心理护理对原发性高血压患者药物治疗疗效的影响

The Characteristic Psychology of Primary Hypertension Patients and Effects of Psychological Nursing in Treatment

目的:探讨原发性高血压患者入院时的心理特点及心理护理对降压效果的影响。方法:入选2006年4月～2007年8月入住石景山医院心内科的85例原发性高血压患者,按SCL-90量表调查,将有心理障碍的患者随机分为A、B组;无心理障碍的患者分为C、D组;A组C组患者予降压药物,B组和D组患者予降压药物的同时给予心理护理,观察4周时患者血压控制水平。结果:入选患者存在心理障碍者共51例(占60%),其中前三位依次为焦虑(32.94%)、抑郁(28.24%)、躯体化(15.29%)。B组血压控制优于A组(P<0.01);D组血压控制优于C组(P<0.01),血压下降幅度B+D组明显超过A+C组(P<0.01)。结论:加强心理护理有助于增强原发性高血压患者药物治疗基础上的降压效果。

Objective： To investigate the characteristic psychology of primary hypertension hospitalized patients and the role of combined with psychological nursing in treatment. Methods： Primary hypertension hospitalized patients were divided into 4 groups by SCL-90 measuring scale from Apr. 2006 to Aug. 2007, A and B group having psychological disorders, C and D group NOT ; A and C group receiving standard medicine treatment, B and D group receiving psychological treatment besides standard medicine treatment. Blood pressure（BP） level were followed up at 4 - week. Results： 51 cases were. found having psychological disorders, like worriment , depression, somatization. B group is better than A group in BP control, （ P 〈 0. 02 ） ; D group is better than C group（ P 〈 0. 01 ） ; BP decrease amplitude were higher in B ＋ D group patients than A ＋ C group. Conclusion： Psychological nursing might promote effects of standard medicine treatment on primary hypertension patients.