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基于药学服务的心理干预在社区原发性高血压患者治疗中的作用
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| 篇名： | 基于药学服务的心理干预在社区原发性高血压患者治疗中的作用 |
| TITLE： | |
| 摘要： | 目的：评价基于药学服务的心理干预在社区原发性高血压患者治疗中的作用。方法：选择2013年南京市鼓楼区某社区卫生服务中心收治的原发性高血压患者172例，采用简单随机化方法分为对照组（87例）和干预组（85例）。对照组患者仅给予常规降压药物及管理，干预组患者在此基础上行药学服务和心理干预，治疗时间均为6个月。比较治疗前后两组患者血压控制、用药依从性、用药知识掌握情况及健康状况。结果：治疗前，两组患者收缩压（SBP）、舒张压（DBP）比较，差异均无统计意义（P＞0.05）；治疗后，两组患者SBP、DBP均显著低于同组治疗前，且干预组患者显著低于对照组，SBP、DBP的下降幅度显著大于对照组，差异均有统计学意义（P＜0.01）。干预开始1个月后，两组用药依从性佳者的比例比较，差异无统计学意义（P＞0.05）；干预结束1个月后，干预组用药依从性佳者的比例显著高于同组干预开始1个月后，且显著高于对照组，差异均有统计学意义（P＜0.05）。治疗前，两组患者用药知识掌握情况比较，差异均无统计学意义（P＞0.05）；治疗后，干预组用药知识掌握良好及优秀的患者比例显著高于同组治疗前，且显著高于对照组，差异均有统计学意义（P＜0.05）。治疗前，两组患者自测健康评定量表生理、心理、社会健康子量表及总量表评分比较，差异均无统计学意义（P＞0.05）；治疗后，对照组患者生理健康子量表及总量表评分、干预组患者各子量表及总量表评分均显著高于同组治疗前，且干预组心理、社会健康子量表及总量表评分均显著高于对照组同期，差异均有统计学意义（P＜0.05）。结论：基于药学服务的心理干预可有效促进社区原发性高血压患者血压控制，提高患者用药的依从性和用药知识的掌握程度，改善患者的健康状况和心理状态，值得在社区卫生服务中推广与应用。 |
| ABSTRACT： | OBJECTIVE： To evaluate the effect of psychological intervention based on pharmaceutical care on the community patients with essential hypertension. METHODS： 172 patients with essential hypertension in a community health service certer in Nanjing Gulou area in 2013 were divided into control group （n＝87） and intervention group （n＝85） by simple random method. Control group received conventional antihypertensive drugs and management， intervention group additionally received pharmaceutical care and psychological intervention， it lasted 6 months. Blood pressure controlling， drug compliance， mastery of drug knowledge and health status in 2 groups before and after treatment were compared. RESULTS： Before treatment， there were no significant differences in the systolic blood pressure （SBP） and diastolic blood pressure （DBP） between 2 groups （P＞0.05）； after treatment， SBP and DBP in 2 groups were lower than before， SBP and DBP in intervention group were lower than control group， the decrease degree of SBP and DBP was bigger than control group， the differences were statistically significant （P＜0.01）. 1 month after the beginning of intervention， there was no significant difference in the proportion of drug compliance between 2 groups （P＞0.05）； 1 month after the end of the intervention， the proportion of drug compliance in intervention group was higher than 1 month after the beginning of intervention and control group， the differences were statistically significant （P＜0.05）. Before treatment， there was no significant difference in mastery of drug knowledge between 2 groups （P＞0.05）； after treatment， the proportion of patients showed good and excellent mastery of drug knowledge was higher than before and control group， the differences were statistically significant （P＜0.05）. Before treatment， there were no significant differences in scores of physical， mental， social health subscale and SRHMS between 2 groups （P＞0.05）； after treatment， scores of physical health subscale and SRHMS in control group， each subscale and total scale scores in intervention group were higher than before， and scores of mental， social health subscale and SRHMS in intervention group were higher than control group， the differences were statistically significant （P＜0.05）. CONCLUSIONS： The psychological intervention based on pharmaceutical care can effectively promote the control of blood pressure， improve drug compliance， mastery of drug knowledge， health status and mental situation， which is worth of popularizing and applying in community health services. |
| 期刊： | 2016年第27卷第23期 |
| 作者： | 何源，杨帆，王宏亮，李秀云，郑爱明 |
| AUTHORS： | HE Yuan，YANG Fan，WANG Hongliang，LI Xiuyun，ZHENG Aiming |
| 关键字： | 原发性高血压；药学服务；心理干预 ；社区 |
| KEYWORDS： | Essential hypertension； Pharmaceutical care； Psychological intervention； Community |
| 阅读数： | 246 次 |
| 本月下载数： | 5 次 |
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