个体化心理护理联合中医辨证施护对高血压患者疗效及负性情绪的影响

Effects of individualized psychological nursing combined with traditional Chinese medicine syndrome differentiation and nursing intervention on the efficacy and negative emotions of patients with hypertension

目的探讨个体化心理护理联合中医辨证施护干预对高血压患者疗效及负性情绪的影响.方法将90例高血压患者按随机数字表法分为观察组与对照组,各45例.两组均给予常规护理,观察组在此基础上给予个体化心理护理联合中医辨证施护干预,观察4周,随访1 a.干预前后比较两组患者血压水平,采用焦虑自评量表及抑郁自评量表评定两组负性情绪,采用健康状况调查简表评定两组生活质量.干预后比较两组疾病知识掌握度及治疗依从性,随访1 a比较两组并发症发生率.结果干预后两组收缩压及舒张压水平均显著低于干预前(P<0.05或0.01),观察组较对照组下降更显著(P<0.05).干预后两组焦虑自评量表及抑郁自评量表评分均较干预前显著下降(P<0.01),观察组较对照组下降更显著(P<0.01).干预后两组健康状况调查简表各项评分均较干预前显著升高(P<0.01),观察组较对照组升高更显著(P<0.01).干预后观察组疾病知识掌握率及治疗依从率均显著高于对照组(P<0.01).随访1 a观察组并发症发生率显著低于对照组(P<0.01).结论个体化心理护理联合中医辨证施护可以有效改善高血压患者的负性情绪,稳定血压,提高生活质量.

Objective To explore the effect of individuplized psychological nursing combined with TCM syndrome differentiation and nursing intervention on the efficacy and negative emotions of patients with hypertension.Methods 90 patients with hypertension were divided into observation group and control group according to random number table method,45 cases each.Both groups were given routine care.On the basis of this,the observation group was given individualized psychological care combined with tradi-tional Chinese medicine syndrome differentiation intervention for 4 weeks of observation,followed up for 1 a.Before and after the intervention.the blood pressure levels of the two groups were compared.SAS and SDS were used to assess the negative emotions of the two groups,and SF-36 was used to assess the quality of life of the two groups.After intervention,compare the two groups of disease knowledge and treatment compliance.After 1 a followed up,compared the incidence of complications between the two groups.Results After intervention,the systolic and diastolic blood pressure levels of the two groups were significantly lower than before the intervention(P<0.05 or 0.01),and the observation group decreased more significantly than the control group(P<0.05).After intervention,the SAS and SDS scores of the two groups were significantly lower than before intervention(P<0.01).The observation group decreased more significantly than the control group(P<0.01).After intervention,the SF-36 scores of the two groups were significantly higher than before intervention(P<0.01),the observation group increased more significantly than the control group(P<0.01).After inter-vention,the disease knowledge and treatment compliance rate in the observation group were significantly higher than those in the control group(P<0.01).After 1 a follow-up,the incidence of complications in the observation group was significantly lower than that in the control group(P<0.01).Conclusions Per-sonalized psychological care combined with TCM syndrome differentiation and and nursing intervention can effectively improve the negative emotions of hypertension patients,stabilize blood pressure,and improve the quality of life.