目的 探讨系统化护理措施对社区高血压患者睡眠质量及不良情绪的影响。方法 选取106例社区高血压患者作为研 究对象，随机进行分组；对照组53例，采取常规护理，结合基本的睡眠知识宣教，指导患者保持正确的作息方法； 观察组53例，在对照组的基础上，采取系统化护理措施，包括指导患者调整睡眠环境、睡眠质量评估、用药指导、 心理干预、穴位按摩；比较护理前后各组患者的匹兹堡睡眠质量指数评分量表(PSQI)变化，同时采用汉密顿抑郁量 表(HAMD)及汉密尔顿焦虑量表(HAMA)评分综合评价患者认知情绪得改善情况。结果 护理后，两组患者PSQI各因子 评分均有所降低，但观察组入睡时间、睡眠质量、睡眠效率、催眠药物、睡眠障碍、日间功能障碍评分及睡眠时间 均少于对照组，差异有统计学意义(P＜0.05)；与对照组相比，观察组患者护理后HAMA及HAMD评分均降低，差异具 有统计学意义(P＜0.05)。结论 系统化护理措施对社区高血压患者的效果确切，可显著缓解患者的不良情绪，对于 改善睡眠质量具有积极作用，值得临床推广使用。

Objective To explore the effect of systematic nursing measures on sleep quality and bad mood of community hypertensive patients. Methods 106 community hypertension patients were randomly divided into 2 groups. The control group (53 cases) received routine nursing, combined with basic sleep knowledge to instruct the patients to maintain correct methods of rest and sleep. The observation group (53 cases), on the basis of the control group, take systematic nursing measures, including guiding patients to adjust the sleep environment, sleep quality assessment, medication guidance, psychological intervention, acupoint massage; The changes of Pittsburgh Sleep quality Index scale (PSQI) before and after nursing were compared, and the scores of Hamilton Depression scale (HAMD) and Hamilton anxiety scale (HAMA) were used to evaluate the improvement of cognitive emotion. Results After nursing, the PSQI scores of the two groups were decreased, but the sleep time, sleep quality, sleep efficiency, hypnotic drugs, sleep disorder, daytime dysfunction score and sleep time in the observation group were less than those in the control group (P<0.05). Compared with the control group, the HAMA and HAMD scores of the patients in the observation group were lower than those in the control group (P<0.05). Conclusion Systematic nursing measures are effective in community hypertension patients, can significantly alleviate the bad mood of patients, and have a positive effect on improving sleep quality, which are worth popularizing in clinical practice.