高血压病人的心理护理

论文编号:HL070  论文字数:7786.页数:14

 论文题目：高血压病人的心理护理
摘　要
 研究目的：本研究通过定量的方法，探讨对高血压病人系统化健康教育的效果，为建立系统化健康教育模式提供科学依据。对临床高血压病人进行系统化健康教育，提高病人的认知、态度和健康行为，减轻焦虑情绪，有效控制血压，延缓并发症的发生，提高病人生活质量。探讨系统化健康教育对高血压病人的治疗依从性、再住院率、急性心血管事件发生率和病人满意度的影响。
 研究方法：由专人负责在治疗前、治疗3个月后分别对干预组和对照组患者进行评价。患者在经过培训的调查员的指导下，根据自己目前心理情绪状况作出回答,填写量表,文盲或者文化程度较低而不能独立完成填表则由调查员逐条说明题意,征得意见后代为填写。
 研究结果：治疗前，干预组和对照组血压值，SAS评分和SDS评分比较差异无统计学意义,P>0.05。治疗后，对照组SAS评分为（41.6±9.5）分与治疗前（41.8±10.2）分比较差异没有统计学意义,P>0.05;干预组SAS评分下降为（38.6±7.8）分,与治疗前（45.3±8.7）分比较差异有统计学意义,P<0.001。2组治疗后SAS评分比较差异有统计学意义,P<0.05。说明干预组经过药物联合心理干预治疗后，焦虑状况得到明显改善。
 研究结论：1.心理干预可以明显的降低社区老年高血压患者焦虑，抑郁状况；2.在使用药物治疗的同时给予适当的心理干预有利于患者的身心健康，提高药物临床疗效，有效控制血压。
 关键词：产后出血，危险因素，防治措施
 
 论文类型：应用研究

 Title: Prevention and care of postpartum hemorrhage
ABSTRACT
Objectives:
 Postpartum hemorrhage related risk factors of postpartum hemorrhage prevention and reduction measures with a view to proper treatment, the prevention of postpartum hemorrhage, reduction of maternal mortality, maternal prenatal and intrapartum monitoring, close observation of vaginalbleeding, uterine contraction, timely detection and timely treatment for postpartum hemorrhage, the reasons should be identified, taken into account, choose the best option to reduce the bleeding rate.Really do to prevent postpartum hemorrhage, can reduce the incidence of postpartum out of the bottle.Only after the timely rescue of postpartum hemorrhage care, can improve the success rate, saving the lives of patients and reduce complications.
Methods:
   January 2008 ~ December 2009 in our hospital from 3487 cases of maternal obstetric delivery were retrospectively analyzed, with postpartum hemorrhage volume measurement, analysis of selected postpartum hemorrhage associated with the main risk factors, and further studyThe pre-treatment measures.Results:
 3487 cases of maternal clinical data, found there were 116 cases of postpartum hemorrhage, accounting for 3.31%.L1 single-factor analysis of the factors were significant, multi-factor analysis in five selected into the regression model, ordered by size OR value were uterine atony (OR = 16.248,95% CI14.306 ~ 18.809), placenta previa (OR = 11.217,95% CI 8.734 ~ 14.407), placenta accreta, implantation, retention (OR = 3.116,95% CI 2.348 ~ 4.134), a huge children (OR = 2.932,95% CI 2.426 ~ 3.543), cesarean section (OR = 1.945,95% CI 1.654 ~ 2.287) (OR occurrence of the value of the larger shows higher risk of postpartum hemorrhage).Conclusion:    Postpartum hemorrhage is the most common obstetric complications, the most critical one, a higher incidence (3.31%), to strengthen prevention and control uterine atony, make family planning to reduce unwanted pregnancies, cesarean section strictly controlled to reducesignificant incidence of children, reducing postpartum hemorrhage and maternal mortality plays an important role

KEY WORDS: postpartum hemorrhage, risk factors, prevention measures

TYPE OF THESIS: Application research

目  录
摘　要 III
ABSTRACT IV
目  录 V
1绪论 1
1.1背景及意义 1
1.2研究目的及目标 1
1.3关键词及定义 1
1.4文献回顾 2
2 研究设计 4
2.1 研究类型 4
2.2 研究对象 4
2.3 研究方法 4
2.4 研究步骤 4
2.5 统计方法 5
3 结果 6
3.1 一般资料 6
3.2 预防效果 6
4 讨论 7
5 推论与建议 9
5.1结论 9
5.2 本文的局限和展望 9
参考文献 10
致谢 11