综合性护理干预对原发性高血压患者心理状态及服药依从性的影响
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摘要
目的探讨综合性护理干预对原发性高血压患者心理状态及服药依从性的影响。方法选取2016年1月～2018年1月本院收治的原发性高血压患者100例为研究对象,随机分为干预组和对照组,每组各50例,对照组患者行常规护理,干预组实施综合性护理,对比两组患者治疗前后的SAS、SDS评分及服药依从性。结果两组患者干预后服药依从性佳的比率分别为80.0%、46.0%,组间比较,差异存在显著性(P<0.05)。对照组患者干预后的SAS评分为(41.5±8.8)分,干预组患者干预后的SAS评分为(32.4±6.3)分,对照组患者干预后的SDS评分为(42.6±9.1)分,干预组患者干预后的SAS评分为(31.5±7.8)分,两组原发性高血压患者干预后的SAS评分及SDS评分组间比较,差异存在显著性(P<0.05)。结论对原发性高血压患者在积极治疗的同时配合综合护理干预,尤其是心理干预,有利于缓解和减轻患者的消极心理状态,提高服药依从性,从而提高临床疗效及改善患者的生活质量。
Objective To investigate the effect of comprehensive nursing intervention on psychological state and medication compliance in patients with essential hypertension. Methods A total of 100 patients with essential hypertension admitted in our hospital from January 2016 to January 2018 were enrolled in the study. They were randomly divided into the intervention group and the control group, with 50 patients in each group. The control group received routine care.The intervention group underwent comprehensive nursing. The SAS, SDS scores and medication adherence before and after treatment were compared between two groups. Results The rates of good medication compliance after intervention were 80.0% and 46.0%, respectively. There was significant difference between the two groups(P<0.05). The SAS scores in the control group and the intervention group were(41.5±8.8) and(32.4±6.3) points after intervention. The SDS scores in the control group and the intervention group after intervention were(42.6±9.1) and(31.5±7.8) points. There were significant differences in SAS score and SDS score between the two groups in the patients with essential hypertension after the intervention(P<0.05). Conclusion The active treatment combined with comprehensive nursing intervention especially psychological intervention in patients with essential hypertension is beneficial to alleviate and alleviate the patients' negative psychological state, improve medication compliance, thereby improving clinical efficacy and improving patients' quality of life.
Objective To investigate the effect of comprehensive nursing intervention on psychological state and medication compliance in patients with essential hypertension. Methods A total of 100 patients with essential hypertension admitted in our hospital from January 2016 to January 2018 were enrolled in the study. They were randomly divided into the intervention group and the control group, with 50 patients in each group. The control group received routine care.The intervention group underwent comprehensive nursing. The SAS, SDS scores and medication adherence before and after treatment were compared between two groups. Results The rates of good medication compliance after intervention were 80.0% and 46.0%, respectively. There was significant difference between the two groups(P<0.05). The SAS scores in the control group and the intervention group were(41.5±8.8) and(32.4±6.3) points after intervention. The SDS scores in the control group and the intervention group after intervention were(42.6±9.1) and(31.5±7.8) points. There were significant differences in SAS score and SDS score between the two groups in the patients with essential hypertension after the intervention(P<0.05). Conclusion The active treatment combined with comprehensive nursing intervention especially psychological intervention in patients with essential hypertension is beneficial to alleviate and alleviate the patients' negative psychological state, improve medication compliance, thereby improving clinical efficacy and improving patients' quality of life.
引文
[1]洪琼君,黄雪琴,陈奕娜.系统性护理干预对老年高血压病患者居家服药依从性的影响[J].护理实践与研究,2016,13(16):42-43.
[2]卫琴.心理护理在原发性高血压患者护理中的应用[J]河北医药,2013,35(4):627-628.
[3]生金丽,杨文东.心理护理干预对原发性高血压患者治疗依从性及效果的影响[J].河北医药,2010,32(11):1493-1494.
[4]袁义秋,杨文东.综合护理干预和药物联合治疗原发性高血压患者临床疗效及医嘱依从性观察[J].实用心脑肺血管病杂志,2012,20(1):166-167.
[5]李剑,李建华,廖小丽,等.护理干预对原发性高血压患者的干预效果分析[J].中国医药科学,2011,1(14):22-23.
[6]张红梅.护理干预对老年原发性高血压患者生活质量的影响[J].齐鲁护理杂志,2011,17(16):26-27.
