Collaborative Nursing Combined With Acupuncture Improves The Symptoms Of Hypertensive Patients With Insomnia And Negative Emotion

Objective:Hypertension is a common cardiovascular disease with high morbidity and disability.,the larger cost to the family and society economy.Hypertension in general population presents two peaks and two valleys,complications easily occur during the two peaks of blood pressure.On the other hand,sleep is an indispensable need of the human body,which is beneficial to the recovery of energy and the improvement of immunity.Studies show that,Sleep quality of hypertensive patients is worse than that of normal people,Poor sleep will further effect on blood pressure and that is bad to blood pressure.At present,it has been found in clinical work,face-to-face health education emphasizes the importance of sleep for patients,the patient's consciousness was not strong at last.Collaborative nursing is a new nursing model and it has been implemented in clinical practice.That can improve enthusiasm,the patient's self-behavior and execution during the process,making the patient's negative emotions better.Therefore,the purpose of this study is to apply the collaborative nursing model.Encouraging family members to participate in the treatment,mastering acupressure massage skills.Sleep nursing intervention measures should be implemented before the peak blood pressure,so as to reduce the peak blood pressure and the occurrence of complications.Sleep nursing intervention measures should be implemented before the peak blood pressure,so as to reduce the peak blood pressure and the occurrence of complications.Method:The Athens Insomnia Scale(AIS)assessment was used,choosing 84 patients with insomnia from January 2018-July in Cardiology department of The Affiliated Hospital of Shanxi TCM University,on the basis of acupuncture point massage before peak blood pressure,the patients were randomly divided into control group and experimental group.Then the outcome of blood pressure and sleep intervention was evaluated at the end of fourth week.The patients were assessed with the Athens Insomnia Scale,Hamilton Mental Anxiety and Depression Scale(HAMD,HAMA).Finally,we should analyze the correlation between peak blood pressure and this outcome.Result:1.The severity of insomnia in patients with hypertension and insomnia will affect the peak blood pressure of the patients.Before the peak blood pressure,the patients with sleep disorders can be intervened by collaborative nursing and massage,which is helpful to improve the peak blood pressure.2.The results of two evaluations of the Athens Insomnia Scale before and after intervention for 4 weeks showed that the insomnia status of the experimental group improved significantly,with statistical significance(P < 0.05).3.The Hamilton Anxiety and Depression Scale was assessed before and 4 weeks after the intervention respectively.The experimental group could alleviate the psychological anxiety and depression through the cooperative nursing mode combined with massage,with statistical significance(P < 0.05).4.After 4 weeks of intervention,the correlation analysis of insomnia,Hamilton anxiety,depression and peak blood pressure showed that anxiety,depression and insomnia were positively correlated with peak blood pressure(P < 0.05),that is,the higher the score of anxiety,depression and Ascension insomnia scale,the higher the peak blood pressure.Conclusion:1.The severity of insomnia in patients with hypertension and insomnia will affect the peak blood pressure of the patients.Before the peak blood pressure,the patients with sleep disorders can be intervened by collaborative nursing and massage,which is helpful to improve the peak blood pressure.2.Applying massage before peak blood pressure can improve comfort and sleep quality of hypertensive insomniacs.3.Hypertensive insomniacs have long been in the negative mood of anxiety and depression,which is not conducive to disease treatment.Cooperative nursing model can reduce the psychological burden of patients and alleviate anxiety and depression.4.The level of peak blood pressure is positively correlated with insomnia and anxiety and depression.It can improve insomnia actively.Negative emotions of patients can help to reduce peak blood pressure.