The Effects Of Mindfulness-Based Stress Reduction Therapy Combined With Points Massage On Headache,Sleep And Negative Psychology In Elderly Patients With Hypertension

Objectives To observe the effects of mindfulness-based stress reduction combined with points massage on headache in elderly hypertensive patients;to observe the effects of mindfulness-based stress reduction combined with points massage on sleep disturbance in elderly hypertensive patients;to observe the effects of mindfulness-based stress reduction combined with points massage on negative psychology in elderly hypertensive patients.To seek a non-drug intervention mode to improve headache,sleep,negative psychology in elderly hypertensive patients.Methods From September 2020 to August 2021,160 cases of elderly hypertensive patients with headache,anxiety and depression,and sleep problems in the Department of Geriatrics of Qinhuangdao First Hospital were selected as the research objects.These patients were randomly divided into control group,experiment group 1,experiment group 2,and experiment group 3,with 40 people in each group.The control group was given routine nursing,the experimental group 1 was given routine nursing and points massage,the experimental group 2 was given routine nursing and mindfulness-based stress reduction,and the experimental group 3 was given routine nursing,points massage and mindfulness-based stress reduction.Before the intervention,2 weeks after the intervention,and 8 weeks after the intervention,the effects of the intervention were evaluated by using the pain numerical rating method,the SPIEGEL sleep scale,the SAS,and the SDS.SPSS 23.0 software was used for statistical analysis of the data.Results 1 Baseline comparison of pre-intervention evaluation indexes among the four groups of elderly hypertensive patients: there was no significant difference in headache scores,sleep(SPIEGEL)scores,SAS scores and SDS scores among the four groups before the intervention(P>0.05).2 Comparison of intervention effects on patients with headache: after 2 weeks and 8 weeks of intervention,the headache scores of the experimental group 3 were better than those of experimental group 1,experimental group2 and control group,experimental group 1 and experimental group 2 were better than those of control group,the differences were statistically significant(P<0.05);repeated measures analysis of variance showed that there were significant differences in the headache scores of the four groups in the main effect of intervention,the main effect of time,and the interaction effect between time and intervention methods(P<0.05).3Comparison of intervention effects on patients with sleep: after 2 weeks and 8 weeks of intervention,the sleep scores of experimental group 3 were better than those of experimental group 1,experimental group 2 and control group,experimental group 1 and experimental group 2 were also better than control group,the differences were statistically significant(P<0.05);repeated measures analysis of variance showed that there were significant differences in the sleep scores of the four groups in the main effect of intervention,the main effect of time,and the interaction effect between time and intervention methods(P<0.05).4 Comparison of intervention effects on patients with anxiety and depression: after 2 weeks and 8 weeks of intervention,the anxiety and depression scores of experimental group 3 were better than those of experimental group 1,experimental group 2 and control group,experimental group 1 and experimental group 2 were also better than the control group,and the differences were statistically significant(P<0.05);repeated measures analysis of variance showed that there were significant differences in the anxiety and depression scores of the four groups in the main effect of intervention,the main effect of time,and the interaction effect between time and intervention methods(P<0.05).Conclusions Both the mindfulness-based stress reduction therapy and points massage are effective in improving sleep disturbance,headache symptoms,negative psychology in elderly hypertensive patients,and the combined application effect is better,which has a positive auxiliary value for clinical treatment.Figure 9;Table 37;Reference 189...