住院精神病伴高血压患者的护理干预

The research on nursing-intervention for psychopaths with hypertension symptom

目的探讨护理干预对住院精神病伴高血压患者心理、行为、药物治疗依从性、高血压控制及高血压引起合并症的影响。方法将124例住院精神病伴高血压患者随机分为研究组和对照组各62例,研究组在常规药物治疗和常规护理基础上实行护理干预,分别在入院时和入院3月后进行比较,两组患者对疾病知识认知程度、药物治疗依从性、高血压的控制及高血压引起合并症的情况比较。结果研究组患者对疾病知识认知率、药物治疗依从性、高血压控制及高血压引起合并症与对照组比较差异有统计学意义(P<0.01),服药依从性研究组的改善优于对照组。结论护理干预能有效改善精神病伴高血压患者的负性情绪,提高药物治疗依从性,使高血压得到有效控制,避免或延缓了高血压引起的合并症,减少功能残疾。

Objective To explore the effect of nursing-intervention on mentality, behavior, compliance on drug treatment, control of hypertension and its complication for psychopaths with hypertension symptom. Methods 124 psychopaths with hypertension symptom were randomly divided into investigation group （n= 62） and control group （n= 62）. Nursing-intervention was performed on investigation group on basis of drug therapy and usual care. On admission and 3 months after admission, patients＇ cognitive scale of illness, compliance on drug treatment, control of hypertension and its complication were compared. Results The differences of above indices （patients＇ cognitive scale of illness, compliance on drug treatment, control of hypertension and its complication） were significant （P 〈0.01） between investigation group and control group. The amelioration of compliance on drug treatment in investigation group surpassed that of control group. Conclusion Nursing intervention can effectively improve the negative mood of psychopaths with hypertension, heighten the compliance on drug therapy and effectively control the hypertension symptom, and avoid and delay the complications caused by hypertension, consequently reduce the functional disability.