基于人文关怀理念的护理干预对高血压患者负性情绪及自护能力的影响

doi:10.3760/cma.j.cn441417-20250211-13032

国际医药卫生导报 ›› 2025, Vol. 31 ›› Issue (13): 2269-2272.DOI: 10.3760/cma.j.cn441417-20250211-13032

基于人文关怀理念的护理干预对高血压患者负性情绪及自护能力的影响

王洁¹ 李萍² 吕海辰³

¹陕西省中医医院脑病科，西安 710002；²咸阳市第一人民医院神经内科，咸阳 712000；³大连医科大学附属第一医院心内科，大连 116021

收稿日期:2025-02-11 出版日期:2025-07-01 发布日期:2025-08-04
通讯作者: 李萍，Email：13325350@qq.com
基金资助:
国家自然科学基金（81700245）

Effect of nursing intervention model based on humanistic care concept on negative emotions and self-care ability of patients with hypertension

Wang Jie¹, Li Ping², Lyu Haichen³

¹Department of Encephalopathy, Shaanxi Provincial Hospital of Traditional Chinese Medicine, Xi 'an 710002, China; ²Department of Neurology, Xianyang First People 's Hospital, Xianyang 712000, China; ³Department of Cardiology, the First Affiliated Hospital of Dalian Medical University, Dalian 116021, China

Received:2025-02-11 Online:2025-07-01 Published:2025-08-04
Contact: Li Ping, Email: 13325350@qq.com
Supported by:
National Natural Science Foundation of China (81700245)

摘要/Abstract

摘要：

目的　分析基于人文关怀理念的护理干预模式对高血压患者负性情绪及自护能力的影响。方法　回顾性分析2023年12月至2024年11月期间陕西省中医医院收治的90例高血压患者，按照随机数字表法分为参照组和观察组，每组45例。参照组中男26例、女19例，年龄（55.72±4.31）岁，病程（8.42±1.53）年；观察组中男24例、女21例，年龄（54.18±3.95）岁，病程（8.93±1.72）年。参照组实施常规护理干预，观察组实施基于人文关怀理念的护理干预。两组均连续干预3个月。对比两组干预前、干预后3个月血压指标［收缩压、舒张压］、负性情绪［汉密尔顿抑郁量表（HAMD）、汉密尔顿焦虑量表（HAMA）］评分、自护能力评分（自我护理能力量表）及护理满意度。采用Fisher精确概率法、t检验进行统计分析。结果　干预3个月后，观察组的收缩压、舒张压分别为（116.94±6.82、82.94±6.26）mmHg（1 mmHg=0.133 kPa），均低于参照组的（131.52±7.18、90.13±5.65）mmHg，差异均有统计学意义（t=9.877、5.720，均P<0.001）；观察组的HAMD、HAMA评分均低于参照组［（15.39±3.16）分比（20.07±3.81）分、（11.68±3.17）分比（16.72±3.41）分］（t=6.342、7.262，均P<0.001）；观察组自我护理能力量表的健康知识、自护责任感、自我概念、自护技能评分均高于参照组，差异均有统计学意义（均P<0.001）。观察组患者的护理总满意率高于参照组［97.78%（44/45）比82.22%（37/45）］，差异有统计学意义（P=0.030）。结论　在高血压患者中实施基于人文关怀理念的护理干预，能够有效改善患者血压水平，缓解负性情绪，提高自护能力和护理满意度。

关键词: 高血压, 人文关怀理念, 负性情绪, 自护能力

Abstract:

Objective　To analyze the effect of nursing intervention model based on the concept of humanistic care on negative emotions and self-care ability of hypertensive patients. Methods　A retrospective analysis was conducted on 90 hypertensive patients admitted to Shaanxi Traditional Chinese Medicine Hospital from December 2023 to November 2024. Patients were randomly assigned to a reference group and an observation group, with 45 patients in each group. In the reference group, there were 26 males and 19 females, aged (55.72±4.31) years and the disease duration was (8.42±1.53) years. In the observation group, there were 24 males and 21 females, aged (54.18±3.95) years and the disease duration was (8.93±1.72) years. The reference group received routine nursing interventions, while the observation group received nursing interventions based on the concept of humanistic care. Both groups underwent continuous intervention for 3 months. Blood pressure indicators [systolic and diastolic blood pressure], negative emotion scores [Hamilton Depression Rating Scale (HAMD), Hamilton Anxiety Rating Scale (HAMA)], self-care ability scores (Self-Care Ability Scale), and nursing satisfaction were compared before and after the 3-month intervention. Statistical analysis was performed using Fisher's exact probability method and t tests. Results　After 3 months of intervention, the systolic and diastolic blood pressure in the observation group were (116.94±6.82, 82.94±6.26) mmHg (1 mmHg=0.133 kPa), both lower than those in the reference group [(131.52±7.18, 90.13±5.65) mmHg], with statistically significant differences (t=9.877, 5.720, both P<0.001). The HAMD and HAMA scores in the observation group were lower than those in the reference group [(15.39±3.16) points vs. (20.07±3.81) points, (11.68±3.17) points vs. (16.72±3.41) points] (t=6.342, 7.262, both P<0.001). In the observation group , the scores in the self-care ability scale for health knowledge, self-care responsibility, self-concept, and self-care skills were all higher, with statistically significant differences (all P<0.001). The overall nursing satisfaction rate in the observation group was higher than that in the reference group [97.78% (44/45) vs. 82.22% (37/45)], with a statistically significant difference (P=0.030). Conclusion　Implementing nursing interventions based on the concept of humanistic care in hypertensive patients can effectively improve their blood pressure indicators, alleviate negative emotions, enhance self-care abilities, and achieve better nursing satisfaction.

Key words: Hypertension, , Humanistic care concept, , Negative emotions, , Self-careability

王洁李萍吕海辰.

基于人文关怀理念的护理干预对高血压患者负性情绪及自护能力的影响 [J]. 国际医药卫生导报, 2025, 31(13): 2269-2272.

Wang Jie, Li Ping, Lyu Haichen.

Effect of nursing intervention model based on humanistic care concept on negative emotions and self-care ability of patients with hypertension [J]. International Medicine and Health Guidance News, 2025, 31(13): 2269-2272.

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基于人文关怀理念的护理干预对高血压患者负性情绪及自护能力的影响

Effect of nursing intervention model based on humanistic care concept on negative emotions and self-care ability of patients with hypertension

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