黄春选　常永智　谢艳华

[摘要] 目的 探讨综合护理对老年高血压患者睡眠状态的影响。 方法 选取2012年3月～2013年2间我院有过治疗经历的120例老年高血压患者作为研究对象，按照随机数字表法将其分为对照组和研究组，各60例。对照组患者给予常规护理模式，而研究组患者则给予综合护理干预，利用睡眠障碍量表（SDRS）对两组的护理效果进行分析比较。 结果 研究组经护理24例显效，34例有效，2例无效，对照组19例显效，31例有效，10例无效，研究组护理总有效率为96.7%，显著高于对照组的83.3%，两组总有效率比较差异有统计学意义（P<0.05）。研究组护理后的SDRS评分与护理前和对照组护理后比较均明显缩短，研究组患者收缩压与舒张压均显著低于对照组；护理前两组患者的心理状况及生活质量比较差异无统计学意义，护理后的SAS评分及WHOQOL-BREF与护理前比较差异有统计学意义（P<0.05）。 结论 老年高血压采用综合护理方案具有更显著的效果，可改善患者睡眠质量，减少不良情绪，控制血压，提升生活质量，值得临床推广及应用。

[关键词] 综合护理，高血压，睡眠状态

[中图分类号] R544.1 [文献标识码] A [文章编号] 1674-4721（2016）02（c）-0173-04

[Abstract] Objective To investigate the impact of omprehensive nursing for sleep condition of elderly hypertensive patients. Methods 120 cases of elderly patients with hypertension had been the treatment experience in our hospital between March 2012 to February 2013 selected as the study object，which were randomly divided into two groups by random number table method，60 cases in each group.The control group were given routine care model，and the study group were given comprehensive nursing intervention，the nursing effect of the two groups was analyzed and compared with the sleep disturbance scale （SDRS）. Results There were 24 cases markedly effective，34 cases were effective，2 cases were ineffective after the study group was treated，and the control group，19 cases were markedly effective，31 cases were effective，10 cases were ineffective， the total care effective of the study group was 96.7%，it was significantly higher than 83.3% of the control group，there was was significantly different between the two groups（P<0.05）.The SDRS scores of the study group were significantly shorter than those of control group after nursing，and the systolic blood pressure and diastolic blood pressure of the study group were significantly lower than those of control group；The mental status and quality of life of the two groups were had no significantly different before，but after the treated，the SAS scores and WHOQOL-BREF scores were significantly different （P<0.05）. Conclusion The effect of comprehensive nursing program is more significant for the elderly patients with hypertension，which can improve the sleep quality， reduce the bad mood，control blood pressure，improve the quality of life，it is worthy of clinical popularization and application.

[Key words] Comprehensive care，Hypertension，Sleep condition

高血压是一种终身性疾病，近几年，该病的发病率明显呈逐渐上升的趋势，且高血压的发病年龄逐渐老龄化，若血压得不到好的控制，能够导致一系列的疾病，对患者的生活以及生命安全造成严重影响[1]。其中睡眠障碍是一大不良反应，高血压老年人随年龄提高，睡眠质量却在逐渐下降，给患者带来非常大的痛苦[2-3]。对老年高血压病人给予综合护理干预，有利于提高患者的生活质量[4]。本院于2012年3月～2013年2月间对老年高血压患者给予了综合护理干预，取得了较好的效果，现报道如下。

1 资料与方法

1.1 一般资料

选取2012年3月～2013年2月在我院有过治疗经历的老年高血压的120例患者作为研究对象。本研究经医院伦理委员会通过，所有患者均已了解治疗用药方案并签署知情同意书，自愿接受治疗安排，且均符合世界卫生组织1990年制定的高血压诊断标准。……