聚焦解决模式下的心理护理在高血压合并焦虑抑郁患者中的应用  

Application of psychological nursing under the solution-focused model in patients with hypertension complicated with anxiety and depression

作　　者：胡萍萍[1] 肖桂芳[1] 刘英女 乐丽珍[1] HU Pingping;XIAO Guifang;LIU Yingnv;YUE Lizhen(Department of Cardiology,Guangdong Second Hospital of Traditional Chinese Medicine,Guangdong Province,Guangzhou510000,China)

机构地区：[1]广东省第二中医院心血管科,广东广州510000

出　　处：《中国当代医药》2024年第33期145-149,共5页China Modern Medicine

基　　金：广东省中医药局科研项目(20221036)。

摘　　要：目的探讨聚焦解决模式下的心理护理在高血压合并焦虑抑郁患者中的应用效果。方法选取2022年1月至2023年1月广东省第二中医院收治的132例高血压合并焦虑抑郁患者作为研究对象,采用随机数字表法分为对照组(66例)和试验组(66例),其中试验组有2例因研究过程中失访被剔除,最终纳入64例。对照组给予常规护理,试验组在对照组的基础上给予聚焦解决模式下的心理护理。比较两组的焦虑、抑郁、收缩压、舒张压及生活质量(QLICD-HY)情况。结果两组干预前的焦虑评分、抑郁评分、收缩压、舒张压、QLICD-HY各维度评分和总分比较,差异无统计学意义(P>0.05);试验组干预后的焦虑评分、抑郁评分低于对照组,收缩压及舒张压低于对照组,QLICD-HY各维度评分和总分高于对照组,差异有统计学意义(P<0.05)。结论聚焦解决模式下的心理护理可有效改善高血压合并焦虑抑郁患者的焦虑抑郁心理,提高血压控制效果,促进生活质量的提升。Objective To explore the application effect of psychological nursing under the solution-focused model in patients with hypertension complicated with anxiety and depression.Methods A total of 132 patients with hypertension combined with anxiety and depression admitted to the Guangdong Second Hospital of Traditional Chinese Medicine from January 2022 to January 2023 were selected as the study objects,and were divided into the control group(66 cases)and the experimental group(66 cases)by random number table method.In the experimental group,2 cases were excluded due to the loss of follow-up during the study,and 64 cases were finally included.The control group was given routine nursing,and the experimental group was given psychological nursing under the solution-focused model on the basis of the control group.Anxiety,depression,systolic blood pressure,diastolic blood pressure and quality of life instruments for chronic diseases-hypertension(QLICD-HY)were compared between the two groups.Results There was no significant difference in anxiety score,depression score,systolic blood pressure,diastolic blood pressure,QLICD-HY scores and total score between the two groups before intervention(P>0.05).After intervention,the scores of anxiety and depression,systolic blood pressure and diastolic depression of experimental group were lower than those of control group,and the scores and total scores of QLICD-HY were higher than those of control group,the differences were statistically significant(P<0.05).Conclusion Psychological nursing under the solution-focused model can effectively improve the anxiety and depression of patients with hypertension combined with anxiety and depression,improve the effect of blood pressure control,and promote the improvement of quality of life.

关 键 词：聚焦解决模式 心理护理 高血压 焦虑 抑郁 血压控制 生活质量 

分 类 号：R749[医药卫生—神经病学与精神病学]