胡古月

摘要：目的 探讨在高血压性心脏病患者临床护理中应用心理干预的效果。方法 于本院收治的高血压性心脏病患者中筛选80例研究对象，抛硬币法将其分为两组。治疗同时对照组实施常规护理，观察组在常规护理基础上辅助心理干预，对比两组护理效果差异。结果 护理后，观察组焦虑及抑郁评分低于对照组，生活质量评分高于对照，护理满意度高于对照组（P>0.05）。结论 高血压性心脏病患者临床护理中应用心理干预，有助于改善患者负性心理，提升其生活质量，患者对护理评价较高，值得借鉴。

关键词：高血压心脏病;心理护理;干预效果;负性情绪

[Abstract]Objective To explore the effect of psychological intervention in clinical nursing of patients with hypertensive heart disease. Methods 80 patients with hypertensive heart disease in our hospital were selected and divided into two groups by tossing a coin. At the same time，the control group received routine nursing，while the observation group received psychological intervention on the basis of routine nursing. Results after nursing，the anxiety and depression scores of the observation group were lower than those of the control group，the quality of life scores were higher than those of the control group，and the nursing satisfaction of the observation group was higher than that of the control group（P > 0.05）. Conclusion the application of psychological intervention in the clinical nursing of patients with hypertensive heart disease is helpful to improve the negative psychology of patients and improve their quality of life. Patients have a high evaluation of nursing，which is worthy of reference.

[Key words]hypertension，heart disease;Psychological nursing;Intervention effect;Negative emotions

高血压性心脏病属于心血管内科临床常见病，主要因为长期血压超标导致影响心脏结构和功能所致，发病后患者会感觉胸闷乏力或是胸部不适，属于临床发生率较高的靶器官损伤，需要接受及时有效治疗降低疾病影响【1】。为确保治疗效果，需要辅以切实有效的护理干预措施，常规护理自身优势明显，但是并未关注心理层面问题【2】。为提升护理工作有效性，本次研究针对本院收治的高血压心脏病患者，常规护理同时辅以心理干预获得满意效果。报道如下：

1 资料和方法

1.1一般资料

于本院收治的高血压性心脏病患者中筛选80例研究对象，收集年限为2020年10月-2021年10月，抛硬币法将其分为两组（各40例）。入组者均符合高血压疾病临床诊断标准，心功能判定为I-Ⅱ级，患者家属知情并于同意文件上签字确认;排除继发性高血压患者、甲亢患者、先天性心肌病患者。……