心理干预在高血压性心脏病护理中的应用及效果分析

Application and Effect Analysis of Psychological Intervention in Nursing of Hypertensive Heart Disease

目的探讨在高血压性心脏病患者临床护理中应用心理干预的效果。方法方便选取90例高血压性心脏病患者,均为2018年1月—2019年1月期间该院收治,按照不同护理方式进行分组,比较对照组(常规护理干预,n=45)和观察组(心理干预,n=45)患者的临床护理干预效果。结果观察组患者的护理满意度97.78%明显优于对照组82.22%,差异有统计学意义(χ^2=6.049,P=0.014);干预前,观察组、对照组患者的舒张压为(97.78±7.97)mmHg、(96.38±8.34)mmHg,差异无统计学意义(t=0.814,P=0.418);观察组、对照组患者的收缩压分别为(158.47±12.48)mmHg、(158.71±12.45)mmHg,差异无统计学意义(t=0.091,P=0.927);观察组、对照组患者的SDS评分为(54.83±6.98)分、(54.58±5.94)分,差异无统计学意义(t=0.183,P=0.855);观察组、对照组患者的SAS评分分别为(54.97±6.89)分、(54.28±6.27)分,差异无统计学意义(t=0.497,P=0.621);干预后,观察组患者的舒张压(91.07±6.85)mmHg、收缩压(145.57±10.82)mmHg明显优于对照组(81.35±5.25)mmHg、(136.54±10.21)mmHg,差异有统计学意义(t=7.556,4.072,P=0.000,0.000);观察组患者的SDS评分(50.55±6.27)分、SAS评分(50.29±7.52)分明显高于对照组SDS评分(46.08±3.51)分、SAS评分(44.45±5.13)分,差异有统计学意义(t=4.173,4.289,P=0.000、0.000);观察组患者的各项生活质量指标评分情况均明显优于对照组,差异有统计学意义(P<0.000)。结论实施心理干预可有效改善高血压性心脏病患者的血压水平,减轻患者的抑郁、焦虑等负性心理情绪,增强其生活质量,提升患者护理满意度。

Objective To investigate the effect of psychological intervention in clinical nursing of patients with hypertensive heart disease. Methods Ninety patients with hypertensive heart disease were convenient enrolled in our hospital from January 2018 to January 2019. Grouped according to different nursing methods, comparing the control group (conventional nursing intervention, n=45) and observation group ( psychological intervention, n=45) with the clinical nursing intervention effect of the patient. Results The nursing satisfaction of the observation group was 97.78%, which was significantly better than that of the control group (82.22%), the difference was statistically significant(χ^2=6.049, P=0.014). Before the intervention, the diastolic blood pressure of the observation group and the control group was (97.78±7.97)mmHg,(96.38±8.34)mmHg, no significant difference (t=0.814, P=0.418);the systolic blood pressure of the observation group and the control group were (158.47±12.48) mmHg,(158.71±12.45) mmHg, the difference was not statistically significant(t=0.091, P=0.927);the SDS scores of the observation group and the control group were (54.83±6.98)points and (54.58±5.94)points, no significant difference (t=0.183, P=0.855);The SAS scores of the control group and the observation group were (54.97±6.89)points and (54.28±6.27)points, respectively, and there was not significant difference (t=0.497, P=0.621). After the intervention, the diastolic blood pressure of the observation group (91.07±6.85) mmHg, systolic blood pressure (145.57±10.82) mmHg was significantly better than the control group (81.35±5.25) mmHg,(136.54±10.21) mmHg, the difference wasstatistically significant(t=7.556, 4.072, P=0.000,0.000). The SDS score (50.55±6.27)points and the SAS score (50.27±7.52)points were significantly higher in the observation group than in the control group. those of SDS score (46.08±3.51)points and SAS score (44.45±5.13)points, the difference was not statistically significant(t=4.173, t=4.289, P=0.000,0.000);the scores of life quality indicators of the observation group were significantly better than the control group, with significant difference (P<0.000). Conclusion Psychological intervention can effectively improve the blood pressure level of patients with hypertensive heart disease, reduce the negative psychological emotions such as depression and anxiety, enhance their quality of life and improve the satisfaction of patients.