应用心理疏导与关爱结合支持管理对抑郁症合并高血压患者睡眠质量的影响
The Effect of Psychological Counseling Combined with Patient Care and Support Management on Sleep Quality in Patients with Depression and Hypertension
刘贵清1
作者信息
- 1. 福建省泉州市第三医院精神科,泉州,362000
- 折叠
摘要
目的:探究应用心理疏导与关爱结合支持管理对抑郁症合并高血压患者睡眠质量的影响.方法:选取2021年8月至2023年1月泉州市第三医院精神科收治的抑郁症合并高血压患者94例作为研究对象,通过随机抽签方式随机分为对照组和观察组,每组47例,对照组实施心理疏导与关爱干预,观察组在此基础上联合支持管理.比较2组的抑郁自评量表(SDS)评分、匹兹堡睡眠质量指数(PSQI)评分、用药依从性、血压控制达标率、不良心血管事件.结果:干预后,观察组的SDS、PSQI评分均低于对照组(均P＜0.05),用药依从性、血压控制达标率均高于对照组(均P＜0.05),不良心血管事件发生率低于对照组(P＜0.05).结论:对抑郁症合并高血压患者实施心理疏导与关爱结合支持管理,能有效减轻患者的抑郁症状,改善睡眠质量,提升用药依从性,促使血压控制达标率提升,减少不良心血管事件的发生.
Abstract
Objective:To explore the impact of psychological counseling combined with care and support management on the sleep quality of patients with depression and hypertension.Methods:Ninety-four patients with depression and hypertension treated in the Psychiatry Department of Quanzhou Third Hospital from August 2021 to January 2023 were selected.They were randomly divided into a control group and an observation group by drawing lots,with 47 cases in each group.The control group received psy-chological counseling and care interventions,while the observation group received combined support management on this ba-sis.The two groups were compared in terms of Self-Rating Depression Scale(SDS)scores,Pittsburgh Sleep Quality Index(PSQI)scores,medication adherence,blood pressure control rates,and adverse cardiovascular events.Results:After the intervention,the SDS and PSQI scores in the observation group were lower than those in the control group(Ps＜0.05).Medication adherence and blood pressure control rates in the observation group were higher than those in the control group(Ps＜0.05),and the incidence of adverse cardiovascular events was lower in the observation group(P＜0.05).Conclusion:Implementing psychological counseling combined with care and support management for patients with depression and hypertension can effectively alleviate depressive symptoms,improve sleep quality,enhance medication adherence,increase the rate of blood pressure control,and reduce the occur-rence of adverse cardiovascular events.
关键词
抑郁症/高血压/心理疏导/患者关爱/支持管理/睡眠质量/心理状态/用药依从性Key words
Depression/Hypertension/Psychological Counseling/Patient Care/Support Management/Sleep Quality/Psycho-logical State/Medication Adherence引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据