心理行为干预对老年原发性高血压病患者疗效的影响  

Curative effect of psychological and behavioral intervention on elder patients with essential hypertension

作　　者：崔展宇[1] 聂聪[2] 晁华[3] 王冶[3] 师晓萌 刘力畅[3] 刘丽[3] 李琳[4] 

机构地区：[1]解放军第三○二医院心理门诊 ,100039 [2] 中华预防医学会健康风险评估与控制专业委员会 [3]解放军第三○二医院保健室,100039 [4] 解放军第三○二医院心理门诊, 100039

出　　处：《神经疾病与精神卫生》2014年第2期134-136,共3页Journal of Neuroscience and Mental Health

摘　　要：目的 研究心理行为干预对原发性高血压病患者依从性、心理健康、血压控制情况的影响.方法 将120例原发性高血压病患者随机分为对照组（n=60）和观察组（n=60）,对照组给予一般护理,观察组给予针对性的心理行为干预,干预后6个月对两组患者在依从性、心理状态、血压等情况进行随访分析.结果 心理行为干预6个月后,观察组患者依从性显著优于对照组（P＜0.01）;剔除不按时服药的被试后,观察组患者血压、SDS、SAS评分显著低于对照组（P＜0.05）.结论 心理行为干预能有效地控制患者的血压、提高患者的依从性和心理健康水平.Objective To observe the curative effect of psychological and behavioral intervention on patients with essential hypertension. Methods Totals of 120 cases of essential hypertension were ran domly divided into control group （n = 60） and observation group （n = 60）, the control group was given routine nursing, the observation group was given the psychological and behavior intervention according to the patients, 6 months after the intervention of the two groups, the compliance, mental state, blood pressure of patients were analyzed. Results After 6 months psychological and behavioral intervention, the blood pressure of the observation group was significantly lower than the control group （P 〈 0.05）, compliance and mental health status of the patients in the observation group was significantly better than the control group （P 〈0.01）. Conclusions Psychological and behavioral intervention can effectively control blood pressure, improve patient compliance and level of mental health.

关 键 词：心理行为干预 高血压病 依从性 心理健康 

分 类 号：R544.1[医药卫生—心血管疾病]