關于原發性高血壓病人心理護理的探討

論文編號:HL065  論文字數:6077.頁數:15

論文題目：關于原發性高血壓病人心理護理的探討
摘 要
研究目的
 通過對原發性高血壓病人進行心理護理，提高高血壓的治愈率、增加降壓效果、并減少并發癥及原發性高血壓的復發。
研究方法
 2009年8月至2010年2月我科收治的原發性高血壓患者100例，其中男67例，女33例；年齡32～92歲，平均年齡（59.2±14.6）歲。患者的選擇均為意識清晰，思維正常，依從性高，無耳聾、癡呆及精神疾患，并能很好的進行語言交流。將100例符合條件的原發性高血壓患者隨機分為試驗組50例，對照組50例，兩組均接受臨床常規藥物治療及護理，試驗組除常規藥物治療護理外同時輔以健康信念模式進行心理護理，2周為一個療程。血壓采用相同環境下間隔10分鐘3次所測血壓均值。血壓下降幅度以治療前后血壓差值表示。
研究結果
 經治療后兩組患者收縮壓及舒張壓均顯著降低，接受常規藥物治療護理同時輔以健康信念模式進行心理護理組（A組），血壓下降幅度明顯超過常規藥物治療護理組（B組），差異有統計學意義（P <0.05）。
結論
 原發性高血壓患者的常規藥物治療護理過程中輔以健康信念模式等心理護理，可有效、顯著的控制血壓，提高原發性高血壓患者的治療效果。
關鍵詞：原發性高血壓；心理護理
 
  
 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研究背景及意義 1
1.2研究目的及目標 1
1.3 關鍵詞及定義 2
1.4 文獻回顧 3
2 研究設計 4
2.1研究設計： 4
2.2研究對象 4
2.3研究步驟： 4
2.4 評價指標 5
2.5 統計學分析 6
3 研究結果 7
4   討論 9
5  推論及建議 10
5.1研究結論 10
5.2不足和建議 10
致    謝 11
參考文獻 12
附    錄 13