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目的探讨综合护理干预对首发高血压患者生活质量及心理健康状况的影响。方法选择广州市黄埔区红十字会医院收治的同期入组50例体检健康志愿者作为健康组,100例首发性高血压患者作为高血压组,均行焦虑自评量表(SAS)和抑郁自评量表(SDS)评分,比较两组心理健康状况差异;将100例高血压组按随机数字表分为观察组50例和对照组50例,对照组实施常规护理,观察组综合护理干预,包括健康教育、行为干预、心理干预等,两组均干预8周,干预前后比较SAS评分、SDS评分;采用电子血压计进行收缩压(SBP)、舒张压(DBP)测定;采用简化的生活质量量表对患者的生活质量进行评价。结果高血压组患者的SAS评分、SDS评分均明显高于健康组(P<0.05)。观察组和对照组治疗后SBP、DBP均较治疗前明显降低,组间比较差异无统计学意义(P>0.05)。观察组和对照组治疗后SAS评分、SDS评分均较治疗前明显降低(P<0.05),观察组降低幅度明显优于对照组(P<0.05)。观察组和对照组治疗后生理、心理、社会功能和环境评分均较治疗前明显提高(P<0.05),观察组治疗后各评分均明显高于对照组(P<0.05)。结论综合护理干预在首发高血压患者中应用能提高临床治疗效果,改善患者心理健康状况及生活质量。
Objective To investigate the effect of comprehensive nursing intervention on the quality of life and mental health of patients with essential hypertension. Methods Fifty healthy volunteers were enrolled in the same period of the Red Cross Hospital of Huangpu District of Guangzhou as healthy group and 100 patients with essential hypertension as hypertension group. (SDS) scores were compared between the two groups mental health differences; 100 cases of hypertension group random number table divided into observation group 50 cases and control group 50 cases, the control group to implement routine care, observation group comprehensive nursing intervention, Including intervention in health education, behavioral intervention and psychological intervention. Both groups intervened for 8 weeks and compared SAS scores and SDS scores before and after intervention. SBP and DBP were measured with electronic sphygmomanometer. A simplified quality of life Scale to evaluate the quality of life of patients. Results The scores of SAS and SDS in hypertension group were significantly higher than those in healthy group (P <0.05). The SBP and DBP of the observation group and the control group after treatment were significantly lower than those before treatment, with no significant difference between the two groups (P> 0.05). After treatment, the scores of SAS and SDS in observation group and control group were significantly lower than those before treatment (P <0.05), and the reduction in observation group was significantly better than that in control group (P <0.05). The score of physical, psychological, social function and environment of the observation group and the control group after treatment were significantly higher than those before treatment (P <0.05). The score of the observation group was significantly higher than that of the control group after treatment (P <0.05). Conclusion Comprehensive nursing intervention in patients with first-line hypertension can improve the clinical effect and improve the patient’s mental health status and quality of life.