急诊科老年高血压危象患者心理状况及疏导

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1、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摘要：口的:探讨心理疏导对急诊科老年高血压患者血压(I1TN)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

2、)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评分比较无明显差界，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("3.871,P二0.012)，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二3.571,P二0.016),与对照组比较差异有显著性(

3、t=-7.872,P=0.001)。护理后两组HT"病人的收缩压和舒张压水平较护理前大幅度降低(P<0.05),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(P<0.05)。结论:心理疏导用于急诊科老年HT7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，进而提咼临床治疗效果。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：2017-10-20PsychologicalStatusandCounselingofElderlyHy

4、pertensiveCrisisPatientsinEmergencyDepartmentDIAOSujuanSONGFurmiWANGWenjuanTransfusionRoom,People'sHospitalofLonghuaNewDistrict,Shenzhen;Abstract：Objective:Toinvestigatetheinfluenceofpsychologicalcounselingonbloodpressureandmentalhealthinelderlypatien

5、tswithhypertension.Methods:Atotalof80casesofelderlyIITNpatientsadmittedtotheemergencydepartmentofourhospitalcrisisassubjectswereretrospectiveanalyzed,accordingtodifferentmethodsofcareforthisgroupofsubjectsweredividedintopsychotherapygroupandcontrolgro

6、up,40casesineach,controlgrouppatientsreceivedstandardizedantihypertensivedrugtreatmentandbasicnursingmeasures.Psychologicalcounselinggroupsbasedonroutineantihypertensivedrugtherapy,tookregularpsychologicalcounseling.After3monthsofpsychologicalcounseli

7、ng,thementalhealthlevelofthepatientswasevaluatedbytheselfratingDepressionSeale(SDS)andtheseifratingAnxietySeale(SAS).Thesystolieanddiastoliebloodpressurelevelsweremeasuredbeforeandafterthenursing.Results:TheSASscorebetweentwogroupsofpatientswithHTNhad

8、nosignificantdifferencebeforenursing,afternursing,therewasnosignificantdifferenceinthecontrolgroup,SASscoreinpsychologicalcounselinggroupdecreasedsignifiedntlythanbeforctrcatment(t二3.871,P<0.05),therewasstdtisticallysignificantdifferencecompar