综合性心理干预对高血压患者焦虑抑郁情绪及血压的影响  被引量:8

Effects of comprehensive mental intervention on anxiety and depression mood and blood pressure in patients with hypertension

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作  者:康玉香 胡桦 程哲[3] 王振英[3] 石玉中[3] 

机构地区:[1]新乡县人民医院,河南·新乡453731 [2]新乡消防支队卫生所,河南·新乡453731 [3]新乡医学院第二附属医院,河南·新乡453731

出  处:《临床心身疾病杂志》2011年第5期436-437,471,共3页Journal of Clinical Psychosomatic Diseases

摘  要:目的探讨综合性心理干预对高血压患者焦虑、抑郁情绪及血压的影响。方法将100例高血压伴焦虑、抑郁情绪患者随机分为两组,每组50例,两组均给予常规降压药物治疗,研究组联合综合性心理干预,观察6个月。于治疗前及治疗6个月末采用焦虑自评量表、抑郁自评量表评定焦虑抑郁情绪,定期监测血压。结果治疗6个月末,研究组焦虑自评量表、抑郁自评量表评分均较治疗前显著下降(P〈0.01),且显著低于对照组(P〈0.01);两组收缩压、舒张压均较治疗前显著下降(P〈0.05或0.01),但研究组均较对照组下降更显著(P〈0.05或0.01)。结论药物联合综合性心理干预能有效改善高血压患者的焦虑、抑郁情绪,控制高血压指数。Objective To explore the clinical efficacy of comprehensive psychological intervention in the treatment of anxious and depressive mood and blood pressure in patients with hypertensive disease. Methods 100 hypertensive patients accompanied with anxiety and depression were randomly divided into reserch group (n: 50, receiving routine antihypotensive drug and comprehensive psychological intervention) and control group (n=50, only receiving routine antihypotensive drug treatment) for 6 months. Before treatment and at 6 moths after treatment, all the patients were assessed with the Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS), and blood pressure was measured regularly. Results At the end of 6 momths after treatment, the scores of SAS and SDS were lower significantly compared with pretreatment (P〈0.01) in the research group, and were lower significantly in the research group than in the control group (P〈0.01). The blood pressure dicreased in both groups after treatment (P〈0.05 or 0.01), and diereased more in research group than in control group (P〈0.05 or 0.01). Conclusion Drugs plus comprehensive psychological intervention can improve anxious, depressive mood and blood pressure of hypertensive patients.

关 键 词:高血压 心理干预 焦虑 抑郁 焦虑自评量表 抑郁自评量表 

分 类 号:R749.92[医药卫生—神经病学与精神病学]

 

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