心理护理对老年原发性高血压患者心理状态的改善评价

Evaluation of Psychological Nursing on the Improvement of Mental State of Elderly Essential Hypertension Patients

目的探究心理护理对老年原发性高血压患者心理状态的改善效果,为临床实践提供理论依据。方法选择老年原发性高血压患者98例,病例选取时间是2017年8月-2019年8月,其中49例为参照组,另外49例为研究组,参照组采用常规护理,研究组采用心理护理,对比护理效果。结果对于护理前舒张压、收缩压,研究组与参照组比较,P>0.05,统计学意义不存在。对于护理后的舒张压、收缩压,相比于参照组研究组更优,统计学意义存在(P<0.05)。研究组患者护理前HAMA评分(13.39±1.24),HAMD评分(14.45±1.56);护理后HAMA评分为(6.69±1.19),HAMD评分为(7.09±1.23);参照组患者护理前HAMA评分(13.74±1.48),HAMD评分(14.98±1.23);护理后HAMA评分为(6.45±1.08),HAMD评分为(9.43±1.17)。研究组与参照组比较,P>0.05,统计学意义不存在。对于护理后HAMA评分、HAMD评分,研究组均明显更优,P<0.05,统计学意义存在。对于用药依从性,研究组明显更高,与参照组比较可见P<0.05,统计意义存在。结论老年原发性高血压患者应用心理护理,可有效提高用药依从性,并积极控制血压,同时还可消除焦躁、抑郁等不良情绪,护理效果显著,可在临床推广及使用。

Objective To explore the effect of psychological nursing on the mental state of elderly patients with essential hypertension,and to provide theoretical basis for clinical practice.Methods A total of 98 patients with senile essential hypertension were selected from August 2017 to August 2019.Among them,49 cases were in the control group and 49 cases were in the study group,contrast nursing effect.Results Compared with the Control Group,the diastolic and systolic blood pressure before nursing,P>0.05,there was no statistical signifi cance.Compared with the control group,the diastolic and systolic blood pressure after nursing care was better and statistically signifi cant(P<0.05).Hama score(13.39±1.24)and Hamd Score(14.45±1.56)before nursing,Hama score(6.69±1.19)and Hamd score(7.09±1.23)after nursing,Hama score(13.74±1.48)and Hamd Score(14.98±1.23)before nursing;Hama score was(6.45±1.08)and Hamd score was(9.43±1.17).Compared with the Control Group,P>0.05,there was no statistical signifi cance.Hama and Hamd scores after nursing were signifi cantly better in the Study Group(P<0.05).The compliance of the Study Group was signifi cantly higher than that of the Control Group,P<0.05,there was statistical signifi cance.Conclusion Psychological nursing can effectively improve the compliance of medication,control blood pressure,and eliminate anxiety and depression in elderly patients with essential hypertension.The nursing effect is signifi cant and can be used in clinic.