[7]周剑君,陈松芳.心理护理对原发性高血压患者心理健康状况、降压疗效及生存质量的影响[J].中国现代医生,2014,52(12):96-97.
[8]武文娟,孙晓明.个体化人性护理对老年高血压病人并发症的影响[J].护理实践与研究,2011,8(21):125-126.
[9]齐国娥,杨老虎,于瑞彦.心理护理在社区老年高血压患者护理中的作用[J].临床研究,2016,24(11):234-235.
[10]曹正香,周国秀,吴翠珍,等.心理护理干预对社区老年高血压患者心理健康的影响[J].当代护士(学术版),2011,(8):161-162.
[11]贺舰灵,林煜华.心理干预在老年高血压患者护理中的作用[J].齐齐哈尔医学院学报,2013,34(2):299-300.
[12]于涛.护理干预对高血压患者心理状态和生活质量的影响[J].中国循环杂志,2011,26:359-360.
[13]李二妮.综合护理对老年高血压患者疗效的影响[J]现代中西医结合杂志,2012,21(23):2594-2595.
[14]刘珊燕.综合护理对高血压脑出血患者的效果观察[J]中西医结合心血管病杂志,2016,13(4):98-100.
[15]赵鸣月,李昭.护理干预对高血压患者脑出血疗效影响研究[J].辽宁中医药大学学报,2017,19(4):205-206.
[16]严明芹,滕兆林.心理护理对老年原发性高血压患者生活质量和心理状态的改善[J].实用临床医药杂志,2016,20(20):20-22.
[17]任海静,刘同分.老年高血压患者用药依从性及护理干预研究进展[J].中国老年学杂志,2015,35(12):3476-3478.
[18]黄春选,常永智,谢艳华.社区护理干预对原发性高血压病患者遵医依从性及血压的影响[J].中国医学创新,2016,14(10):68-71.
[2]卫琴.心理护理在原发性高血压患者护理中的应用[J]河北医药,2013,35(4):627-628.
[3]生金丽,杨文东.心理护理干预对原发性高血压患者治疗依从性及效果的影响[J].河北医药,2010,32(11):1493-1494.
[4]袁义秋,杨文东.综合护理干预和药物联合治疗原发性高血压患者临床疗效及医嘱依从性观察[J].实用心脑肺血管病杂志,2012,20(1):166-167.
[5]李剑,李建华,廖小丽,等.护理干预对原发性高血压患者的干预效果分析[J].中国医药科学,2011,1(14):22-23.
[6]张红梅.护理干预对老年原发性高血压患者生活质量的影响[J].齐鲁护理杂志,2011,17(16):26-27.
[7]周剑君,陈松芳.心理护理对原发性高血压患者心理健康状况、降压疗效及生存质量的影响[J].中国现代医生,2014,52(12):96-97.
[8]武文娟,孙晓明.个体化人性护理对老年高血压病人并发症的影响[J].护理实践与研究,2011,8(21):125-126.
[9]齐国娥,杨老虎,于瑞彦.心理护理在社区老年高血压患者护理中的作用[J].临床研究,2016,24(11):234-235.
[10]曹正香,周国秀,吴翠珍,等.心理护理干预对社区老年高血压患者心理健康的影响[J].当代护士(学术版),2011,(8):161-162.
[11]贺舰灵,林煜华.心理干预在老年高血压患者护理中的作用[J].齐齐哈尔医学院学报,2013,34(2):299-300.
[12]于涛.护理干预对高血压患者心理状态和生活质量的影响[J].中国循环杂志,2011,26:359-360.
[13]李二妮.综合护理对老年高血压患者疗效的影响[J]现代中西医结合杂志,2012,21(23):2594-2595.
[14]刘珊燕.综合护理对高血压脑出血患者的效果观察[J]中西医结合心血管病杂志,2016,13(4):98-100.
[15]赵鸣月,李昭.护理干预对高血压患者脑出血疗效影响研究[J].辽宁中医药大学学报,2017,19(4):205-206.
[16]严明芹,滕兆林.心理护理对老年原发性高血压患者生活质量和心理状态的改善[J].实用临床医药杂志,2016,20(20):20-22.
[17]任海静,刘同分.老年高血压患者用药依从性及护理干预研究进展[J].中国老年学杂志,2015,35(12):3476-3478.
[18]黄春选,常永智,谢艳华.社区护理干预对原发性高血压病患者遵医依从性及血压的影响[J].中国医学创新,2016,14(10):68-71.