摘要
目的 探讨对女性高血压患者进行健康促进干预措施后心理健康的状况。方法 将2007年1-12月在盐城市妇幼保健院门诊确诊的女性高血压患者分为健康促进干预组和对照组。对健康促进干预组患者进行为期6个月的一系列健康促进干预措施，对照组给予常规的健康教育，并对两组的健康知识知晓率和规范治疗率等情况进行比较。结果 健康促进干预组患者的健康知识知晓率（91.0%）和规范治疗率（91.0%）较对照组（64.9%、51.4%）有显著提高（χ2分别为35.51、5.94，均P〈0.05）。健康促进干预组患者的饮食控制率（92.9%）、体育锻炼率（50.0%）与对照组（86.5%、48.6%）比较，差异无统计学意义（χ2分别为0.04、2.94，均P〉0.05）；血压下降总有效率（87.3%）与对照组（25.2%）比较有显著性差异（χ2=26.22，P〈0.05），焦虑、抑郁得分与对照组比较有显著性差异（u分别为4.86、5.01，均P〈0.01）。结论 健康促进干预可提高高血压患者健康知识水平及对规范治疗的依从性，能有效地降低心理疾病的发生。
Objective To investigate effect of heathpromoting intervention on psychological health of female patients with hypertension. Methods The female patients with hypertension conformed in outpatient department of Yancheng Municipal Maternity and Child Health Hospital over a period from January to December in 2007 were randomly divided into healthpromoting intervention group and control group. The patients in the helthpromoting intervention group were performed on a series of helthpromoting interventions for consecutive 6 months, while those patients in the control group were given only conventional health education. After 6 months, the informed rate of the patients for health knowledge and standard treatment rate in the two groups were compared. Results The informed rate of the patients for health knowledge and regular treatment rate in the healthpromoting intervention group were significantly higher than those in the control group （91.0% vs 64.9%, χ2=35.51, P=0.01; 91.0% vs 51.4%, χ2=5.94, P=0.02,both P〈0.05）. There were no significant differences in diet control rate （92.9% vs 86.5%, χ2=0.04, P=0.08〉0.05）and physical exercise rate（50.0% vs 48.6%, χ2=2.94, P=0.05） between the two groups. The total effective rate of depressurization in the healthpromoting intervention group （87.3%） was higher than that in the control group（25.2%） and the difference was significant （χ2=26.22,P=0.02〈0.05）. Also, there were significant differences in SAS and SDS between the two groups （u=4.86 and 5.01 respectively,both P〈0.05）. Conclusion Heathpromoting intervention can raise the level of health knowledge and compliance to standard treatment of the patients, and improve psychological health of female patients with hypertension and reduce occurrence of psychological disease effectively.
出处
《中国妇幼健康研究》
2009年第5期567-569,共3页
Chinese Journal of Woman and Child Health Research
关键词
健康促进干预
高血压患者
降低血压
心理健康
healthpromoting intervention；hypertensive patient；depressurization；psychological health
