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目的探讨老年高血压病患者睡眠状况及其影响因素。方法采用匹兹堡睡眠质量指数量表(PSQI)及自行设计的影响因素调查表对100例老年高血压病患者进行调查分析。结果 76%老年高血压病患者存在睡眠障碍问题,在PSQI总分、睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物及日间功能障碍各项评分均明显高于国内常模(P﹤0.01)。环境(陌生环境﹑吵闹),生理病理(疾病痛苦﹑夜间上厕所次数多),心理(对疾病的恐惧﹑担心医疗费用)和药物(利尿剂的使用﹑使用某些降压药引起的副作用)是影响其睡眠质量的重要因素。结论老年高血压病患者睡眠质量较差,并与多种因素有关,应及早采取有效的护理措施控制影响睡眠的各种因素,提高患者睡眠的质量。
Objective To investigate the sleep condition and its influencing factors in elderly patients with essential hypertension. Methods A total of 100 elderly hypertensive patients were investigated by using the Pittsburgh Sleep Quality Index (PSQI) and self-designed questionnaire. Results 76% of elderly hypertensive patients had sleep disorder problems. The scores of PSQI score, sleep quality, sleep time, sleep time, sleep efficiency, sleep disorders, hypnotic drugs and daytime dysfunction were all significantly higher than those of domestic norm (P <0.01). (Unfamiliar environment, noisy), physical and pathological (painful illness, frequent use of nighttime restroom), psychology (fear of illness, worry about medical expenses) and drugs (diuretic use, side effects caused by using some antihypertensive drugs) Is an important factor affecting the quality of their sleep. Conclusion The quality of sleep in elderly patients with hypertension is poor, and with a variety of factors, early nursing measures should be taken to control various factors that affect sleep and improve the quality of sleep in patients.