中医循证护理在老年原发性高血压伴失眠患者中的应用

Application of Evidence-Based Nursing in Elderly Patients with Primary Hypertension and Insomnia

摘要: 目的：观察和探讨中医循证护理在老年原发性高血压伴睡眠障碍患者中应用效果。方法：收集我科于2020年01月至2021年12月期间住院治疗的老年原发性高血压伴失眠患者120例，采用随机数字表分为对照组(60例，采用常规护理法)和治疗组(60例，采用中医循证护理法)，治疗后采用睡眠质量评分及助眠药物使用情况及生理功能、躯体功能、社会功能、精神健康、活力等生活质量的影响评价两组患者的效果。结果：观察组在经过中医循证护理干预后睡眠质量评分、生活质量评分及辅助睡眠药物使用情况比较差异有统计学意义(P < 0.05)。结论：对老年原发性高血压伴睡眠障碍患者中实施中医循证护理干预能够有效提高患者睡眠质量，并能改善患者的生理功能、躯体功能、社会功能、精神健康、活力，同时可减少患者助眠药物的使用，疗效显著。

Abstract: Objective: To observe and discuss the effect of evidence-based nursing in elderly patients with pri-mary hypertension and sleep disorder. Methods: 120 elderly patients with primary hypertension and insomnia hospitalized in our department from January 2020 to December 2021 were collected. They were randomly divided into the control group (60 cases, using conventional nursing method) and the treatment group (60 cases, using evidence-based nursing method of traditional Chinese medicine). After treatment, sleep quality scores, the use of sleeping aids, physiological function, physical function, social function, mental health. The effects of vitality and other factors on quality of life were evaluated. Results: There were significant differences in sleep quality score, quality of life score and the use of sleep aids in the observation group after the intervention of TCM evi-dence-based nursing (P < 0.05). Conclusion: The implementation of evidence-based nursing inter-vention in elderly patients with primary hypertension and sleep disorder can effectively improve their sleep quality, improve their physiological function, physical function, social function, mental health and vitality, and reduce the use of sleeping aids.