中国药房2016，Vol.27Issue(23)：3291-3294,4.DOI:10.6039/j.issn.1001-0408.2016.23.42
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
Effect of Psychological Intervention Based on Pharmaceutical Care on the Community Patients with Essential Hypertension
摘要
Abstract
OBJECTIVE:To evaluate the effect of psychological intervention based on pharmaceutical care on the communi-ty 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 meth-od. Control group received conventional antihypertensive drugs and management,intervention group additionally received pharma-ceutical 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);af-ter 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 be-tween 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 to-tal scale scores in intervention group were higher than be-fore, 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 con-trol 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.关键词
原发性高血压/药学服务/心理干预/社区Key words
Essential hypertension/Pharmaceutical care/Psychological intervention/Community分类
医药卫生引用本文复制引用
何源,杨帆,王宏亮,李秀云,郑爱明..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[J].中国药房,2016,27(23):3291-3294,4.基金项目
江苏省高校自然科学研究面上项目（No.12KJB180008）；江苏省高校哲学社会科学基金项目（No.2012SJB190007）；江苏省大学生心理健康教育中心（江宁基地）研究规划课题 （）
