协同护理模式对于颈源性高血压患者疗效及心理状态的影响.docVIP

精品论文 参考文献 协同护理模式对于颈源性高血压患者疗效及心理状态的影响 （江苏省人民医院神经内科， 江苏南京210002 ） 　　【摘要】 目的 探讨协同护理模式（callaborative care model,CCM）对于颈源性高血压患者疗效及心理状态的影响。方法 选取2014年8月~2015年8月间，在江苏省人民医院神经内科治疗的47例颈源性高血压患者，按照随机原则分为治疗组即协同护理组（27例）和对照组即常规护理组（20 例），观察两组患者满意度调查、用药依从性比较及两组患者治疗前后心理测试（(汉密顿抑郁量表（Hamilton depression scale,HAMD）和汉密顿焦虑量表（Hamilton anxiety scale,HAMA）)评分比较。结果 治疗组与对照组满意度结果对比经统计处理具有显著性差异（P＜0.01）,表明治疗组满意度明显优于对照组；两组药物依从性对比（P＜0.01），有临床统计学意义，说明治疗组药物依从性要高于对照组。两组患者治疗前后心理测试评分均有统计学差异，P值均小于0.05，说明治疗组所患抑郁及焦虑情况明显优于对照组。结论 协同护理模式可以提高颈源性高血压患者用药依从性及对护理满意度，降低患者抑郁及焦虑心理。 　　【关键词】 协同护理模式； 颈源性高血压 　　【中图分类号】 R544.1 　　Effect of collaborative care model on the efficacy and psychological status of patients with Cervical Hypertension 　　Liuli 　　(Jiangsu province peoples hospital of neurology,Nanjing, jiangsu province 210002) 　　[Abstract］ Objective To explore the effect of collaborative care model on the curative effect and psychological status of patients with cervical hypertension. Methods From August 2014 to August 2015 ，we enrolled 47 patients with Cervical Hypertension from the Department of jiangsu province Hospital , were divided into two groups ：treatment group (CCM group(27 cases)) and control group (routine nursing group (n = 20)), observe the two groups of patients satisfaction survey, medication compliance and the psychological test (HAMD and HAMA) score after the treatment.Results There were significant differences ( P ＜ 0. 01) between the two groups with survey of satisfaction, indicating that the satisfaction survey of treatment group was better than the control group; The medication compliance of the treatment group was higher than that of the control group (Plt;0.05); The two groups of patients before and after treatment of psychological test scores were statistically significant differences (plt;0.05），indicating that the depression and anxiety of the treatment group were significantly better than the control group.Conclusion CCM can improve the medication compliance of patients with Cer