老年高血压病人的心理护理探讨

论文编号:HL105  论文字数:9138.页数:21

论文题目：老年高血压病人的心理护理探讨
摘　要
 目的：高血压是当今世界威胁人类健康的重要疾病之一，也是冠心病、脑卒中、心力衰竭及肾功能衰竭的重要危险因素，其患病率呈逐年上升趋势。目前我国1.3亿高血压患者中，老年患者占25%~35%，且具有发病率、病死率、致残率高及知晓率、控制率低的特点。因此，对高血压患者进行系统的诊断治疗的同时进行全方位整体护理，有利于患者焦虑状况的改善及血压的达标与稳定，减慢心、脑、肾等靶器官损害，避免不良事件的发生，对提高患者的生活质量具有重要意义，本文的研究目的就是探讨老年高血压患者的心理健康问题，为老年高血压患者临床和心理护理提供依据。
 方法：将枣庄市台儿庄区人民医院2008年2月-2009年7月128例老年高血压患者随机分为单纯治疗组和综合治疗组， 心理干预组64例，男33例，女31例；年龄65~83（73.4±6.9）岁；血压（142~172）/（92~112）mmHg。对照组64例，男34例，女30例，年龄67~80（72.2±6.5）岁；血压（141~170）/（97~113）mmHg。2组年龄、性别、血压水平无显著性差异（P均>0.05）。对2组患者治疗情况总结分析。
 结果：①综合治疗组疗效明显高于单纯治疗组；②两组病人入院时心理障碍比较无统计学意义（P>0.05）；③观察组药物治疗依从性较对照组明显升高（P<0.01）。④经两组患者血压总体上均有下降。但护理组血压持续下降比对照组明显，P＜0.01。
 结论：对老年高血压患者实施心理护理能提高临床疗效，可供临床参考。
 
 关 键 词：老年高血压；心理护理；治疗效果
 
 论文类型：应用研究
 
 
 
 
 Title：Psychological care in elderly hypertensive of patients
ABSTRACT
Objective: Hypertension is the world's major diseases that threaten human health, is one of coronary heart disease, stroke, heart failure and renal failure are important risk factors, the prevalence rate increased year by year. At present, China 130 million hypertensive patients, older patients accounted for 25% to 35%, and has a morbidity, mortality, morbidity is high and awareness, the characteristics of the control rate. Therefore, systematic hypertension, while the full range of diagnosis and treatment of Holistic Nursing, patients with anxiety conditions conducive to the improvement and compliance with the stability of blood pressure, slow down the heart, brain, kidney and other target organ damage, to avoid the occurrence of adverse events, to improve the quality of life of patients is important, the purpose of this study is to explore the mental health of elderly patients with hypertension problems for elderly patients with hypertension provide evidence of clinical and psychological care.
Methods: Taierzhuang District People's Hospital of Zaozhuang City in February 2008 -2009 128 cases in July in elderly hypertensive patients were randomly divided into treatment group and combined therapy group, 64 cases of psychological intervention group, 33 males and 31 females; Age 65 ~ 83 (73.4 ± 6.9) years; blood pressure (142 ~ 172) / (92 ~ 112) mmHg. Control group, 64 patients, 34 males and 30 females, aged 67 ~ 80 (72.2 ± 6.5) years; blood pressure (141 ~ 170) / (97 ~ 113) mmHg. 2 groups for age, sex, blood pressure levels were not significantly different (P all> 0.05). Group 2 patients on the situation analyzed.
Results: ① The effect of combined therapy group was significantly higher than the treatment group; ② two groups of patients at admission was no statistically significant psychological barriers (P> 0.05); ③ Drug Compliance in the observation group were significantly higher than control (P <0.01 .) ④ The two groups were decreased overall blood pressure. But the nursing group compared with the control of blood pressure continued to drop significantly, P <0.01.
Conclusion: The implementation of psychological care in elderly hypertensive patients can improve clinical efficacy, for clinical reference. 

KEY WORDS： Elderly patients with hypertension; psychological care; treatment

TYPE OF THESIS： Applied Research

 
目  录
摘　要 I
ABSTRACT III
目  录 V
1 绪论 1
1.1 背景及意义 1
1.2 论文研究的目的及目标 1
1.3 关键词及定义 1
1.4 文献回顾 1
1.4.1行为特征与高血压病的关系 1
1.4.2社会心理因素对高血压病病人的影响 2
1.4.3高血压病病人的心理特点及护理措施 2
2 研究设计 3
2.1 研究对象 3
2.2 一般资料 3
2.3 研究方法 3
2.4统计学处理 4
2.5护理干预的实施 4
3 研究结果 6
3.1二组患者治疗前后收缩压的对比分析 6
3.2二组患者治疗前后舒张压压的对比分析 6
3.3二组患者治疗前后SAS及SDS评分变化 6
4 讨论 7
4.1护理干预对患者血压变化的影响 7
4.2心理护理对患者焦虑状态的影响 8
5  推论及建议 9
致    谢 10
参考文献 11
附    录 12