摘要
目的探讨综合性护理干预对原发性高血压患者心理状态及服药依从性的影响。方法选取2016年1月～2018年1月本院收治的原发性高血压患者100例为研究对象,随机分为干预组和对照组,每组各50例,对照组患者行常规护理,干预组实施综合性护理,对比两组患者治疗前后的SAS、SDS评分及服药依从性。结果两组患者干预后服药依从性佳的比率分别为80.0%、46.0%,组间比较,差异存在显著性(P<0.05)。对照组患者干预后的SAS评分为(41.5±8.8)分,干预组患者干预后的SAS评分为(32.4±6.3)分,对照组患者干预后的SDS评分为(42.6±9.1)分,干预组患者干预后的SAS评分为(31.5±7.8)分,两组原发性高血压患者干预后的SAS评分及SDS评分组间比较,差异存在显著性(P<0.05)。结论对原发性高血压患者在积极治疗的同时配合综合护理干预,尤其是心理干预,有利于缓解和减轻患者的消极心理状态,提高服药依从性,从而提高临床疗效及改善患者的生活质量。
Objective To investigate the effect of comprehensive nursing intervention on psychological state and medication compliance in patients with essential hypertension. Methods A total of 100 patients with essential hypertension admitted in our hospital from January 2016 to January 2018 were enrolled in the study. They were randomly divided into the intervention group and the control group, with 50 patients in each group. The control group received routine care. The intervention group underwent comprehensive nursing. The SAS, SDS scores and medication adherence before and after treatment were compared between two groups. Results The rates of good medication compliance after intervention were 80.0% and 46.0%, respectively. There was significant difference between the two groups (P<0.05). The SAS scores in the control group and the intervention group were (41.5±8.8) and (32.4±6.3) points after intervention. The SDS scores in the control group and the intervention group after intervention were (42.6±9.1) and (31.5±7.8) points. There were significant differences in SAS score and SDS score between the two groups in the patients with essential hypertension after the intervention(P<0.05). Conclusion The active treatment combined with comprehensive nursing intervention especially psychological intervention in patients with essential hypertension is beneficial to alleviate and alleviate the patients' negative psychological state, improve medication compliance, thereby improving clinical efficacy and improving patients' quality of life.
作者
张洪梅
ZHANG Hongmei(Department of Cardiovascular Medicine, Zibo Central Hospital in Shandong Province, Zibo 255036, China)
出处
《中国现代医生》
2019年第8期151-153,共3页
China Modern Doctor
关键词
原发性高血压
综合护理干预
心理状态
服药依从性
Essential hypertension
Comprehensive nursing intervention
Psychological state
Medication compliance
