摘要
目的:探讨以认知行为疗法为主的心理干预对高血压患者血压、情绪的疗效影响。方法:对80例高血压患者采用汉密顿焦虑量表(HAMA)评估焦虑情况;并对干预组(40例)进行心理行为干预及降压药物的综合治疗,对照组(40例)采用常规降压药物治疗,观察患者情绪症状及降压疗效。结果:1.治疗后干预组、对照组降压显效率分别为90%、70%,差异有统计学意义(x2=5.0,P<0.05);2.干预组及对照组在治疗前后焦虑得分降低,差异有统计学意义(t=3.83,P<0.01;t=4.29,P<0.05);3.治疗后干预组对比对照组焦虑得分更低,差异有统计学意义(t=2.23,P<0.01);4.干预组和对照组在治疗前后收缩压、舒张压对照均有显著下降(P<0.01);5.治疗后干预组对比对照组收缩压、舒张压有显著下降(t=4.25,P<0.01)。结论:对高血压患者采用心理干预,可明显改善患者焦虑情绪,提高常规降压治疗临床效果。
Objective ：To explore the effect of psychological intervention on hypertension. Methods：80 patients with hyperten- sion were completely randomized into intervention group and control group;The Hamilton Anxiety Scale（HAMA） was used to evaluate the anxiety of the patients ; psychological intervention with antihypertensive treatment were applied in the intervention group, while nor- real antihypertensive treatment was applied in control group. Results： After the treatment, the two groups significant efficiencies were 90% and 70% （x2 = 5.0, P 〈 0.05 ） ;b）The score of HAMA in the two groups after the treatment was lower significantly than that be- fore the treatment（ t = 3.83, P 〈 0.01 VS t = 4.29, P 〈 0.05 ） ; c） The score of HAMA in the intervention groups after the treatment was lower significantly than that in the control group（ t = 2.23 ,P 〈 0.01 ） ; d） The diastolic blood pressure （DBP） and systolic blood pres- sure （SBP） in the two groups after the treatment was lower significantly than that before the treatment respectively. （P 〈 0.01 ） ; e） The DBP and SBP in the intervention groups after the treatment was lower significantly than that in the control group （t = 4.25,P 〈 0. 01 ）. Conclusions： Psychological intervention could relieve the anxiety of the patients with hypertension, and enhance the effect of anti- hypertensive treatment.
出处
《中国民康医学》
2012年第23期2910-2912,共3页
Medical Journal of Chinese People’s Health
关键词
高血压
焦虑
心理干预
Hypertention
Anxiety
Psychological Intervention
