心理干预对高血压患者生命质量的影响  

Effect of psychological intervention on the quality of life of patients with hypertensionEffect of psychological intervention on the quality of life of patients with hypertension

作　　者：曹民娟[1] 彭美娟[1] 庞彩兰[1] 李伦明[1] 陈聪[1] 

机构地区：[1]江门市中心医院神经内科,广东省529070

出　　处：《中国心血管病研究》2012年第3期199-202,共4页Chinese Journal of Cardiovascular Research

摘　　要：目的探讨心理干预对高血压患者心理状态和生命质量的影响。方法选择300例高血压患者随机分为两组。对照组给予常规治疗，试验组在常规组对症治疗的基础上给予心理干预，12周为1疗程。于人组时、12周末采用焦虑自评量表（sas）、抑郁自评量表（SDS）、生活质量指数问卷（QL—INDEX）对两组患者进行心理状态和生命质量评定。结果入组时两组患者SAS、SDS评分差异无统计学意义（P〉0．05）；12周末试验组SAS、SDS评分与对照组相比显著降低[分别为（34．27±8．62）分比（43．91±7．39）分，（38．67±6.59）分比（44．89±8．59）分]（P〈0．01）；12周末试验组SAS和SDS评分比人组时均显著降低[分别为（34．27±8．62）分比（45．68±7．92）分，（38．67±6．59）分比（46．81±9．68）分]（P〈0．01）。12周末生活质量总指数试验组为（8．88±1．63）分，对照组为（7．94±3．16）分，差异有统计学意义（P〈0．05）。结论心理干预有助于改善高血压患者的心理状态，提高患者的生命质量。Objective To investigate the effect of the psychological behavior intervention on the mental status and quality of life of patients with hypertension. Methods 300 patients with hypertension were randomly di- vided into two groups： the study group （n=150） and the control group （n=150）. The two groups had the same clinical routine treatments for 12 weeks as 1 course of treatment, and psychological behavior intervention was added to the study group. The self-rating anxiety scale（SAS）, self-rating depressive scale（SDS） were analyzed on mental status, and the spitzer＇s quality of life index（QL-INDEX） were used and investigated on two groups at the end of 12 weeks. Results There was no significant difference on the scores of SAS, SDS between the two groups before therapy（P〉0.05 ）. The scores on SAS, SDS of the study group after the treatment notably dropped compared to the control group （P〈0.01）. The scores of SAS and SDS scores of the study group after the treatment notably dropped （P〈0.01）. The difference of the scores on group index of quality of life between the study group and the control group had statistical significance （P〈0.05）. Conclusion Psychological behavior intervention plays an important role in the treatment of patient with hypertension to improve their mental status and quality of life.

关 键 词：心理干预 高血压 生命质量 

分 类 号：R544.1[医药卫生—心血管疾病]