血液透析高血壓病人的心理護(hù)理

論文編號(hào):HL071  論文字?jǐn)?shù):9335.頁(yè)數(shù):18

論文題目：血液透析高血壓病人的心理護(hù)理
摘　要
 目的：
 探討心理護(hù)理對(duì)血液透析病人高血壓療效的影響。
 方法：
  將63例血液透析合并高血壓的病人隨機(jī)分為心理干預(yù)組30例，對(duì)照組33例。對(duì)照組病例僅給予維持性血液透析、藥物治療和對(duì)癥護(hù)理，干預(yù)組在維持性血液透析、藥物治療和對(duì)癥護(hù)理的基礎(chǔ)上給予心理護(hù)理。比較兩組病人情緒及行為方式的改變和血壓控制療效。
 結(jié)果：
 心理護(hù)理干預(yù)組病人3個(gè)月后生活方式明顯優(yōu)于對(duì)照組（P<0.05）,血壓控制效果顯著高于對(duì)照組（P <0.01）。
 結(jié)論：
 有針對(duì)性的心理護(hù)理能有效的提高血液透析病人高血壓的治療效果，改善病人生活質(zhì)量，降低和避免并發(fā)癥的發(fā)生，尤其是心腦血管并發(fā)癥，緩解了病情發(fā)展，提高血液透析的療效。
    關(guān)鍵詞：血液透析，高血壓，心理護(hù)理
 論文類型：類實(shí)驗(yàn)性研究

 Title: The Influence of Psychotherapy on Hypertension patients
ABSTRACT
 Objective：
 Explore the psychological care for hemodialysis patients of hypertension.
 Methods：
   Hospital to collect a total of 63 patients with hypertension were randomly divided into intervention group and control group; hospitalization within 3 month evaluation of two groups of patients with mental health and quality of life level; the control group received routine care, the intervention group on the basis of conventional care for psychological intervention.
 Results：
   Patient group in the total score, positive number of items, After 3 month, intervention group patients （P<0.05）with mental health and quality of life better than the control group（P<0.01）.
 Conclusions：
 psychological intervention will help to improve the mental health of patients with hypertensions, and to help improve their quality of life; hypertensions in patients with clinical care should pay attention to the quality of life, the quality of life as an important indicator of medical evaluation.
 KEY WORDS ：Hypertension, Psychological nursing
 TYPE OF THESIS: Research

目  錄
1 緒論 1
1.1背景及意義 1
1.2 研究目的及目標(biāo) 1
1.3關(guān)鍵詞及定義 1
1.3.1血液透析 1
1.3.2高血壓 2
1.3.3心理護(hù)理 2
1.4文獻(xiàn)回顧 2
2 研究設(shè)計(jì) 4
2.1研究設(shè)計(jì) 4
2.2研究人群 4
2.3研究方法/工具 4
2.4研究步驟 4
2.4.1抑郁、焦慮 4
2.4.2恐懼 4
2.4.3缺乏信心 5
2.4.4人際交往敏感 5
2.4.5盲目樂(lè)觀 5
2.5資料分析 5
3 研究結(jié)果 7
4 討論 8
5 推論及建議 9
致    謝 11
參考文獻(xiàn) 12
附    錄 13