协同护理模式联合穴位按摩改善高血压伴失眠患者血压峰值及负面情绪

目的 探讨协同护理模式联合穴位按摩对高血压伴失眠患者血压峰值和负面情绪的影响。方法 选取2018年1月至7月，山西中医药大学附属医院心内科住院的高血压伴失眠患者84例，按随机数字表分为对照组和试验组，采用阿森斯失眠量表评估。试验组在入睡前、血压峰值前穴位按摩进行睡眠干预。在干预后第4周进行血压峰值测量，并进行阿森斯失眠量表和汉密尔顿心理焦虑抑郁量表评分以及血压峰值相关性分析。结果 与对照组比较，试验组患者血压峰值前的睡眠护理干预使血压峰值显著降低（P<0.01）；睡眠质量较好（P<0.01），心理焦虑抑郁状态减轻（P<0.01）。相关性分析显示，焦虑抑郁、失眠状态与血压峰值存在正相关（P<0.05）。结论 失眠会影响高血压患者的血压峰值，血压峰值前通过协同护理联合穴位按摩对睡眠障碍患者进行干预，有利于改善血压峰值和焦虑抑郁状态。

Collaborative care model combined with acupressure improves the symptoms of hypertensive patients with insomnia and negative emotion

Objective To explore the effects of collaborative care model combined with acupressure on hypertension patients with insomnia and negative emotion. Method Eighty-four hypertension patients with insomnia from Cardiology Department of the Affiliated Hospital of Shanxi TCM University were divided into control group and experimental group randomly, who were surveyed by the Athens Insomnia Scale (AIS) from January to July 2018. Then the outcome of blood pressure and sleep intervention was evaluated at the end of fourth week. The correlation between peak blood pressure and AIS, Hamilton Mental Anxiety and Depression Scale was analyzed. Result The peak blood pressure reduced significantly due to the use of sleep nursing (P<0.01). As for the quality of sleeping, the experimental group had longer sleep time and fewer psychological anxiety than the control group (P<0.01). Correlation analysis showed that score of anxiety, depression, insomnia were positively correlated with peak blood pressure (P < 0.05). Conclusion Sleep disorder has an adverse effect on the patients with hypertension. The peak blood pressure can be controlled by acupuncture point massage combined with sleep nursing intervention which improves the depression status of the patients.