| Objective:To study the effect about anxiety, depression, antihypertensive efficacy,self-efficacy,drug compliance by cognitive-behavior and emotion intervention for patients with primary hypertension,tocreat new route and method for Primary hypertension patients psychological nursing, to provide basis forclinical treatment,enhance the treatment of the primary hypertension patients and their quality of life.Methods:This study use convenience sampling method,90cases of primary hypertension patientswere randomly divided into the control group and the treatment group,every group has45cases.During thestudy a researcher fall by the wayside of treatment,and ultimately a total of89patients completed theexperiment. The control group(45cases) received conventional drug therapy and nursing care,the treatmentgroup(44cases) received conventional drug therapy and nursing care added comprehensive psychologicalintervention.The intervention was carried out by the researchers after the admission assessment,the numberof intervention for2-3times a week,40-60minutes per time,there are3-5people in1group,for1month,theaverage patient aceived8intervation.The intervention include:1.Cognitive therapy:Patients to master theknowledge of hypertension,let patients know the psychological and social factors in the development ofhypertension,introduce non-drug therapy and drug treatment of diseases of the knowledge.2.Behavioraltherapy:guiding patients to establish a healthy lifestyle and good habits,church patient adjustment andrelaxed mood of breathing relaxed training and music relaxation training.3.Emotional therapy:use theChinese medicine theory of speech enlighten method and love win situation method to emotional guidanceto the patients.On admission,evaluate the general information, Self-rating Anxiety Scale (SAS), Self-ratingDepression Scale(SDS), Hypertension Patients Self-efficacy Scale and Hypertension Patients MedicationCompliance Questionnaire by the two groups of patients.One month later,evaluate the two groups ofpatients again.The raw data was input into computer, SPSS17.0was sed for statistical description andanalysis.Anxiety, depression,self-efficacy were analyzed by the T-test.Clinical general information wereanalyzed by Chi-square Test, medication compliance were analyzed by Nonparametric Test, they weresignificant differences in P <0.05.Results:1.Prior treatment,Blood pressure value,the scores of SAS, SDS,each score of Self-efficacy and Medication Compliance of the treatment group and control group,they compare difference was notstatistically significant, P>0.05,the intervention group and the control group were comparable.2.After the treatment,the SAS scores of the control group was51.39±6.29,compared with thescores of prior treatment50.85±7.76,the difference was not statistically significant, P>0.05;After theintervention,the SAS scores of the treatment group was39.83±9.18,compared with the scores of before theintervention50.85±7.76,the difference was statistically significant, P<0.001. It ’s explain that patients in theintervention group after drug therapy and nursing care combined with cognitive behavior intervention onemotion, anxiety status were improved obviously.3. After the treatment,the SDS scores of the control group was49.54±5.53,compared with thescores of prior treatment49.86±5.64,the difference was not statistically significant, P>0.05;After theintervention,the SDS scores of the treatment group was44.72±5.53,compared with the scores of before theintervention48.51±6.29,the difference was statistically significant, P<0.001. It ’s explain that patients inthe intervention group after drug therapy and nursing care combined with cognitive behavior interventionon emotion, depression status were improved obviously.4. After the intervention, blood pressure decreased significantly in intervention group, which thesystolic blood pressure163.39±21.51mmHg reduced to137.30±11.21mmHg, the diastolic blood pressure102.52±13.54mmHg reduced to88.66±9.49mmHg, Compared with those before intervention systolicpressure, diastolic pressure difference has statistics significance, P<0.001.After the intervention,theantihypertensive effect of the intervention group patients:30cases had a remarkable effect,13cases hadeffect,1case was invalid, total effective rate of the intervention group was97.73%, the antihypertensiveeffect of the control group patients:20cases had a remarkable effect,16cases had effect,9cases was invalidthe total effective rate of the control group was77.78%, the difference was statistically significant,P<0.05.It ’s explain that the cognitive-behavior and emotion intervention can effectively enhance treatmenteffect of patients and can improve the blood pressure control rate.5. After the treatment,the control group patients self-efficacy each score: activity of daily living5.13±1.04,healthy behavior ability5.58±2.64, medication4.51±1.27,compliance behavior7.58±0.99,Before the treatment, the control group patients self-efficacy each score: activity of daily living4.60±1.20,healthy behavior ability5.56±2.65, medication4.22±1.38,compliance behavior7.02±1.36, thedifference of them was no statistics significance, P>0.05.After the intervention, the treatment group patients self-efficacy each score: activity of daily living8.50±1.13,healthy behavior ability6.82±1.39,medication7.52±1.32,compliance behavior10.11±0.12, Before the intervention, the treatment grouppatients self-efficacy each score: activity of daily living5.14±1.39,healthy behavior ability4.98±2.80,medication4.50±1.36,compliance behavior6.66±1.16, the difference of them has statistics significance,P<0.001. It ’s explain that patients in the intervention group after drug therapy and nursing care combinedwith cognitive behavior intervention on emotion, self-efficacy have been significantly improved.6. Before the intervention, the intervention group patients with medication adherence:0case wasfully incompliance,40cases were part incompliance,4cases were completely not prescribed by thedoctor,the control group patients with medication adherence:0case was fully incompliance,39cases werepart incompliance,6cases were completely not prescribed by the doctor, the treatment group and thecontrol group of patients’ compliance was no statistically significant difference, P>0.05;After theintervention,the drug compliance of treatment group could be significantly improve, the intervention grouppatients with medication adherence:22case was fully incompliance,22cases were part incompliance,0casewere completely not prescribed by the doctor,the control group patients with medication adherence:3casewas fully incompliance,37cases were part incompliance,5cases were completely not prescribed by thedoctor, the difference of the drug compliance of treatment group and control group has statisticssignificance, P<0.05.It ’s explain that the cognitive-behavior and emotion intervention can improve thedrug compliance of the patients.Conclusions:1.The cognitive-behavior and emotion intervention can effectively improve the primaryhypertension patients with anxiety depression,improve the antihypertensive effect and the control rate ofthe primary hypertension patients.2. Primary hypertension drug therapy combined with the cognitive-behavior and emotionintervention can effectively improve the disease’s treatment effect and nursing quality,can help reduce theburden on the social and family. |
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