新冠肺炎疫情下心理干预对高血压患者的血压、心理及生活质量的影响

Effect of psychological intervention during the COVID-19 epidemic on blood pressure,psychology,and quality of life in hypertensive patients

目的分析新冠肺炎疫情下心理干预对高血压患者的血压、心理及生活质量的影响。方法选取2020年4~10月在宝安区石岩人民医院应人石社康中心就诊的200例高血压患者为研究对象,按随机数表法分为对照组和观察组,各100例。对照组给予常规随访干预,观察组在对照组的基础上采用积极的心理干预。干预3个月后,比较两组患者干预前后的血压水平、焦虑自评量表(SAS)、抑郁自评量表(SDS),采用简明健康状况调查问卷(SF-36)评估患者的生活质量,并比较两组患者的护理满意度。结果干预前,两组患者的血压、SAS评分、SDS评分和SF-36量表中的各项生活质量评分比较差异均无统计学意义(P>0.05);干预后,观察组患者的收缩压、舒张压、SAS评分、SDS评分分别为(128.91±8.84)mmHg、(83.72±7.01)mmHg、(22.74±3.28)分、(23.44±3.59)分,均明显低于对照组的(143.31±9.83)mmHg、(90.71±8.51)mmHg、(46.58±3.42)分、(47.43±3.30)分,差异均有统计学意义(P<0.05);干预后,观察组患者SF-36量表中的社会功能评分、情感职能评分、生理机能评分、一般状态评分、精神健康评分、躯体疼痛评分、生理职能评分明显高于对照组,差异均有统计学意义(P<0.05);观察组患者的护理满意度为93.0%,明显高于对照组的84.0%,差异有统计学意义(P<0.05)。结论新冠肺炎疫情下实施有效的心理干预可明显降低高血压患者的血压水平,改善其心理状态,提高生活质量水平。

Objective To analyze the effect of psychological intervention during the Corona Virus Disease 2019(COVID-19)on blood pressure,psychology,and quality of life in patients with hypertension.Methods Two hundred patients with hypertension in Yingrenshi Community Health Center of Shiyan People's Hospital from April 2020 to October 2020 were divided into a control group and an observation group by random number table,with 100 patients in each group.Patients in the control group were given routine follow-up intervention,and patients in the observation group were given positive psychological intervention on the basis of the control group.After 3 months of intervention,the blood pressure level,Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)scores were compared between the two groups before and after the intervention.The quality of life of the patients was assessed by short form health questionnaire(SF-36),and the nursing satisfaction of the two groups was analyzed.Results Before intervention,there was no significant difference in blood pressure level,SAS score,SDS scores,and quality of life scores(SF-36)between the two groups(P>0.05);after the intervention,the systolic blood pressure,diastolic blood pressure,SAS score,and SDS score of the observation group were(128.91±8.84)mmHg,(83.72±7.01)mmHg,(22.74±3.28)points,and(23.44±3.59)points,which were significantly lower than(143.31±9.83)mmHg,(90.71±8.51)mmHg,(46.58±3.42)points,and(47.43±3.30)points in the control group;the social function score,emotional function score,physiological function score,general state score,mental health score,physical pain score,and physiological function score were(88.16±8.54)points,(82.56±9.68)points,(85.76±22.09)points,(54.62±8.71)points,(64.79±9.36)points,(56.35±10.28)points,and(84.02±12.92)points,which were significantly higher than(81.37±7.32)points,(72.64±9.62)points,(74.31±18.32)points,(43.16±8.02)points,(59.34±9.57)points,(49.62±9.68)points,(76.31±11.04)points of the control group(P<0.05).The total nursing satisfaction of the observation group was 93.0%,which was significantly higher than 84.0%of the control group(P<0.05).Conclusion During the COVID-19 epidemic,effective psychological intervention can significantly reduce blood pressure,improve mental state and improve quality of life in patients with hypertension.