强化认知性干预对高血压患者情绪改善的影响  

Influence research of intensive cognitive intervention on emotional improvement of patients with hypertension

作　　者：吉林[1] 段利英[1] 邬治先 

机构地区：[1]宜宾市第一人民医院门诊部健康管理科,四川宜宾644000

出　　处：《西部医学》2016年第10期1466-1469,1473,共5页Medical Journal of West China

基　　金：四川省医学会科研课题(SHD14-19)

摘　　要：目的 研究强化认知性干预对高血压患者情绪改善的影响。方法 选择2015年1~9月在医院就诊的高血压患者134例为研究对象,依据数字随机表法将患者分成观察组及对照组各67例,对照组给予常规护理,观察组给予强化认知性干预,比较两组患者干预后对高血压降压知识的掌握情况,干预前后焦虑自评量表（SAS）评分及抑郁自评量表（SDS）评分,血压（DBP与SBP）变化,以及干预后的护理满意度。结果 观察组干预后对高血压知识掌握情况的得分值≥90分的比例为92.54%,明显高于对照组的62.69%,得分值〈60分的比例为1.49%,明显低于对照组的10.45%,差异均具统计学意义（P〈0.05）。干预后观察组的SAS评分以及SDS评分均较干预前及对照组明显更低,差异均具统计学意义（P〈0.05）。干预后观察组的SBP及DBP较干预前及对照组明显更低,差异均具统计学意义（P〈0.05）。观察组干预后的护理满意度为98.51%,明显高于对照组的86.57%,差异具统计学意义（P〈0.05）。结论 对高血压患者应用强化认知性干预,能够有效帮助其改善情绪、控制血压,还可提升患者对于护理工作的满意度,可在临床推广应用。Objective To study and analyze influence of intensive cognitive intervention on emotional improvement of patients with hypertension, and to provide new nursing measures. Methods 134 patients of hypertension were enrolled in this study from January 2015 to September 2015 in the hospital. According to the digital random table method, the patients were divided into observation group and control group with 67 cases in each. The control group was given routine nursing, and the observation group was given intensive cognitive nursing care. The control of blood pressure, evaluation of self rating Anxiety Scale （SAS） and self rating Depression Scale （SDS） score, blood pressure （DBP and SBP） before and after intervention, and the nursing satisfaction after the intervention were observed. Results The mastery of hypertension knowledge scores of observation group after the intervention equal to or more than 90 points was 92.54%, which was significantly higher than that of the control group （62.69 %）. The percentage of observation group of knowledge score 〈60 was 1.49%, which was significantly lower than that of the control group of 10. 45% （P〈0.05）. The SAS score and SDS score of the intervention group were significantly lower than that before the intervention and the control group （P〈0.05）. The SBP and DBP of the observation group were significantly lower than that before the intervention and the control group （P〈0.05）. The nursing satisfaction of observation group was 98.51%, which was significantly higher than that of control group of 86.57% （P〈0. 05）. Conclusion The application of intensive cognitive nursing in patients with hypertension can effectively improve their emotions, control blood pressure and enhance the satisfaction of patients for nursing work.

关 键 词：强化认知性干预 高血压 情绪改善 影响 

分 类 号：R544.1[医药卫生—心血管疾病]