老年高血壓病人的心理護理探討

論文編號:HL105  論文字數:9138.頁數:21

論文題目：老年高血壓病人的心理護理探討
摘　要
 目的：高血壓是當今世界威脅人類健康的重要疾病之一，也是冠心病、腦卒中、心力衰竭及腎功能衰竭的重要危險因素，其患病率呈逐年上升趨勢。目前我國1.3億高血壓患者中，老年患者占25%~35%，且具有發病率、病死率、致殘率高及知曉率、控制率低的特點。因此，對高血壓患者進行系統的診斷治療的同時進行全方位整體護理，有利于患者焦慮狀況的改善及血壓的達標與穩定，減慢心、腦、腎等靶器官損害，避免不良事件的發生，對提高患者的生活質量具有重要意義，本文的研究目的就是探討老年高血壓患者的心理健康問題，為老年高血壓患者臨床和心理護理提供依據。
 方法：將棗莊市臺兒莊區人民醫院2008年2月-2009年7月128例老年高血壓患者隨機分為單純治療組和綜合治療組， 心理干預組64例，男33例，女31例；年齡65~83（73.4±6.9）歲；血壓（142~172）/（92~112）mmHg。對照組64例，男34例，女30例，年齡67~80（72.2±6.5）歲；血壓（141~170）/（97~113）mmHg。2組年齡、性別、血壓水平無顯著性差異（P均>0.05）。對2組患者治療情況總結分析。
 結果：①綜合治療組療效明顯高于單純治療組；②兩組病人入院時心理障礙比較無統計學意義（P>0.05）；③觀察組藥物治療依從性較對照組明顯升高（P<0.01）。④經兩組患者血壓總體上均有下降。但護理組血壓持續下降比對照組明顯，P＜0.01。
 結論：對老年高血壓患者實施心理護理能提高臨床療效，可供臨床參考。
 
 關 鍵 詞：老年高血壓；心理護理；治療效果
 
 論文類型：應用研究
 
 
 
 
 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  錄
摘　要 I
ABSTRACT III
目  錄 V
1 緒論 1
1.1 背景及意義 1
1.2 論文研究的目的及目標 1
1.3 關鍵詞及定義 1
1.4 文獻回顧 1
1.4.1行為特征與高血壓病的關系 1
1.4.2社會心理因素對高血壓病病人的影響 2
1.4.3高血壓病病人的心理特點及護理措施 2
2 研究設計 3
2.1 研究對象 3
2.2 一般資料 3
2.3 研究方法 3
2.4統計學處理 4
2.5護理干預的實施 4
3 研究結果 6
3.1二組患者治療前后收縮壓的對比分析 6
3.2二組患者治療前后舒張壓壓的對比分析 6
3.3二組患者治療前后SAS及SDS評分變化 6
4 討論 7
4.1護理干預對患者血壓變化的影響 7
4.2心理護理對患者焦慮狀態的影響 8
5  推論及建議 9
致    謝 10
參考文獻 11
附    錄 12