关于原发性高血压病人心理护理的探讨

论文编号:HL065  论文字数:6077.页数:15

论文题目：关于原发性高血压病人心理护理的探讨
摘 要
研究目的
 通过对原发性高血压病人进行心理护理，提高高血压的治愈率、增加降压效果、并减少并发症及原发性高血压的复发。
研究方法
 2009年8月至2010年2月我科收治的原发性高血压患者100例，其中男67例，女33例；年龄32～92岁，平均年龄（59.2±14.6）岁。患者的选择均为意识清晰，思维正常，依从性高，无耳聋、痴呆及精神疾患，并能很好的进行语言交流。将100例符合条件的原发性高血压患者随机分为试验组50例，对照组50例，两组均接受临床常规药物治疗及护理，试验组除常规药物治疗护理外同时辅以健康信念模式进行心理护理，2周为一个疗程。血压采用相同环境下间隔10分钟3次所测血压均值。血压下降幅度以治疗前后血压差值表示。
研究结果
 经治疗后两组患者收缩压及舒张压均显著降低，接受常规药物治疗护理同时辅以健康信念模式进行心理护理组（A组），血压下降幅度明显超过常规药物治疗护理组（B组），差异有统计学意义（P <0.05）。
结论
 原发性高血压患者的常规药物治疗护理过程中辅以健康信念模式等心理护理，可有效、显著的控制血压，提高原发性高血压患者的治疗效果。
关键词：原发性高血压；心理护理
 
  
 Title: Investigate mental nursing during the nursing of primary hypertension
ABSTRACT
Objectives: To pass the Mental Nursing During the nursing of primary hypertension, Raise cure rate of hypertensive disease, Increase underpressure result,Reduce complication and improving of infaust life style and palindromia of primary hypertension.
Methods: 100 patients were from the patients with primary hypertension to be in hospital and to be out-patient clinic from February 2009 to August 2010 , including male 67 and female 33, the years of age was from 32 to 92(mean age 59.2±14.6years old). which were clear consciousness, nourmal thinking, high dependence,and no-deafness, no-aphreniaby, no-pneuma diseas and had good language of communication. 100 patients were divided two group(50 patients test group, 50 patients control group).  Control group were usual care or medicine treat, Test group were usual care or medicine treat and mental nursing(including health teaching, mental intervention, medication teaching and instruction of physically and mentally relaxation training), course of treatment for two week. Blood pressure were mean of three, to measure intermission 10 minutes. prior and post treatment to subtract were blood pressure lower extent.
Results: We observed that compliance of medicine, effectiveness of usual care and medicine treat and mental nursing, but lowering extent of systolic pressure and diastolic pressure were significantly elevated by mental nursing in test group(A group) (p<0.05).
Conclusion: Primary hypertension patients had treated usual care or medicine, and lowering extent of systolic pressure and diastolic pressure were significantly elevated by mental nursing, force and conspicuous to control blood pressure, increase primary hypertension patients underpressure result.
Key words: primary hypertension; mental nursing
摘 要 I
ABSTRACT III
1 前 言 1
1.1研究背景及意义 1
1.2研究目的及目标 1
1.3 关键词及定义 2
1.4 文献回顾 3
2 研究设计 4
2.1研究设计： 4
2.2研究对象 4
2.3研究步骤： 4
2.4 评价指标 5
2.5 统计学分析 6
3 研究结果 7
4   讨论 9
5  推论及建议 10
5.1研究结论 10
5.2不足和建议 10
致    谢 11
参考文献 12
附    录 13