程序化健康教育对老年高血压患者心理状态的影响

目的了解老年高血压患者常见心理障碍，探讨程序化健康教育对患者心理状态的影响。方法选取2008年2—12月在本院住院治疗的老年高血压患者90例，随机分为一般教育组44例和程序化教育组46例。一般教育组实施传统一般性健康教育，程序化教育组在了解老年高血压患者常见心理障碍后，采用程序化健康教育。采用焦虑自评量表和抑郁自评量表，调查患者人院及出院时的心理状态，比较两组患者人院时与出院时的心理变化。结果两组患者入院时焦虑与抑郁自评分比较，差异无统计学意义；两组患者出院时焦虑与抑郁自评分比较，差异具有统计学意义，程序化教育组得分低于一般教育组。结论焦虑、抑郁是老年高血压患者常见的心理障碍，程序化健康教育可以明显改善患者的心理状态．有助于患者病情的控制和提高生活质量。

Effect of the programmed health education on the psychology of senile hypertension patients

Objective To study the common psychological disorders of senile patients with primary hypertension, and explore the effect of the sequencing health education on their psychology. Methods Ninety senile patients with primary hypertension, who received treatment in our hospital from February to December 2008, were divided randomly into two groups. A general health education and the programmed health education were adopted respectively among the two groups of patients, and they were tested respectively with the self-rating anxiety scale （SAS） and the self-rating depression scale （SDS） when they were admitted and discharged in order to analyze the psychological changes. Results The scores of SAS and SDS had no significant difference between the two groups when they were admitted to the hospital （all P 〉 0.05）. The scores of SAS and SDS were lower in the programmed health education group than the general health education when they were discharged from the hospital, and the differences were Significant（P 〈 0.05）. Conclusions The anxiety and depression are the common psychological disorders in the senile patients with primary hypertension. With the programmed health education, the psychology of the patients is improved effectively and their life level can be elevated remarkably.