| Abstract |
Objective With the acceleration of China's aging process, elderly hypertension has become an important public health problem, and poor blood pressure control and poor sleep quality interact with each other, forming a vicious cycle. This study aims to analyze in depth the effect of targeted nursing on blood pressure control and sleep quality improvement in elderly patients with hypertension. Methods A prospective randomized controlled study design was adopted, selecting 90 elderly hypertensive patients aged 50-90 who visited the Department of Geriatric Health Care at our hospital from May 2024 to May 2025 as the research subjects. Patients were divided into a control group (45 cases) and an experimental group (45 cases) using a random number table method. The control group received routine nursing care, including monitoring of basic vital signs and medication guidance; On this basis, the experimental group implemented a systematic and targeted nursing plan, which specifically covered multidimensional nursing measures such as refined blood pressure monitoring and management, personalized sleep environment optimization, professional psychological intervention, and scientific sleep behavior guidance. Through dynamic monitoring and quantitative evaluation, the blood pressure levels [systolic blood pressure (SBP), diastolic blood pressure (DBP)], sleep quality (scored using the internationally recognized Pittsburgh Sleep Quality Index (PSQI)), and sleep related core indicators (falling asleep time, effective sleep time, and incidence of sleep disorders) were compared between two groups of patients before and after intervention. The results of statistical analysis using SPSS 26.0 software showed that after intervention, the systolic blood pressure in the experimental group decreased to (132.5 ± 6.8) mmHg and the diastolic blood pressure decreased to (80.2 ± 5.1) mmHg, significantly lower than the control group's (145.3 ± 7.2) mmHg and (87.6 ± 5.8) mmHg (P<0.05); The PSQI score of the experimental group (4.2 ± 1.3) was significantly lower than that of the control group (7.8 ± 1.9) (P<0.05); At the same time, the sleep time of the experimental group was shortened to (22.5 ± 5.7) minutes, significantly shorter than the control group's (35.8 ± 8.2) minutes, and the sleep time was prolonged to (6.8 ± 1.2) hours, significantly longer than the control group's (5.3 ± 1.1) hours. The incidence of sleep disorders was only 8.9%, much lower than the control group's 28.9% (P<0.05). Conclusion Targeted nursing programs, through multidimensional intervention measures, can effectively improve the blood pressure control effect of elderly hypertensive patients, significantly enhance sleep quality, and have important clinical practice significance and promotion value for promoting health management and improving the quality of life of elderly hypertensive patients.
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