健康教育联合生活指导对高血压患者生活质量及心理状况的影响

Effect of health education combined with life guidance on quality of life and psychological status of patients with hypertension

目的:探讨健康教育联合生活指导对高血压患者生活质量及心理状况影响。方法:将住院治疗的180名高血压患者随机分成观察组和对照组,每组90例。对照组仅给予常规护理,观察组在此基础上实施健康教育联合生活指导。采用临床检查及问卷调查的方法评价两组生活质量及心理状况改变的情况。结果:干预后,观察组患者的生理领域、心理领域、社会关系领域、环境领域生活质量得分高于对照组(t_(生理领域)=6.135,P=0.00;t_(心理领域)=5.163,P=0.00;t_(社会关系领域)=6.912,P=0.00;t_(环境领域)=2.964,P=0.00),收缩压、舒张压和平均动脉压均低于对照组(t_(收缩压)=35.46,P=0.00;t_(舒张压)=22.55,P=0.00;t_(平均动脉压)=38.19,P=0.00)。观察组患者抑郁、焦虑症状明显改善,焦虑自评量表(Self-rating anxiety scale,SAS)、抑郁自评量表(Self-rating depression scale,SDS)测评分数低于对照组(t_(SAS)=35.10,P=0.00;t_(SDS)=21.7,P=0.00)。结论:健康教育联合生活指导可以改善高血压患者生活质量及心理状况。

Objective： To explore the effect of health education combined with life guidance on quality of life and psychological status of patients with hypertension. Methods： 180 cases of inpatients with hypertension were randomly divided into observation group and control group,90 cases in each group. The control group was treated with routine nursing,while the observation group was given health education combined with life guidance on the basis of the control group. The changes of quality of life and psychological status of patients before and after the treatment were evaluated by clinical examination and questionnaire survey. Results： After the intervention,the life quality scores in the physiological field,psychological field,social relation field and environmental area in the observation group were significantly higher than those in the control group（ t physiological field = 6. 135,P = 0. 00; t psychological field = 5. 163,P = 0. 00; t social relation field = 6. 912,P = 0. 00; t environmental field = 2. 964,P = 0. 00）. The systolic pressure,diastolic pressure and mean arterial pressure were lower than those in the control group（ t systolic pressure = 35. 46,P = 0. 00; t diastolic pressure22. 55,P = 0. 00; t mean arterial pressure = 38. 19,P = 0. 00）. Depression and anxiety symptoms in the observation group significantly improved and the scores of SAS and SDS were significantly lower than those in the control group（ t SAS = 35. 10,P = 0. 00; t SDS = 21. 7,P = 0.00）. Conclusion： Health education combined with life guidance can significantly improve the quality of life and psychological status of patients with hypertension.