采取行为干预和心理护理对临床老年骨质疏松症合并高血压患者的临床疗效观察

Clinical Observation on the Effect of Behavioral Intervention and Psychological Nursing on Senile Patients with Osteoporosis Complicated with Hypertension

目的：研究采取行为干预和心理护理对临床老年骨质疏松症合并高血压患者的临床疗效观察.方法：收集某院2012年6月~2013年5月60例老年骨质疏松合并症高血压患者,采用随机数字表法将60例老年骨质疏松合并症高血压患者分为观察组（30例）和对照组（30例）,对全部患者均进行常规治疗,每天服用600mg钙尔奇D片.对照组实施一般护理措施,观察组在进行一般护理的基础上添加行为干预和心理护理,观察对比两组患者治疗后的临床疗效、骨密度、焦虑自评量评分及疼痛评分.结果：观察组比治疗组的临床疗效好,差异具有统计学意义（P 〈0.05）;观察组的骨密度比对照组明显提高,差异具有统计学意义（P 〈0.05）;观察组的焦虑自评量评分明显比对照组低,差异具有统计学意义（P 〈0.05）;观察组的疼痛评分明显比对照组低,差异具有统计学意义（P〈0.05）.结论：干预和心理层面护理方式能够明显减轻疼痛感,降低老年骨质疏松与高血压带给患者的不适感,增加骨质密度,并且提高患者的生活质量,减轻患者痛苦,值得在临床上进一步推广应用.

Objective:To investigate the clinical effect of behavioral intervention and psychological nursing on senile patients with osteoporosis complicated with hypertension.Methods:Collect 60 senile patients with with osteoporosis complicated with hypertension received in some hospital during the period from June 2012 to May 2013 and divide them into observation group(30 cases)and control group(30 cases)based on random number table.All the patients received routine treatment and administrated 600mg of Caltrate D tablet per day.The control group were treated with conventional nursing,while the observation group were added with behavioral intervention and psychological nursing base on general nursing.Observe and compare the nursing effect ,bone density,SAS and pain score in both group after nursing.Results:The effect in observation was better that in treatment group,the difference was statistically significant(P <0.05 ).The density of Bone in observation group had improved obviously compared with that in treatment group,the difference was statisti-cally significant(P <0.05);SAS of the observation group was lower than that of the control group,the differ-ence was statistically significant(P <0.05);the score of pain in observation was was lower than that of the control group,the difference was statistically significant(P < 0.05 ).Conclusion:Behavioral intervention and psychological nursing can effectively alleviate pain and discomfort of senile patients with osteoporosis compli-cated with hypertension,improve the density of bone and the quality of life,and relieve patients'suffering,it is worthy of further clinical promotion and application.