摘要
目的探讨高血压患者采用中医综合护理方案的临床效果.方法选择该院2020年1—12月收治的高血压患者160例,按照随机数表法分为两组.对照组80例采用常规护理,试验组80例采用中医综合护理方案.两组均在干预4周后评价临床效果,比较两组患者干预前后的血压水平,并采用焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)评估患者干预前后的负性情绪,采用匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评估患者干预前后的睡眠质量.结果试验组临床总有效率为93.75%,高于对照组的76.25%,差异有统计学意义(P<0.05).干预后,试验组收缩压、舒张压水平分别为(125.89±7.36)mmHg、(80.35±5.62)mmHg,均低于对照组,组间差异有统计学意义(P<0.05).干预后,试验组SAS、SDS评分分别为(40.53±4.72)分、(37.15±4.83)分,均低于对照组,PSQI评分中入睡时间评分(0.71±0.34)分、睡眠时间评分(0.80±0.32)分、睡眠效率评分(0.72±0.31)分、睡眠障碍评分(0.61±0.30)分、催眠药物评分(0.56±0.20)分、睡眠质量评分(0.65±0.20)分、日间障碍评分(0.61±0.23)分均低于对照组,组间差异有统计学意义(P<0.05).结论高血压患者采用中医综合护理方案的临床效果显著,能有效改善患者的血压水平、睡眠质量,减轻其负性情绪,提高其生活质量,值得推广应用.
Objective To explore the clinical effect of Traditional Chinese Medicine comprehensive nursing program for hypertension patients.Methods A total of 160 patients with hypertension admitted to the hospital from January to December 2020 were selected and divided into two groups according to random number table method.80 patients in control group were treated with conventional nursing,and 80 patients in experimental group were treated with Traditional Chinese Medicine comprehensive nursing program.The clinical effect of both groups was evaluated 4 weeks after intervention,blood pressure levels of the two groups before and after intervention were compared,self-rating anxiety scale(SAS)and self-rating depression(SDS)were used to assess patients'negative emotions before and after intervention,Pittsburgh sleep quality index(PSQI)was used to evaluate the sleep quality of patients before and after intervention.Results The total clinical effective rate of experimental group was 93.75%,which was higher than 76.25%of control group,the difference was statistically significant(P<0.05).After intervention,systolic blood pressure and diastolic blood pressure in experimental group were(125.89±7.36)mmHg and(80.35±5.62)mmHg,respectively,which were lower than those in control group,and the differences between the groups were statistically significant(P<0.05).After intervention,SAS and SDS scores of the experimental group were(40.53±4.72)points and(37.15±4.83)points,respectively,which were lower than those of the control group,PSQI scores for time to fall asleep score(0.71±0.34)points,sleep duration score(0.80±0.32)points,sleep efficiency score(0.72±0.31)points,sleep disorder score(0.61±0.30)points,hypnotic medication score(0.56±0.20)points,sleep quality score(0.65±0.20)points,and daytime disorder score(0.61±0.23)scores were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The clinical effect of Traditional Chinese Medicine comprehensive nursing program for hypertension patients is significant,which can effectively improve the patients'blood pressure level,sleep quality,reduce their negative emotions,improve their quality of life,and is worthy of popularization and application.
作者
朱颖
ZHU Ying(Department of Internal Medicine of Traditional Chinese Medicine,Taixing People's Hospital,Taixing Jiangsu,225400,China)
出处
《反射疗法与康复医学》
2021年第16期44-47,共4页
Reflexology And Rehabilitation Medicine
关键词
高血压
中医综合护理方案
焦虑
抑郁
睡眠质量
Hypertension
Traditional Chinese medicine comprehensive nursing program
Anxiety
Depression
Sleep quality
作者简介
朱颖(1962-),女,江苏泰兴人,本科,主任护师,研究方向:辨证施护和中医护理技术。
