个性化积极心理干预对社区老年高血压患者心理健康及生活质量的影响

Effect of Individualized Positive Psychological Intervention on Mental Health and Quality of Life of Elderly Patients with Hypertension in Community

目的探讨个性化积极心理干预对社区老年高血压患者心理健康及生活质量的影响。方法选取我市区(2014年1月至2016年1月)确诊为高血压的患者70例为研究对象,分为观察组与对照组,每组35例,观察组给予个性化积极心理干预,对照组给予常规护理干预。对比两组患者干预前后积极心理健康水平、生活质量及应对方式。结果干预前两组患者社会幸福感、心里幸福感、情绪幸福感以及积极心理健康总分对比无显著差异,不具有统计学意义(P>0.05);干预后观察组患者社会幸福感、心里幸福感、情绪幸福感以及积极心理健康总分均明显高于对照组,差异具有统计学意义(P<0.05)。干预前两组患者生活信念、环境、社会关系、独立性、心理、生理以及生活质量总分对比无显著差异,不具有统计学意义(P>0.05);干预后观察组患者生活信念、环境、社会关系、独立性、心理、生理以及生活质量总分明显高于对照组,差异具有统计学意义(t=6.4766、10.8444、2.6575、1.9238、7.4812、18.2702、7.5139,P<0.05)。干预前两组患者消极应对、积极应对评分对比无显著差异,不具有统计学意义(P>0.05);干预后观察组患者消极应对评分明显低于对照组,积极应对评分明显高于对照组,差异具有统计学意义(P<0.05)。结论个性化积极心理干预可明显改善社区老年高血压患者心理健康状况和生活质量水平。

Objective To explore the effect of individualized positive psychological intervention on mental health and quality of life of elderlypatients with hypertension in community. Methods 70 cases of hypertension diagnosed in our city （January 2014 -2016 January） were divided intoobservation group and control group, 35 cases in each group. The observation group was given individualized positive psychological intervention,and the control group was given routine nursing intervention. The positive mental health level, quality of life and coping style were comparedbetween the two groups before and after intervention. Results The two groups before intervention and social well-being, psychological well-being,emotional well-being and positive mental health scores compared no significant difference was not statistically significant （P 〉0.05）; the observationgroup after the intervention in patients with social well-being, psychological well-being, emotional well-being and positive mental health scoreswere significantly higher than the control group, with statistically significant difference （P 〈0.05）. Two groups before intervention life beliefs,environment, social relations, independence, psychology, physiology and quality of life score compared no significant difference was not statisticallysignificant （P 〉0.05）; the intervention of patients in the observation group life beliefs, environment, social relations, independence, psychological andphysiological score and quality of life was significantly higher than control group. The difference was statistically significant （t =6.4766, 10.8444,2.6575, 1.9238, 7.4812, 18.2702, 7.5139, P 〈0.05）. Before the intervention, two groups of patients with negative and positive coping style scorecomparison no significant difference was not statistically significant （P 〉0.05）; the intervention of the patients in the observation group were negativecoping score was significantly lower than the control group, positive coping score was significantly higher than the control group, the difference wasstatistically significant （P 〈0.05）. Conclusion Individualized positive psychological intervention can significantly improve the mental health statusand quality of life of elderly patients with hypertension in community.