摘要
目的:分析健康理念的心理干预对农村高血压合并睡眠障碍患者预后的影响。方法:选取2019年12月至2021年12月连江县医院收治的高血压合并睡眠障碍患者80例作为研究对象,随机分为对照组和观察组,每组40例。对照组运用常规护理,观察组运用健康理念心理干预,比较2组患者的干预效果。结果:护理前,2组患者舒张压、收缩压比较,差异无统计学意义(P>0.05);在各项工作实施后,2组患者血压水平都得到控制,观察组患者收缩压、舒张压水平低于对照组,2组比较差异有统计学意义(P<0.05)。护理后,观察组理查兹-坎贝尔睡眠量表(RCSQ)各项指标均优于对照组,2组比较差异有统计学意义(P<0.05)。观察组患者护理满意度为97.50%,对照组患者护理满意度为80.00%,2组比较差异有统计学意义(P<0.05)。护理前,2组患者SAS评分及SDS评分比较,差异均无统计学意义(P>0.05);护理后,观察组SAS评分及SDS评分低于对照组,2组比较差异均有统计学意义(P<0.05)。护理前,2组患者生命质量各个维度评分比较,差异无统计学意义(P>0.05);护理后,2组患者生命质量各项评分比较,观察组高于对照组,2组比较差异有统计学意义(P<0.05)。结论:在高血压睡眠障碍患者护理工作中开展健康理念心理干预,患者的血压比较稳定,心理状况明显改善,睡眠质量得以提升,生命质量随之升高,具有较高的满意度,很大程度上提高了护理水平。
Objective:To analyze the effect of psychological intervention with health concept on the prognosis of patients with hypertensive sleep disorder in rural areas.Methods:A total of 80 patients with hypertensive sleep disorders in Lianjiang County Hospital were randomly divided into two groups.40 patients in the control group were treated with routine treatment in the daily work of the undergraduate department,and 40 patients in the observation group were treated with psychological intervention based on the concept of health.The nursing measures were compared before and after.Results:There was no difference between the two indexes before intervention(P>0.05);After the implementation of each work,the systolic and diastolic blood pressure were at a lower level(P<0.05).After the evaluation of the observed sleep quality indicators,the scores of the indicators were at a higher level(P<0.05).After evaluating the nursing satisfaction of the patients in the observation group,the value was 97.50%,which was higher than the evaluation value of 80.00%in the control group(P<0.05).There was no difference between the two groups before intervention(P>0.05);The scores of each assessment were lower after the intervention(P<0.05).There was no difference in each dimension before intervention(P>0.05);After carrying out nursing work in the two groups,the quality of life,i.e.social relationship dimension and mental state dimension,was assessed.The observation group was at a higher level(P<0.05).Conclusion:The psychological intervention of health concept is carried out in the nursing work of hypertensive patients with sleep disorder.The patients′blood pressure is relatively stable,their psychological status is significantly improved,their sleep quality is improved,their quality of life is increased,and they have high satisfaction,which greatly improves the nursing level.
作者
游小妹
孙玉莲
刘丽英
YOU Xiaomei;SUN Yulian;LIU Liying(The Second Department of Internal Medicine,Lianjiang County Hospital,Lianjiang 350500,China)
出处
《世界睡眠医学杂志》
2022年第11期2130-2132,共3页
World Journal of Sleep Medicine
关键词
健康理念
心理干预
睡眠障碍
高血压
满意度
血压水平
Health concept
Psychological intervention
Sleep disorder
Hypertension
Satisfaction
Blood pressure level
作者简介
游小妹(1974-),女,本科,副主任护师,研究方向:农村高血压,糖尿病患者遵医行为。
