摘要
目的:应用中西医综合护理干预措施改善更年期高血压伴睡眠障碍住院患者的睡眠质量。方法:2018年6-10月,在广西中医药大学附属瑞康医院心血管内科,选取50例更年期高血压、病情稳定期伴有睡眠障碍的女性住院患者作为研究对象。采用随机数字表方法将其分为对照组25例及观察组25例,对照组采用心内科护理常规进行护理,观察组应用中西医综合护理措施,包括中药浴足、雷火灸、耳穴压豆、辨证施膳及情志护理干预患者睡眠质量。比较干预后两组患者的24 h血压水平及睡眠质量改善情况。结果:干预后观察组的24 h平均收缩压、24 h平均舒张压、夜间平均收缩压均低于对照组,差异有统计学意义(P<0.05);观察组治疗后的睡眠情况各项指标均优于对照组,差异有统计学意义(P<0.05)。结论:系统化的中西医结合护理干预措施能够改善女性更年期高血压住院患者睡眠质量。
Objective:To apply nursing project of traditional Chinese medicine(TCM)combined with western medicine to improve the sleep quality for menopausal patients with hypertension and sleep disorders.Method:A total of 50 female inpatients with climacteric hypertension and stable sleep disorder in the Department of Cardiovascular Medicine of Ruikang Affiliated Hospital of Guangxi University of Traditional Chinese Medicine from June to October 2018 were selected as the research objects.They were divided into the control group(25 cases)and the observation group(25 cases)by random number table method.The control group received routine nursing care of cardiology,and the observation group received comprehensive nursing measures of traditional Chinese and western medicine,which included herbal foot baths,thunder-fire moxibustion,auricular point sticking,identify patterns and administer diet,and emotional nursing intervention on patients’sleep quality.The 24 h ambulatory blood pressure level and sleep quality improvement after intervention were compared between the two groups.Result:After intervention,the 24 h mean systolic blood pressure,24 h mean diastolic blood pressure and nighttime mean systolic blood pressure in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The indexes of sleep in the observation group after treatment were better than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Systematic nursing intervention of integrated traditional Chinese and western medicine can improve the sleep quality of female menopausal inpatients with hypertension.
作者
王思婷
韦丽华
刘礼礼
WANG Siting;WEI Lihua;LIU Lili(School of Nursing,Guangxi University of Traditional Chinese Medicine,Nanning 530200,China;不详)
出处
《中外医学研究》
2022年第18期104-107,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
2017年广西中医药大学科研项目(2017MS025)。
关键词
中西医结合护理
更年期
高血压
失眠
Traditional Chinese medical combined with western medicine nursing
Menopause
Hypertension
Insomnia
