认知行为疗法在飞行人员高血压患者中的应用疗效观察  

Clinical observation of cognitive behavioral therapy for patients of flight crew with hypertension

作　　者：田卫卫 董文[2] 张燕[1] 康晓曦[1] 汤亚忻 甘露[1] 张俊琦[1] 

机构地区：[1]解放军第452医院空勤科,成都610021 [2]空军都江堰航空医学鉴定训练中心,611833

出　　处：《四川精神卫生》2015年第6期507-510,共4页Sichuan Mental Health

基　　金：成都军区"十二五"科研计划面上项目(C14032)

摘　　要：目的观察认知行为疗法(CBT)对飞行人员高血压患者的血压及心理状况的影响。方法采用随机数字表法将52例飞行人员高血压患者分为研究组和对照组各26例,两组均给予降压药物和健康教育;研究组在上述治疗基础上给予认知行为疗法,于治疗前和治疗后6周末,监测动态血压值并采用症状自评量表(SCL-90)评定疗效。结果治疗前两组动态血压值及SCL-90各因子评分及总评分差异无统计学意义(P>0.05),两组治疗6周末动态血压值和SCL-90各因子评分及总评分均较治疗前低(P<0.05),治疗后研究组的动态血压值和SCL-90各因子评分及总评分均低于对照组(P<0.05)。结论在降压药物治疗和健康教育基础上联合CBT可能有助于改善飞行人员高血压患者的血压水平及心理状况。Objective To observe the influence of cognitive behavioral therapy for patients of flight crew with hypertension on&nbsp;blood pressure and psychological status. Methods 52 cases of flight crew with hypertension according to random number table method were divided into the research group(n = 26)and the control group(n = 26),the two groups were given antihypertension drugs and health education. The research group was treated with cognitive behavioral therapy(CBT)on the basis of the above treatment. Before and after 6 weeks treatment,dynamic blood pressure values and Self - reporting Inventory(SCL - 90)were used to evaluate the clinical efficacy. Results Before treatment,the two groups of dynamic blood pressure values and SCL - 90 factors scores and total score were no statistically significant difference(P > 0. 05),after 6 weeks treatment,the ambulatory blood pressure values and SCL - 90 factors scores and total score were lower than before treatment(P < 0. 05),dynamic blood pressure values and SCL - 90 every factor score and total score ofthe treatment group were lower than control group(P < 0. 05). Conclusion CBT combined with drugs and health educa-tion improves the blood pressure and psychological status .

关 键 词：认知行为疗法 飞行人员 高血压 心理健康 

分 类 号：R749.055[医药卫生—神经病学与精神病学]