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目的探讨基于网络平台的延续护理干预对高血压伴抑郁患者的不良情绪及生活质量的影响。方法选择体检人群中108例高血压伴抑郁患者为研究对象,随机分为观察组与对照组,每组各54例。两组患者均根据体检结果给予常规护理干预,观察组在此基础上联合基于网络平台的延续护理干预。1年后,采取汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分评价两组患者焦虑、抑郁状态,采取疾病生存质量评定量表(QOL)评价两组患者生活质量情况。结果随访1年,观察组与对照组实际完成随访51例、47例。两组患者干预后HAMA、HAMD评分均较干预前明显减少(P<0.05),且观察组HAMA、HAMD评分明显少于对照组(P<0.05);对照组患者干预前后生活质量各维度及总分均无明显差异(P>0.05),观察组干预后生活质量各维度及总分均明显高于干预前及对照组(P<0.05)。结论常规护理合并基于网络平台的护理干预有助于更好地改善高血压伴抑郁体检人群的不良情绪,提高生活质量,值得推广应用。
Objective To investigate the effect of extended nursing intervention on the bad mood and quality of life in patients with hypertension and depression. Methods A total of 108 hypertensive patients with depression were selected as the study subjects and randomly divided into observation group and control group with 54 cases in each group. The two groups of patients were given routine nursing intervention according to the results of the physical examination. On the basis of this, the observation group combined with the extended nursing intervention based on the network platform. One year later, the HAMA and HAMD scores were used to evaluate the anxiety and depression status of the two groups. QOL was used to evaluate the quality of life of the two groups. Results The follow-up of 1 year, the observation group and control group were actually followed up 51 cases, 47 cases. The scores of HAMA and HAMD in both groups were significantly lower than those before intervention (P <0.05), and the scores of HAMA and HAMD in the observation group were significantly less than those in the control group (P <0.05). The quality of life before and after intervention There was no significant difference between the two groups (P> 0.05). The quality of life and the total score of intervention group after intervention were significantly higher than those before intervention and control group (P <0.05). Conclusion Nursing intervention based on network platform in routine nursing care can help to improve the bad mood and improve the quality of life in hypertension-deprived medical examination population. It is worth popularizing and applying.