Williams生活技能训练联合心理投射法对原发性高血压患者心境状态及健康行为的影响

The effect of Williams life skill training combined with mental projection method on mood state and healthy behavior of patients with essential hypertension

目的 探讨Williams生活技能训练联合心理投射法对原发性高血压患者心境状态及健康行为的影响.方法 将100例原发性高血压患者按入院顺序分为两组,各50例.对照组予以常规干预,观察组在对照组基础上予以Williams生活技能训练联合心理投射法干预,观察12周.于干预前后采用简明心境状态量表、医学应对方式问卷、健康促进生活方式量表Ⅱ、Morisky服药依从性问卷评定心境状态、医学应对方式、健康行为及服药依从性,并测量舒张压及收缩压,干预后采用纽卡斯尔护理满意度量表判定护理满意度.结果 (1)干预后观察组服药依从性显著优于对照组(P<0.05).(2)干预后观察组简明心境状态量表的抑郁-沮丧、愤怒-敌意、紧张-焦虑维度分显著低于对照组(P<0.01),活力-好动维度分显著高于对照组(P<0.01).(3)干预后观察组医学应对方式问卷的面对维度分显著高于对照组(P<0.01),屈服、回避维度分显著低于对照组(P<0.01).(4)干预后观察组健康促进生活方式量表Ⅱ的应对压力、健康责任、人际关系、运动维度分显著高于对照组(P<0.01).(5)干预后观察组舒张压、收缩压显著低于对照组(P<0.01).(6)观察组护理满意度显著高于对照组(P<0.05).结论 Williams生活技能训练联合心理投射法能显著改善原发性高血压患者的心境状态,促使患者正确应对多种压力,积极采纳健康行为,提高服药依从性及护理满意度,有效控制血压.

Objective To explore the effect of Williams life skill training combined with mental projection method on mood state and healthy behavior of patients with essential hypertension.Methods 100 patients with EH were divided into two groups according to the order of admission,with 50 cases in each group.he control group was given routine intervention.On this basis,the observation group was given WLST+psychological projection method for 12 weeks of con tinuous intervention.Before and after the intervention,POMS,MCMQ,HPLP-Il,Morisky Medication Compliance Questionnaire were used to assess mood state.medical coping styles,health behaviors and medication compliance.Diastolic blood pressure and systolic blood pressure were measured,and nursing satisfaction was determined by NSNS after interven-tion.Results(1)Compliance with medication:The compliance of the observation group was better than that of the control group(P<0.05)。(2)State of mind:The depression-frustration,anger-hostility,and stress-anxiety scores of POMS of the observation group were lower than the control group(P<0.01),vi-ability-goodness score was higher than the control group(P<0.01).(3)Coping style:After interven-tion,the MCMQ face dimension score of the observation group was significantly higher than that of the control group(P<0.01),and the yield and avoidance dimension scores were significantly lower than that of the control group(P<0.01).(4)Healthy behavior:After intervention,the observation group responded to stress,health responsibility,interpersonal relationship,and exercise scores were higher than the control group(P<0.01).(5)After intervention,the diastolic blood pressure and systolie blood pressure of the observation group were lower than the control group(P<0.01).(6)Nursing satisfaction:The nursing satisfaction of the observation group was higher than that of the control group(P<0.05).Con-clusions WLST combined with psychological projection method is applicable to patients with EH,which can improve mood state,prompt patients to correctly deal with a variety of stresses,actively adopt healthy behaviors,improve medication compliance and nursing satisfaction,and control blood pressure.