探究综合性心理护理干预对原发性高血压患者的影响

目的:探究综合性心理护理干预对原发性高血压患者治疗效果及对其抑郁焦虑的影响。方法:将患者随机分为研究组和对照组,两组均给予药物治疗,研究组给予常规护理和综合性心理护理,对照组只给予常规护理,干预前采用抑郁自评量表(SDS)和焦虑自评量表(SAS)评估两组患者的抑郁焦虑情绪,测量其治疗前后及期间的血压,治疗后再次评估患者的抑郁焦虑情绪。结果:研究组患者经治疗后其抑郁情绪(44.74±10.17 vs.54.94±10.84,t=9.078,P=0.000)及焦虑情绪(45.82±9.18 vs.52.97±10.77,t=6.684,P=0.000)较对照组明显改善,收缩压(130.17±15.72 vs.141.03±14.94,t=6.625,P=0.000)及舒张压(78.53±8.45 vs.89.42±9.76,t=11.159,P=0.000)较对照组明显降低。结论:综合性心理护理能改善患者的抑郁焦虑情绪,使降压效果更好。

Objective:To explore the efficacy of comprehensive psychological nursing intervention and the impact of depression and anxiety in patients with primary hypertension.Methods:The patients were randomly divided into study group and the control group, which were given medication.The study group received routine nursing care and comprehensive psychological care,the control group only received routine nursing care.Before intervention,the two groups were assessed depression and anxiety by self-rating depression scale(SDS)and self-rating anxiety scale(SAS), and measured their blood pressure.After intervention,the patients' anxiety,depression and blood pressure were assessed or measured again.Results: After intervention,the study group had lower score of SDS(44.74±10.17 vs.54.94±10.84,t=9.078,P=0.000)and SAS(45.82±9.18 vs.52.97±10.77,t=6.684,P=0.000) than the control group.The study groups had lower systolic blood pressure(130.17±15.72 vs.141.03 ±14.94,t=6.625, P=0.000)and lower diastolic blood pressure(78.53±8.45 vs.89.42 ±9.76,t=11.159,P=0.000).Conclusion:The comprehensive psychological nursing care can improve patients' depression and anxiety mood,and had better therapeutic effect.