个体化心理行为因素干预对难治性高血压患者血压的影响  

Effect of individual psychological and action factor intervention on blood pressure of resistant hypertension patients

作　　者：汪小蓉[1] 黄嘉佳[2] 罗娟英[3] 

机构地区：[1]中山大学附属汕头医院内三科,汕头515031 [2]中山大学附属汕头医院护理部,汕头515031 [3]中山大学附属汕头医院内七科,汕头515031

出　　处：《中华现代护理杂志》2011年第25期3019-3022,共4页Chinese Journal of Modern Nursing

基　　金：基金项目：2009年汕头市科技计划项目（汕府科[2009]70号）

摘　　要：目的探讨个体化心理行为因素干预对难治性高血压患者血压水平的影响。方法选择120例难治性高血压患者分成两组各60例，对照组实施一般护理干预，观察组在一般护理基础上实施个体化心理行为因素干预。比较两组患者干预前后血压、出院后血压（收缩压、舒张压、平均动脉压）的情况。结果干预前两组患者收缩压、舒张压及平均动脉压差异均无统计学意义（P〉0．05）；干预后、出院后观察组平均动脉压分别为（108．00±0．8），（106．00±0．7）mmHg，均低于对照组干预后、出院后（125．33±0．9），（120．00±0．8）mmHg，两组比较差异均有统计学意义（t=108．31，116．67；P〈0．05）；干预后及出院后两组患者收缩压、舒张压比较，差异有统计学意义（P〈0．05）。结论个体化心理行为因素干预能有效的纠正难治性高血压患者不良的心里行为因素，提高血压控制率，从而帮助患者康复，降低心血管疾病致残率和病死率。Objective To research the effect of individual psychological and action factor intervention on blood pressure of resistant hypertension. Methods There are 120 resistant hypertension patients selected in the hospital, according to hospital admission number, they were graded into control group and experimental group randomly. The control group accept the a common nurse intervene , the experimental group accept the individuation nurse intervene mentality action factor, and other therapies were the same in two groups. Compare blood pressure level before and after nurse intervene and after discharge in two groups. Results Before the intervertion, the blood pressure level was no significant difference between two groups （ P 〉 0. 05 ）. After the intervention and after discharge, MAP were respectively （ 108.00± 0. 8 ）, （ 106.00 ± 0. 7 ） mm Hg in experimental group, lower than in control group （ 125.33± 0.9 ）, （ 120.00 ± 0.8 ） mm Hg （ t = 108, 31,116.67 ; P 〈 0. 05 ） ; SBP and DBP in two groups ater the intervention and after discharge there were significant difference （P 〈 O. 05 ）. Conelusiolus The individuafion nurse intervene mentality action factor can efficacious correct badness mentality action factor of resistant hypertension, improve control rate of high blood pressure, and help patients get well, recede rate of deformity and death in cordis and vaseulardisease.

关 键 词：个体化心理行为因素干预 难治性高血压 血压 

分 类 号：R544.1[医药卫生—心血管疾病]