社会关系质量干预对高血压性脑出血术后患者血压和心理状态的影响
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摘要
目的探讨社会关系质量干预对高血压性脑出血术后患者血压和心理状态的影响。方法将2014年11月至2016年3月在本院住院治疗的高血压性脑出血术后患者48例设为对照组,实施常规护理措施;将2016年4月至2017年8月在本院住院治疗的高血压性脑出血术后患者48例设为观察组,在对照组基础上,实施社会关系质量干预,干预前和干预1个月后了解两组患者血压和心理状态。结果干预后,观察组患者收缩压、舒张压均低于对照组;坚韧性、乐观程度、力量评分均高于对照组,差异均有统计学意义(P<0.01,P<0.001)。结论社会关系质量干预应用于高血压性脑出血术后患者效果显著,可有效改善患者血压和心理状态,值得临床应用推广。
Objective To explore the effect of social relationship quality intervention on blood pressure and mental state of patients after hypertensive hemorrhage. Methods From November 2014 to March 2016, 48 patients with hypertensive intracerebral hemorrhage were assigned as control group and another 48 patients with the same disease in our hospitalfrom April 2016 to August 2017 as observation group: The former received routine nursing care and the latter was treated with social relationship quality intervention plus the routine nursing care. The blood pressure and mental states before intervention were compared with those 1 month after intervention.Result After intervention, the systolic and diastolic blood pressures in the observation group were significantly lower than those in the control group, and the scores on resilience, optimism and strength were all significantly higher than those in the control group( P<0.01,P <0.001). Conclusions The social relationship quality intervention is effective in the care to patients with hypertensive cerebral hemorrhage. It can effectively improve the clinical efficacy, reduce blood pressure and improve mental state, worthy of clinical application and promotion.
Objective To explore the effect of social relationship quality intervention on blood pressure and mental state of patients after hypertensive hemorrhage. Methods From November 2014 to March 2016, 48 patients with hypertensive intracerebral hemorrhage were assigned as control group and another 48 patients with the same disease in our hospitalfrom April 2016 to August 2017 as observation group: The former received routine nursing care and the latter was treated with social relationship quality intervention plus the routine nursing care. The blood pressure and mental states before intervention were compared with those 1 month after intervention.Result After intervention, the systolic and diastolic blood pressures in the observation group were significantly lower than those in the control group, and the scores on resilience, optimism and strength were all significantly higher than those in the control group( P<0.01,P <0.001). Conclusions The social relationship quality intervention is effective in the care to patients with hypertensive cerebral hemorrhage. It can effectively improve the clinical efficacy, reduce blood pressure and improve mental state, worthy of clinical application and promotion.
引文
[1]郑红,董丽,张淑娣,等.自我管理团队干预对高血压性脑出血康复期患者复发的影响[J].护理学杂志,2015,26(13):72-73.
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[4]许春达,郑俊青,赵士宏,等.流程化护理干预对脑出血围术期病人功能恢复及生活质量的影响[J].护理研究,2016,30(19):2403-2406.
[5]李鹏,陈玲,韦玉娟,等.社区老年高血压患者社会关系质量与服药依从性的相关性研究[J].中华现代护理杂志,2017,23(19):2449-2453.
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[9]赵杏香,陆春彩,黄雪梅,等.高血压脑出血立体定向微创穿刺置管引流术后的血压动态监测[J].护士进修杂志,2016,4(3):338-339.
[10]覃洁.综合护理干预对高血压脑出血患者术后康复及心理状态的影响[J].中国实用医药,2017,12(20):142-143.
[11]JOLIEN F,LEIJENAAR S M,DORHOUT M A,et al.Effect of magnesium treatment and glucose levels on delayed cerebral ischemia in patients with subarachnoid hemorrhage:a substudy of the magnesium in aneurysmal subarachnoid haemorrhage trial(MASH-II)[J].International Journal of Stroke,2015,10(3):108-112.
[12]王爱凤,王正梅,金妍,等.个性化护理干预对高血压脑出血患者生活质量的影响[J].中华护理杂志,2016,22(3):360-363.
