摘要
目的 分析数字化失眠认知行为疗法对原发性高血压老年患者负性情绪和睡眠质量的影响。方法 纳入我院在2019年1月至2022年1月期间的原发性高血压老年患者96例进行研究,将其依据随机数表法分为对照组和观察组,均为48例,对照组均给予常规治疗,观察组均给予数字化失眠认知行为疗法治疗。采用单因素方差-协方差分析,比较两组患者完成治疗48 h时的血压水平、负性情绪、睡眠质量、应对方式,并比较两组患者的治疗效果。结果 观察组患者T1时刻的24 h收缩压、24 h舒张压、日间收缩压、日间舒张压、夜间收缩压、夜间舒张压水平均低于对照组(P<0.05)。观察组患者T1时刻的HAMA评分、HAMD评分均低于对照组(P<0.05)。观察组患者T1时刻的各项PSQI评分均低于对照组(P<0.05)。观察组患者T1时刻的MCMQ量表中面对评分高于对照组(P<0.05),MCMQ量表中回避、屈服评分均低于对照组(P<0.05)。观察组患者的临床总有效率(93.75%)高于对照组(79.16%)(P<0.05)。结论 数字化失眠认知行为疗法可改善原发性高血压老年患者的负性情绪和睡眠质量,帮助控制血压,改善应对方式及临床疗效。
Objective To analyze the impact of digital cognitive behavioral therapy for insomnia(dCBT-I) on negative emotions and sleep quality in elderly patients with primary hypertension,Methods This study enrolled 96 elderly patients with primary hypertension admitted to our hospital from January 2019 to January 2022,They were randomly divided into a control group and an observation group,with 48 patients in each group,The control group received routine treatment,while the observation group underwent dCBT-I,One-way ANOVA was utilized to compare the blood pressure levels,negative emotions,sleep quality,and coping strategies between two groups after completing treatment for 48 hours,Results At T1,patients in the observation group exhibited significantly lower 24-hour systolic and diastolic blood pressures,daytime and nighttime systolic and diastolic blood pressures compared to the control group(P<0.05),Additionally,the observation group had lower Hamilton Anxiety(HAMA) and Hamilton Depression(HAMD) scale scores at T1(P<0.05),Pittsburgh Sleep Quality Index(PSQI) scores were also significantly lower in the observation group at T1(P<0.05),The observation group demonstrated better problem-focused coping,as indicated by higher scores on the MCMQ scale at T1 compared to the control group(P<0.05),while the avoidance and yield scores in the MCMQ scale were lower than those in the control group(P<0.05),The total clinical effective rate of the observation group(93.75%) was higher than that of the control group(79.16%)(P<0.05),Conclusion Digital cognitive behavioral therapy for insomnia can improve the negative emotions and sleep quality of elderly patients with primary hypertension,help control blood pressure,improve coping styles,and clinical efficacy.
作者
高金文
宁静
时新芳
GAO Jin-wen(Zhengzhou Ninth People’s Hospital Geriatrics Department No.1,Ward Zhengzhou,470000,Henan,China)
出处
《牡丹江医学院学报》
2024年第6期84-88,共5页
Journal of Mudanjiang Medical University
基金
郑州市科技惠民计划项目(2020KJHM0022)。
关键词
原发性高血压
老年
数字化失眠认知行为疗法
负性情绪
睡眠质量
Primary hypertension
Old age
Digital cognitive behavioral therapy for insomnia
Negative emotions
Sleep quality
