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

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1、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(callaborativecaremodel,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(Hamiltondepressionscale,HAMD)和汉密顿焦虑

2、量表(Hamiltonanxietyscale,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】R544.1Effectofcollab

3、orativecaremodelontheefficacyandpsychologicalstatusofpatientswithCervicalHypertensionLiuli(Jiangsuprovincepeople'shospitalofneurology,Nanjing,jiangsuprovince210002)[Abstract]ObjectiveToexploretheeffectofcollaborativecaremodelonthecurativeeffectandpsychologicalstatusofpatients

4、withcervicalhypertension.MethodsFromAugust2014toAugust2015,weenrolled47patientswithCervicalHypertensionfromtheDepartmentofjiangsuprovinceHospital,weredividedintotwogroups:treatmentgroup(CCMgroup(27cases))andcontrolgroup(routinenursinggroup(n=20)),observethetwogroupsofpatients

5、'satisfactionsurvey,medicationcomplianceandthepsychologicaltest(HAMDandHAMA)scoreafterthetreatment.ResultsThereweresignificantdifferences(P<0.01)betweenthetwogroupswithsurveyofsatisfaction,indicatingthatthesatisfactionsurveyoftreatmentgroupwasbetterthanthecontrolgroup;Themedi

6、cationcomplianceofthetreatmentgroupwashigherthanthatofthecontrolgroup(P<0.05);Thetwogroupsofpatientsbeforeandaftertreatmentofpsychologicaltestscoreswerestatisticallysignificantdifferences(p<0.05),indicatingthatthedepressionandanxietyofthetreatmentgroupweresignificantlyb

7、etterthanthecontrolgroup.ConclusionCCMcanimprovethemedicationcomplianceofpatientswithCervicalHypertensionandnursingsatisfaction,reducedepressionandanxiety.[Keywords]callaborativecaremodel;cervicalhypertension高血压是神经内科常见及多发病，其所出现的如：卒中、心肌梗死、心衰以及慢性肾脏病等并发症，不仅致残、致死率高，而且给国家、社会造成沉重的负

8、担。此类疾病病因较多，苏中颈源性高血压是临床发病率较高的一种高血压类型(据不完全数据统计，颈源性高血压占高血压发病率15%〜21.9%[