Psychosocial Anxiety Therapy for Patients, Caregivers and Group of Family with Hypertension: A Case Study

Abstract

Anxiety is a psychosocial problem that is often experienced by patients with hypertension because it harms daily life activities. Signs of anxiety affect various physiological, affective, psychological, behavioral, and social aspects. This study determines to explore and provide how community mental health nurses contribute to patient, family, and community to developmental assessment, intervention and monitoring in health service. This is a case study of middle age (49 to 51 year old) hypertension patients who for three to five years suffered from a focus on the condition of illness, fear of non-specific consequences, reveal physiological changes, life changes, trouble with the family, less able to solve problems, lack of concentration, and forgetfulness. The researcher, as a psychiatric nurse conducted a physical and psychological assessment and found that the patient had a subtle gap between his hypertension, family issues, and support group, prolonging the healing process. Goal setting and a psychosocial therapy program for psychiatric nursing were developed to address physical, psychological, spiritual, and social needs through an assessment of unpleasant experiences, problem-solving skills, and support systems. The psychological intervention provided by the psychiatric nurse included generalist and specialist therapies that supported the patient within a single system. This determination was made in collaboration with the community health center nurses and mental health cadres, holistically as part of monitoring and supporting the patient’s mental health improvement. This conclusion is early detection of the psychosocial of anxiety development can reduce symptoms and enhance constructive skill, implemented independently, by the family, and by community groups.