CAJ | 학술논문

目的：研究耳穴压豆对中老年高血压患者血压及睡眠质量的影响。方法将本院心内科2012年5月～2014年12月收治的298例中老年高血压患者按入院单双日分为观察组148例与对照组150例。对照组患者给予常规血压调节和健康指导，观察组患者在对照组基础上给予耳穴压豆护理干预。比较两组患者干预1周、2周、3周、4周后血压水平（收缩压值和舒张压）和睡眠质量评分情况。结果干预后观察组患者舒张压和收缩压较干预前均有显著下降，且干预后观察组1周、2周、3周、4周后收缩压显著低于对照组，两两比较，均P＜0．05，差异具有统计学意义。干预后观察组患者的睡眠质量评分低于干预前，前后比较，P＜0．05，差异具有统计学意义。干预后两组患者睡眠质量评分比较，P＜0．01，差异具有统计学意义，观察组得分明显低于对照组。结论耳穴压豆能降低中老年高血压患者的血压水平，改善睡眠质量，对提高患者的生活质量意义重大。
목적：연구이혈압두대중노년고혈압환자혈압급수면질량적영향。방법장본원심내과2012년5월～2014년12월수치적298례중노년고혈압환자안입원단쌍일분위관찰조148례여대조조150례。대조조환자급여상규혈압조절화건강지도，관찰조환자재대조조기출상급여이혈압두호리간예。비교량조환자간예1주、2주、3주、4주후혈압수평（수축압치화서장압）화수면질량평분정황。결과간예후관찰조환자서장압화수축압교간예전균유현저하강，차간예후관찰조1주、2주、3주、4주후수축압현저저우대조조，량량비교，균P＜0．05，차이구유통계학의의。간예후관찰조환자적수면질량평분저우간예전，전후비교，P＜0．05，차이구유통계학의의。간예후량조환자수면질량평분비교，P＜0．01，차이구유통계학의의，관찰조득분명현저우대조조。결론이혈압두능강저중노년고혈압환자적혈압수평，개선수면질량，대제고환자적생활질량의의중대。
Objective To investigate the effect of ear massage on blood pressure and sleep quality of hypertensive patients . Methods Two hundred and ninety-eight elderly hypertensive patients were nursed on the basis of conventional therapy. One hundred and forty-eight patients randomly selected were set as the experiment group, where they were given intervention of ear massage. Another one hundred and fifty patients were set as the control group and treated with conventional interventions. The two groups were compared in terms of blood pressure (systolic and diastolic blood pressure) after nursing interventions and the sleep quality (by Pittsburgh sleep quality index, PSQI). Result After intervention, the diastolic and systolic blood pressure values in the experiment group were both significantly decreased than before intervention (P<0.05) and the quality of sleep was significantly lower than that before intervention (P<0.05). Conclusion Ear massage can be effective in regulating blood pressure in elderly hypertensive patients and improving their quality of sleep.