心理里干預(yù)對高血壓性腦出血患者術(shù)后的影響

論文編號:HL082  論文字?jǐn)?shù):11289.頁數(shù):21

論文題目：心理干預(yù)對高血壓性腦出血患者術(shù)后的影響
 摘  要
 
 目的  分析心理社會因素對高血壓性腦出血患者術(shù)后的影響，探討對高血壓性腦出血患者護(hù)理心理干預(yù)的方法和療效。
 方法  將60例高血壓性腦出血患者根據(jù)入院先后順序隨機(jī)分為兩組，每組30例，在常規(guī)治療的同時(shí)對干預(yù)組實(shí)施護(hù)理心理干預(yù)，干預(yù)措施為高血壓知識教育、放松技術(shù)訓(xùn)練、個(gè)別心理疏導(dǎo)。干預(yù)前分別對兩組患者進(jìn)行一般情況和高血壓疾病知識的問卷調(diào)查，進(jìn)行心理指標(biāo)的測量:焦慮自評量表(SAS)、抑郁自評量表(SDS)，干預(yù)后(出院時(shí))再次對高血壓疾病知識、SAS,SDS, 血壓等指標(biāo)進(jìn)行復(fù)測，觀察兩組的療效，分析影響療效的因素。
 結(jié)果  (1)干預(yù)組與非干預(yù)組患者入院時(shí)一般情況和哮喘疾病知識、SAS、SDS指標(biāo)無統(tǒng)計(jì)學(xué)差異（P＞0.05）；（2)入院時(shí)60例患者SAS與SDS的均分均高于國內(nèi)常模(p＜0.001)；（3)治療后干預(yù)組和非干預(yù)組的心理、疾病知識、血壓等各項(xiàng)指標(biāo)均具有統(tǒng)計(jì)學(xué)意義(p＜0.05)。（4)影響血壓的因素:抑郁焦慮情緒、個(gè)性特征、心理干預(yù)、疾病知識。
 結(jié)論  個(gè)性特征、情緒狀態(tài)等心理社會因素對高血壓性腦出血患者的發(fā)病和轉(zhuǎn)歸作用較明顯，在常規(guī)治療的同時(shí)輔以心理干預(yù)，能夠有效減輕抑郁、焦慮癥狀，緩解心理壓力，穩(wěn)定情緒，使高血壓性腦出血疾病得到控制，療效顯著。
 
 關(guān)鍵詞  高血壓；腦出血；心理分析；心理干預(yù)

Title: Psychological intervention and its clinical effects on patients with hypertension intracerebral hemorrhage
 
 
 Abstract
 
 Objective  To analysis the factor of psychology and society that affect hypertension intracerebral hemorrhage patients. To explore the methods and curative effect of mentalintervene in hypertension intracerebral hemorrhage patients.
 Methods  To divide the 60 patients of hypertension intracerebral hemorrhage into two groups,30 patients/group. At the same time of treatment, we intervene in the study group with mental step. The intervening steps are mental leading, education of asthma information, relax technic and individual mental treatment. Before the intervening, we investigate the patient's general situation and knowledge about hypertension intracerebral hemorrhage with questionnaire. And measure the Self Rating Anxiety Scale, SAS、Self-Rating Depression Scale, SDS、blood pressure. After intervening, we measure the same indexes above. Observing the curative effect of the two groups, and analysis the influence factors.
 Results  A There are no significant difference between two group in general situation and knowledge about hypertension intracerebral hemorrhage, SAS、SDS,when they are hospitalized (p>0.05). B The average score of SAS and SDS in 60 patients were higher than normal people in China. C There are significant difference between the two groups in psychological measurement, and blood pressure,The knowledge of hypertension intracerebral hemorrhage (p＜0.05). D The factors that affect blood pressure are the mood of depression and anxiety、mental intervene、personal character, knowledge about hypertension intracerebral hemorrhage.
 Conclusion  The factors of psychology and society have great effect onpatients of hypertension intracerebral hemorrhage, such as personality and mood, affect the cause and result of hypertension intracerebral hemorrhage. At the same time of treatment, mental intervening can relieve the symptom of depressions, anxiety and pressure of psychology. The symptoms of hypertension intracerebral hemorrhage can be improved in this way.
 KEY WORDS  hypertension；intracerebral hemorrhage； Psycho-analysis；Intervention countermeasure
目   錄
1 緒  論 1
1.1 本研究的背景和意義 1
1.2目的 1
1.3關(guān)鍵詞定義 2
1.4文獻(xiàn)回顧 2
2  研究設(shè)計(jì) 6
2.1研究設(shè)計(jì) 6
2.2研究人群 6
2.3研究方法/工具 6
2.5統(tǒng)計(jì)分析 9
3  研究結(jié)果 10
3.1 一般資料 10
4 討 論 13
5 推論及建議 16
致    謝 17