基于网络平台的延续护理干预对高血压伴抑郁患者的疗效  

Effect of Continued-Nursing Intervention Based on Network Platform on on Patients with Hypertension Accompanied by Depression

作　　者：黄文娟[1] 操晶晶[1] 邓飞娜 管丽红[1] 

机构地区：[1]中国人民解放军第九四医院体检中心,南昌330002

出　　处：《国际精神病学杂志》2017年第1期162-164,172,共4页Journal Of International Psychiatry

摘　　要：目的探讨基于网络平台的延续护理干预对高血压伴抑郁患者的不良情绪及生活质量的影响。方法选择体检人群中108例高血压伴抑郁患者为研究对象,随机分为观察组与对照组,每组各54例。两组患者均根据体检结果给予常规护理干预,观察组在此基础上联合基于网络平台的延续护理干预。1年后,采取汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分评价两组患者焦虑、抑郁状态,采取疾病生存质量评定量表(QOL)评价两组患者生活质量情况。结果随访1年,观察组与对照组实际完成随访51例、47例。两组患者干预后HAMA、HAMD评分均较干预前明显减少(P<0.05),且观察组HAMA、HAMD评分明显少于对照组(P<0.05);对照组患者干预前后生活质量各维度及总分均无明显差异(P>0.05),观察组干预后生活质量各维度及总分均明显高于干预前及对照组(P<0.05)。结论常规护理合并基于网络平台的护理干预有助于更好地改善高血压伴抑郁体检人群的不良情绪,提高生活质量,值得推广应用。Objective To investigate the effect of continued-nursing intervention based on network platform on bad emotions and quality of life of patients with hypertension accompanied by depression. Methods A total of 108 cas- es of patients with hypertension accompanied by depression in the physical examination center were selected as objects of study, and randomly divided into the observation group and the control group, with 54 eases in each group. Patients in the two groups were performed routine nursing intervention according to the results of physical examination, based on this, patients in the observation group were also performed continued-nursing intervention based on network platform. One year later, the anxiety and depressive states of patients in the two groups were assessed by HAMA and HAMD scores, and the living quality of the patients were evaluated by Quality Of Life （QOL） scale. Results After one year of follow-up visit, 51 cases and 47 cases of patients respectively in the observation group and the control group actually completed the visit. The HAMA and HAMD scores of patients in the two groups were significantly lower than those prior to the intervention （P〈0.05）, and the HAMA and HAMD scores of patients in the observation group were significantly lower than those in the control group （P〈0.05）; no significant difference was found in various dimensions and total score of the living quality of patients in the control group before and after the intervention （P 〉 0.05 ）, while various di- mensions and total score of the living quality of patients in the observation group after the intervention were significantly higher than those before the intervention and those in the control group （ P〈0.05 ） . Conclusion Continued-nursing intervention based on network platform can be better to help to improve the had emotions and living quality of patients with hypertension accompanied by depression, hence, it＇ s worthy of popularization and application.

关 键 词：网络平台 延续护理干预 高血压伴抑郁 不良情绪 生活质量 

分 类 号：R749.99[医药卫生—神经病学与精神病学]