10个月规律性有氧运动联合社区心理护理对更年期综合征伴高血压患者的临床疗效

The clinical efficacy of 10-month regular aerobic exercise combined with community psychological care on patients with menopausal syndrome and hypertension

    摘要
  • 摘要:
    目的  探讨规律性有氧运动联合社区心理护理对社区更年期综合征伴高血压患者血压、负面情绪及睡眠质量的干预效果。
    方法  选取2023年8月至2024年7月在西安市两个社区卫生服务中心收治的192例更年期综合征伴高血压患者为研究对象，随机分为对照组（96例）和干预组（96例）。对照组采用常规药物治疗，干预组在此基础上实施规律性有氧运动联合心理护理干预，为期10个月。观察两组患者干预前后血压和焦虑自评量表（SAS）、抑郁自评量表（SDS）、匹兹堡睡眠质量指数（PSQI）量表评分的变化。
    结果 干预前，对照组与干预组的年龄、性别、更年期综合征伴高血压病程、体重指数、收缩压、舒张压、SAS评分、SDS评分、睡眠障碍、睡眠效率、睡眠时间、入眠时间比较，差异无统计学意义（P＞0.05）；干预后，干预组的总有效率高于对照组91.7%（88/96）比71.8%（69/96），χ2=12.982，P=0.002，干预组患者的体重指数（27.8±2.0）比（28.7±2.0）kg/m2，t=2.996，P=0.003、收缩压（141.0±3.2）比（143.5±3.4）mmHg，t=5.128，P＜0.001、舒张压（89.6±2.2）比（91.5±2.9）mmHg，t=5.096，P＜0.001、SAS评分（48.02±3.19）比（59.92±5.16）分，t=19.223，P＜0.001、SDS评分（42.12±2.15）比（52.32±5.16）分，t=17.878，P＜0.001均低于对照组，睡眠质量各维度评分均优于对照组（均P＜0.01）。
    结论 规律性有氧运动协同社区心理护理干预能提高更年期综合征伴高血压患者的血压控制率，同时能够改善患者焦虑抑郁情绪，提高患者睡眠质量。

     

    Abstract:
    Objective To explore the intervention effect of regular aerobic exercise combined with community psychological care on blood pressure, negative emotions and sleep quality in community patients with menopausal syndrome and hypertension.
    Methods A total of 192 patients with menopausal syndrome and hypertension admitted to two community health service centers in Xi'an from August 2023 to July 2024 were selected as the research subjects and randomly divided into control group (96 cases) and intervention group (96 cases). The patients in control group received conventional drug treatment, while the patients in the intervention group received combined intervention of regular aerobic exercise and community psychological care on the basis of conventional drug treatment. The intervention lasted for 10 months. Changes in blood pressure, and scores of self-rating anxiety scale (SAS), self-rating depression scale (SDS), Pittsburgh sleep quality index (PSQI) before and after the intervention were observed in both groups.
    Results Before the intervention, there were no significant differences in age, gender, duration of menopausal syndrome combined with hypertension, body mass index, systolic blood pressure, diastolic blood pressure, SAS and SDS scores, sleep disorders, sleep efficiency, sleep time, and sleep latency between the control group and the intervention group (P＞0.05). After the intervention, the total effective rate in the intervention group was significantly higher than that in the control group 91.7% (88/96) vs 71.8% (69/96), χ2=12.982, P=0.002; the body mass index (27.8±2.0) vs (28.7±2.0) kg/m2, t=2.996, P=0.003, systolic blood pressure (141.0±3.2) vs (143.5±3.4) mmHg, t=5.128, P＜0.001, diastolic blood pressure (89.6±2.2) vs (91.5±2.9) mmHg, t=5.096, P＜0.001, SAS score (48.02±3.19) vs (59.92±5.16) points, t=19.223, P＜0.001, SDS score (42.12±2.15) vs (52.32±5.16) points, t=17.878, P＜0.001 were significantly lower in the intervention group than those in the control group. The scores of sleep quality were lower in the intervention group than those in the control group (P＜0.01) .
    Conclusion Regular aerobic exercise combined with community psychological care intervention can improve the blood pressure control rate of patients with menopausal syndrome and hypertension, and also improve the anxiety and depression, and enhance sleep quality.

     

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