[13]王敏.高血压脑出血术后患者负性情绪的分析及护理干预对策[J].检验医学与临床,2015,11(1):98-99.
[14]龙本栋,区丽明,陈剑,等.原发性高血压合并焦虑抑郁障碍现状调查[J].临床心身疾病杂志,2010,16(1):114-115.
[15]GRIMSRUD A,STEIN D J,SEEDATS A,et al.The association between hypertension and depression and anxiety disorders:results from nationally representative sample of South African adults[J].PIo S One,2009(4):e5552.
[16]CARROLL D,PHILLIPSh A C,GALE C R,et al.Generalized anxiety and major depressive disorders,their comorbidity and hypertension in middle-aged men[J].Psychosomatic Med,2010(72):16-19.
[17]柴晓利,颜敏灵.抗焦虑抑郁治疗对高血压患者动态血压及心率变异性的影响[J].中国心血管病研究,2010,8(5):847-849.
[2]冯兴霞.综合护理干预在高血压性脑出血微创治疗中的应用效果[J].护理学杂志,2015,12(12):3462-2464.
[3]王冠,郑姣琳.前瞻性护理干预在高血压脑出血偏瘫病人早期护理中的应用[J].护理研究,2017,31(2):223-225.
[4]许春达,郑俊青,赵士宏,等.流程化护理干预对脑出血围术期病人功能恢复及生活质量的影响[J].护理研究,2016,30(19):2403-2406.
[5]李鹏,陈玲,韦玉娟,等.社区老年高血压患者社会关系质量与服药依从性的相关性研究[J].中华现代护理杂志,2017,23(19):2449-2453.
[6]GIUSEPPE M V,FRANCESCO B,ROSSARIO C,et al.Role of intraoperative indocyanine green video-angiography to identify small,posterior fossa arteriovenous malformations mimicking cavernous angiomas.Technical report and review of the literature on common features of these cerebral vascular malformations[J].Clinical Neurology and Neurosurgery,2015,138(10):45-51.
[7]饶明俐.中国脑血管病防治指南[M].北京:人民卫生出版社,2007:56-59.
[8]程国杰,王宁,赵晓辉,等.无框立体定向引导下高血压脑出血血肿清除术后并发症的观察及护理[J].现代临床护理,2015,14(1):45-47.
[9]赵杏香,陆春彩,黄雪梅,等.高血压脑出血立体定向微创穿刺置管引流术后的血压动态监测[J].护士进修杂志,2016,4(3):338-339.
[10]覃洁.综合护理干预对高血压脑出血患者术后康复及心理状态的影响[J].中国实用医药,2017,12(20):142-143.
[11]JOLIEN F,LEIJENAAR S M,DORHOUT M A,et al.Effect of magnesium treatment and glucose levels on delayed cerebral ischemia in patients with subarachnoid hemorrhage:a substudy of the magnesium in aneurysmal subarachnoid haemorrhage trial(MASH-II)[J].International Journal of Stroke,2015,10(3):108-112.
[12]王爱凤,王正梅,金妍,等.个性化护理干预对高血压脑出血患者生活质量的影响[J].中华护理杂志,2016,22(3):360-363.
[13]王敏.高血压脑出血术后患者负性情绪的分析及护理干预对策[J].检验医学与临床,2015,11(1):98-99.
[14]龙本栋,区丽明,陈剑,等.原发性高血压合并焦虑抑郁障碍现状调查[J].临床心身疾病杂志,2010,16(1):114-115.
[15]GRIMSRUD A,STEIN D J,SEEDATS A,et al.The association between hypertension and depression and anxiety disorders:results from nationally representative sample of South African adults[J].PIo S One,2009(4):e5552.
[16]CARROLL D,PHILLIPSh A C,GALE C R,et al.Generalized anxiety and major depressive disorders,their comorbidity and hypertension in middle-aged men[J].Psychosomatic Med,2010(72):16-19.
[17]柴晓利,颜敏灵.抗焦虑抑郁治疗对高血压患者动态血压及心率变异性的影响[J].中国心血管病研究,2010,8(5):847-849.