant differences （P〈0.05）. The differences of SAS scores and SDS scores in the intervention group and the control group compared before and after treatment were not significant （P〉 0.05）. After treatment, the SAS and SDS scores of the intervention group and control group patients were lowered significantly than before treatment, and the intervention group lowered more significantly than the control group, there were significant differences between the two groups （P〈0.05）. Lifestyle of intervention group patients compliance as salt intake, diet, ex- ercise, quit alcohol limit aspects of compliance were significantly higher, there were significant differences between two groups （P〈0.05）. Conclusion Comprehensive nursing intervention can significantly improve the quality of sleep in pa- tients with high blood pressure, reduce anxiety, depression and other negative emotions, such as high blood pressure and increasing salt intake in patients with lifestyle, diet, exercise, quit alcohol limit compliance, thereby promoting re- covery of the disease to improve the treatment of patients with life.