| Objective:the purpose of this paper is to understand the sleep quality of elderly hypertensive patients with hypertension in community and to discuss the influence of head scraping on its sleep quality based on holographic theory and to provide guidance for the popularization and popularization of head holographic zone scraping therapy in community health care projects.Methods:Investigative research: adopt random sampling method,selecting 290 elderly hypertensive patients from five communities in Beihu Nianmian Community Xixiangtang District Nanning city Guangxi Zhuang Autonomous Region.Use customized elderly hypertensive patients of general information questionnaire,Pittsburgh Sleep Quality Index Questionnaire(PSQI)and Hamilton Anxiety Scale(HAMA)conduct a questionnaire survey,through the community electronic archives system inquire the Chinese medicine constitution of investigators.Intervention research: Screening 62 elderly patients with hypertension who meet the inclusion criteria from all samples,randomly divided into control groups(Community regular sleep health education)and Intervention group(holographic head Guasha therapy + community health education)using random number tables and 31 samples in each group.First of all,conduct unified community sleep health education before grouping,after adopting the Guasha therapy to intervention group(8:00-11:00,once per day from Monday to Friday in next four months),assessing the effectiveness of Guasha therapy by Pittsburgh Sleep Quality Index Scale(PSQI)and Hamiton Anxiety Scale before intervention,the fourth week after intervention and at the fourth week after end.Result: 1 In this study,290 questionnaires were distributed,290 were recovered,and the efficiency was 100%.There were 165 cases(56.89%)of poor quality of sleep(PSQI>7 points)in elderly patients with hypertension in the community,the number of anxiety in patients with hypertension was 111(38.27%);The number of anxiety in hypertensive patients with poor sleep quality was 101(34.83%),279 cases(96.21%)who have not taken any improvement in sleep quality.All investigated 290 elderly patients who with hypertension,the poor quality of sleep patient Pianpo is higher than Pinghe(Pinghe 12.73% and Pianpo 87.27%);99.31% of patients did not take medication and other treatments.2 PSQI total scoring and comparison of various dimensions: There was no significant difference in the total PSQI scores between the two groups before intervention(p<0.05),there was statistically significant between the two groups independent sample t test PSQI score and factor score difference after the intervention(p <0.05);Self-test meets the requirement of t test;The scores of PSQI scores and scores in the intervention group before and after the intervention were significantly different(p<0.05);There was no significant difference in PSQI scores and scores between the control group and the follow-up period before and after the intervention(p>0.05),but the PSQI total score and scores decreased.HAMA total score comparison: There was no significant difference in the total score of HAMA before the intervention between the two groups(p>0.05);There was no significant difference between the two groups after intervention(p>0.05);Analysis of different physical conditions after intervention showed significant difference HAMA total score between the two groups of Tanshi(p>0.05),Differences in scores of HAMA between the intervention group and their own t-tests were statistically significant(p<0.05).Improve sleep quality in patients with different physical types and types of sleep disorders: Physical improvement: the effectiveness for Pinghe and Pianpo are 75% and 54.84%,the difference was statistically significant(p<0.05);The effective rate of improving different types of sleep disorders from high to low was sleep time(90.32%),wakefulness(57.14%),dreaminess(51.72%).Conclusion: 1 Elderly hypertension patients in the community have sleep disorders,and the proportion of physical hypertension patients with sleep problems is higher than that of mild hypertension patients.2 The head holographic area scraping therapy is effective in improving the sleep quality of elderly hypertensive patients in the community.And can improve the anxiety of patients with Phlegm-dampness.3 The head holographic area scraping therapy is to improve the elderly hypertension patients in the community.The quality of sleep is effective,safe and comfortable degree of TCM nursing skills,easy to grasp,low cost suitable for the popularization and promotion in the community. |
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