摘要
目的:研究住院高血压患者实施系统化健康教育联合心理干预对血压控制的影响。方法:选择某院2016年5月至2018年5月收治的住院高血压患者100例,随机分为观察组和对照组各50例。两组患者入组后分别实施相同药物治疗方案,其中对照组给予常规健康教育,观察组在此基础上进行系统化健康教育联合心理干预,均干预至患者正常出院。观察两组患者入院及出院当天24h动态血压(24h舒张压、24h收缩压),统计并比较两组干预前后简版心理健康连续体量表(MHC-SF)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、生活质量综合评定问卷(GQOLI-74)评分情况。结果:观察组干预后24h收缩压低于对照组(t=5.101,P<0.001);观察组干预后MHC-SF量表中PWB、EWB均高于对照组(t=2.437,3.011;P<0.05);观察组干预后SAS量表、SDS量表评分均低于对照组(t=4.206,2.830;P<0.01);观察组干预后GQOLI-74量表中躯体功能、心理功能、社会功能、物质生活评分均高于对照组(t=8.160,6.127,9.537,8.457;P<0.001)。结论:住院高血压患者实施系统化健康教育联合心理干预可通过改善患者心理健康征状,消除负面情绪,进而对稳定控制血压有积极影响,且能有效改善患者生活质量。
Objective:To study the effect of the systematic health education combined with psychological intervention on blood pressure control of the patients with hyertension.Methods:A total of 100 inpatients were selectedwith hypertension in our hospital randomly from May 2016 to May 2018,and were divided into the observation group(50 patients)and the control group(50 patients).The two groups of patients were treated with the same drug treatment plan,in which the control group received the routine health education,and the observation group received the systematic health education combined with the psychological intervention based on the routine health education,both of which were treated until the patients were discharged from hospital.24h ambulatory blood pressure(24h diastolic blood pressure and 24 h systolic blood pressure)on the day of admission and discharge of the two groupswere observed.The scores of MHC-SF,SAS,SDS,GQOLI-74 between the two groups before and after intervention were compared.Results:After intervention,the 24h systolic blood pressure of the observation group was lower than that of the control group(t=5.101,P<0.001),the scores of PWB,EWB in MHC-SF scale in the observation group were higher than those in the control group(t=2.437,3.011;P<0.05),the scores of SAS and SDS in the observation group were significantly lower than those in the control group(t=4.206,2.830;P<0.01),the physical function,psychological function,social function and the material life in GQOLI-74 in the observation group were higher than those in the control group(t=8.160,6.127,9.537,8.457;P<0.001).Conclusion:Systematic health education combined with psychological intervention on inpatients with hypertension can improve patients’mental health symptoms,eliminate negative emotions,and thus has a positive impact on stabling blood pressure control,and can effectively improve patients’quality of life.
作者
袁冰
解莉莉
张凯
刘玉
任芳芳
何冬梅
YUAN Bing;XIE Lili;ZHANG Kai(Nanyang Central Hospital,Nanyang 473000,China)
出处
《中国健康心理学杂志》
北大核心
2021年第7期1014-1018,共5页
China Journal of Health Psychology
基金
河南省医学科技攻关计划项目(编号:201703762)。
关键词
住院高血压
系统化健康教育
心理干预
负性情绪
生活质量
Hospitalized hypertension
Systematic health education
Psychological intervention
Negative emotion
Quality of life
