急诊科老年高血压危象患者心理状况及疏导.docVIP

急诊科老年高血压危象患者心理状况及疏导 刁素娟 宋福乃 汪文娟 杨美玲 广东省深圳市龙华新区人民医院输液室 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的:探讨心理疏导对急诊科老年高血压患者血压 (HTN) 及心理健康水平的影响。方法:回顾性分析2012年8月-2016年8月期间我院急诊科收治的80例老年HTN危象患者为受试者, 按护理方法不同分为心理疏导组和对照组各40例, 对照组病人接受规范化药物降压治疗以及基础护理措施, 心理疏导组患者在日常降压药物治疗的基础上, 加以定期心理疏导。心理疏导3个月后, 运用抑郁自评量表 (SDS) 及焦虑自评量表 (SAS) 对患者的心理健康水平进行评估;分析并测量护理前后患者收缩压和舒张压水平。结果:护理前两组HTN患者的SAS评分比较无明显差异, 护理后对照组与护理前比较无统计学意义, 心理疏导组SAS评分较护理前明显降低 (t=3.871, P=0.012) , 与对照组比较差异有统计学意义 (t=-3.429, P=0.019) 。护理前两组HTN病人的SDS评分结果比较无显著性差异, 对照组病人在护理前后SDS评分比较无统计学意义, 心理疏导组SDS评分较护理前显著下降 (t=3.571, P=0.016) , 与对照组比较差异有显著性 (t=-7.872, P=0.001) 。护理后两组HTN病人的收缩压和舒张压水平较护理前大幅度降低 (P0.05) , 心理疏导组护理后血压水平明显低于对照组, 组间比较有统计学意义 (P0.05) 。结论:心理疏导用于急诊科老年HTN危象患者能有效消除焦虑、抑郁等负面心理, 同时有利于降低收缩压和舒张压, 使血压得到了改善, 进而提高临床治疗效果。 关键词： 心理疏导; 急诊科; 老年高血压; 心理健康水平; 收稿日期：2017-10-20 Psychological Status and Counseling of Elderly Hypertensive Crisis Patients in Emergency Department DIAO Sujuan SONG Funai WANG Wenjuan Transfusion Room, Peoples Hospital of Longhua New District, Shenzhen; Abstract： Objective:To investigate the influence of psychological counseling on blood pressure and mental health in elderly patients with hypertension.Methods:A total of 80 cases of elderly HTN patients admitted to the emergency department of our hospital crisis as subjects were retrospe ctive analyzed, according to different methods of care for this group of subjects were divided into psychotherapy group and control group, 40 cases in each, control group patients received standardized antihypertensive drug treatment and basic nursing measures.Psychological counseling groups based on routine antihypertensive drug therapy, took regular psychological counseling.After 3 months of psychological counseling, the mental health level of the patients was evaluated by the self rating Depression Scale (SDS) and the self rating Anxiety Scale (SAS) .The systolic and diastolic blood pressure levels were measured before and after the nursing.Resul