探讨心理护理的干预对100例高血压病人的影响

论文编号:HL171  论文字数:8146.页数:23

论文题目：探讨心理护理干预对原发性高血压病人的影响
摘　要
 研究背景
 高血压是常见的心血管疾病，常引起心、脑、肾等器官的并发症，严重危害人类的健康。传统的单纯药物治疗虽然能在短期内迅速降压，但其综合有效率难以达到令人满意的效果，因此心理护理的作用逐渐受到重视。为了探讨心理护理对高血压患者疗效的影响，我院对收治的80例患者在常规药物治疗的基础上，展开针对性的心理护理干预和健康指导，收到了良好的效果，因此高血压患者在药物治疗的同时可以通过心理干预，运用丰富的情感交流技能和准确亲切的语言表述建立护患、医患之间的信赖关系，指导病人加强自我修养保持乐观情趣，消除焦虑恐惧心理，让其学会对自己有益的保健方法，促进患者早日康复。
研究目的
 探讨心理干预对原发性高血压患者治疗效果及影响。
研究方法
 对2010年1月至2010年8月在弋矶山医院心内科住院的80例原发性高血压病患者随机分成两组；实验组（33例）常规给予降压药尼群地平等药物治疗的同时给予心理护理，对照组（47例）常规给予降压药。采用两种评价指标对护理心理干预结果进行评价：(1)日常生活活动(ADL)能力：用Barthe指数评定患者的ADL能力。(2)患者的心理健康状况：采用SDS抑郁自评表评定患者的心理健康情况。患者ADL能力和SDS抑郁自评表的评测均在治疗2周后及4周后分别进行评定。
 
研究结果
 两组患者治疗前日常生活活动(ADL)能力p=0.856>0.05,治疗2周后p=0.017<0.05和4周后p=0.009<0.05，实验组Barthel指数评分优于对照组。两组患者的心理健康状况治疗前p=0.952>0.05，治疗2周后p=0.027<0.05和4周后p=0.019<0.05，实验组评分优于对照组。80例高血压患者中1例患者住院期间对照组没有进行心理护理干预，因情绪激动而导致高血压脑出血， 1例是患者住院期间对照组没有给予饮食指导，应高盐高脂肪饮食导致高血压性心脏病，经积极治疗后十五天出院，实验组没有此类并发症。
结论
 心理干预可明显减轻高血压患者的焦虑程度，改善患者肢体运动能力，提高患者日常生活活动能力。
关键词：高血压；高血压病；心理干预；

论文类型：研究报告
 
 
Title: to explore the psychological nursing intervention in patients with primary hypertension
ABSTRACT
 Background
 Hypertension is a common cause of cardiovascular disease, heart, brain, kidney and other organs of complications, serious harm human health. The traditional simple drugs can quickly in a short period of time, but the comprehensive efficiency to achieve satisfactory effect, thus gradually psychological nursing role. In order to explore the psychological nursing of patients with hypertension, the influence of the hospital to 80 patients admitted on the basis of routine therapy and nursing intervention of psychological health education, and received good effect, thus hypertension in medication, psychological intervention by the rich emotional communication skills and accurately describe the kind, establish the doctor-patient relationship between trust and instruct client to strengthen self-discipline optimistic, anxiety, let the fear of your health association, promote the patient recover soon.
 
Purpose research
 To explore the psychological intervention in patients with essential hypertension (eh) therapeutic effect and influence.
 
Methods
 On January 2010 2010 August in various rocky mountain hospital I hospital 80 patients were randomly divided into two groups of hypertension, Group (33) routinely offer, and equality of antihypertensive medication to control (psychological nursing, 47 cases were given blood routine). By using two kinds of indexes for evaluating the nursing, psychological intervention (1) daily activities (with Barthe -adl) ability: the ability to assess patients index of -adl. (2) of the mental health status of patients with depression self-assessment: SDS with mental health assessment table. Patients with SDS -adl capacity assessment of self-evaluation of depression in the treatment table 2 weeks after four weeks after and evaluated.

Research results
 Two groups of patients before treatment daily activities (p = 0.856 -adl) ability > 0.05, treatment after 2 weeks (p = 0.017 < 0.05 and 4 weeks after p = 0.009 Barthel index (0.05, scoring better than control group. Two groups of patients with mental health treatment (p = > 0.05 0.952 before 2 weeks after treatment, p = 0.027 < 0.05 and 4 weeks after p = 0.019 < 0.05, scoring better than control. 80 hypertension patients hospitalized in group 1 patients without psychological nursing intervention, with emotion and cause hypertension, 1 case was hospitalized patients without giving guidance group, high salt diet high in fat diet caused by hypertension, heart disease, after the treatment group was fifteen days without such complications.
 
Conclusion
 Psychological intervention can obviously reduce the level of anxiety in the patients with hypertension, improve patients' physical movement, improve their ability to daily life activities.
 
Keywords: hypertension, Hypertension; Psychological intervention;

Type: research papers

目  录
1 前 言 1
1.1研究背景及意义 1
1.2研究目的及目标 1
1.3 关键词及定义 2
1.4 文献回顾 2
 1.4.1原发性高血压概述              2
 1.4.2原发性高血压的心理干预            2
2 研究设计 3
2.1研究设计 3
2.2研究对象 3
2.3研究步骤 3
2.4研究工具 4
2.5资料分析 6
3 研究结果 7
 3.1一般资料                 7
3.2两组患者日常生活活动 (ADL)能力评价结果 7
3.3两组患者自我护理的能力评价结果 7
4   讨论 8
 4.1高血压并发症原因分析 8
 4.2心理护理的干预对高血压患者的影响 8
5  推论及建议 9
5.1研究结论 10
5.2不足和建议 10
致    谢 11
参考文献 12
附    录 13

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