| ObjectiveThe purpose of this study was to discuss the effect of acupressure therapy in Traditional Chinese Medicine nursing technique on morning systolic blood pressure,morning diastolic blood pressure,morning pulse rate,symptoms of Traditional Chinese Medicine,blood stasis and sleep quality in elderly patients with morning hypertension,to explore the feasibility and effectiveness of acupressure therapy to improve the morning blood pressure of elderly hypertensive patients.Methods1.This study is an experimental study,a two-sample randomized controlled experimental design was used to conduct research on elderly patients with morning hypertension in two communities in Tianjin from July to November,2019.Two communities in Tianjin were randomly divided into the experimental group and the control group by the coin toss method.Patients(78 cases in total)who met the standards of the study and volunteered to participate in the study were selected as the study subjects.The control group(39 cases)continued routine hypertension treatment before intervention during the study period.In the experimental group(39 cases),acupressure therapy of five acupoints(Hegu,Quchi,Xuehai,Zusanli and Sanyinjiao)were received once a day before bed for about 15 minutes for 8 weeks on the basis of the control group.2.The basic information questionnaire(BIQ)was used to evaluate the patient's basic condition before the intervention;before and after the intervention,the Traditional Chinese Medicine Symptom Score Scale(TCMSSS),Patient Reported Syndrome Scale-blood stasis syndrome(PRS-bss)and Pittsburgh Sleep Quality Index(PSQI)were used to evaluate the patients'symptoms of TCM,blood stasis and sleep;before the intervention,2 weeks after the intervention,4 weeks after the intervention,6 weeks after the intervention,and 8 weeks after the intervention(after termination of intervention),medical upper arm electronic sphygmomanometer was used to measure the changes of patients'morning systolic blood pressure(MSBP),morning diastolic blood pressure(MDBP)and morning pulse rate(MPR)during the intervention.3.After checking all the data,Microsoft Excel2013 was used for data entry and sorting,SPSS23.0 statistical software was used for statistical analysis.Frequency,composition ratio,rate,mean and standard deviation were used for statistical description;Shapiro-Wilk test was run for data normality test;Chi-square test(enumeration data),two independent samples t-test(measurement data)or Mann-Whitney U test(ranked data)were run to compare the balance between the two groups;two independent samples t-test,t'-test,Chi-square test,Mann-Whitney U test and repeated measurement ANOVA were used to evaluate the intervention effect.ResultsIn this study,76 cases were actually included,38 cases in each of the two groups,the actual effective sample was 97.4%.Before the intervention,there was no statistical difference between the two groups in demographic data,disease-related conditions,morning systolic blood pressure,morning diastolic blood pressure,morning pulse rate,TCM symptoms,blood stasis and sleep conditions(P>0.05),in other words,the groups were comparable.(P>0.05).1.Results in repeated measurement ANOVA showed that:The group effect of morning systolic blood pressure(F=35.303,P<0.01),time effect(F=67.472,P<0.01)and the interaction effect between group and time(F=79.602,P<0.01)were all statistically significant;The group effect of morning diastolic blood pressure was not statistically significant(F=1.527,P=0.220),time effect(F=5.714,P<0.01)and the interaction effect between group and time(F=4.233,P<0.01)were statistical significant;the group effect of morning pulse rate was not statistically significant(F=1.109,P=0.296),time effect(F=26.100,P<0.01)and the interaction effect between group and time(F=25.357,P<0.01)were statistical significant.2.Comparison of TCM symptoms between the two groups showed that:the total score of TCMSSS(t'=7.601,P<0.01)and the main symptoms score of TCMSSS(t=7.106,P<0.01)in the experimental group were lower than that in the control group after the intervention.The results of curative effect evaluation showed that acupressure therapy was effective in improving the patient's symptoms(Z=5.512,P<0.01)and relieve the main symptoms(?~2=25.333,P<0.01).3.Comparison of blood stasis between the two groups showed that:after the intervention,the total score of PRS-bss(t=6.976,P<0.01),the activity dimension(t=6.474,P<0.01),the sleep dimension(t'=3.822,P<0.01),and the aggravation dimension(t=5.010,P<0.01)in the experimental group were all lower than that in the control group,but there was no statistically significant difference in emotional dimension between the two groups(t'=0.256,P=0.799).4.Comparison of sleep conditions between the two groups showed that:after the intervention,the total score of PSQI in the experimental group was lower than that of the control group(t=3.680,P<0.01),and the sleep quality was better than that of the control group(Z=2.583,P<0.05).ConclusionThe results of this study indicate that acupressure therapy can effectively improve the morning systolic blood pressure,TCM symptoms,blood stasis and sleep quality of elderly patients with hypertension,and the therapeutic effect of acupressure therapy gradually increases with the accumulation of therapy time in morning systolic blood pressure.However,although this study has observed the potential effect of acupressure therapy on improving morning diastolic blood pressure and morning pulse rate in elderly patients with morning hypertension with the extension of acupressure therapy time,its exact effect has not been found,and further studies are needed to confirm its exact effect in the future.In general,acupressure therapy is still a good nursing method for elderly patients with hypertension,which can provide a safe,convenient,economical and effective supplementary nursing idea and method for the daily morning blood pressure management of elderly patients with hypertension. |
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