县域医共体早期双心模式干预老年高血压患者焦虑抑郁情绪的研究  

Investigation on intervention of anxiety and depression in elderly hypertensive patients by early psycho-cardiology mode of county medical community

作　　者：丁育钧[1] 江玉文[1] 蔡文玉[1] 徐业传 吕晓伟[1] DING Yujun;JIANG Yuwen;CAI Wenyu;XU Yechuan;LV Xiaowei(Department of Cardiovascular Medicine,Jinjiang Municipal Hospital,Fujian,Jinjiang 362200,China)

机构地区：[1]福建省晋江市医院心血管内科,福建晋江362200

出　　处：《中国医药科学》2023年第5期25-28,44,共5页China Medicine And Pharmacy

基　　金：福建省泉州市科技计划项目(2019N007S)。

摘　　要：目的 探讨县域医共体早期双心模式干预老年高血压患者焦虑抑郁情绪的方法。方法 选取2019年6月至2021年3月在福建省晋江市医院及其医共体门诊就诊处于无临床并发症的病程早期合并焦虑抑郁情绪的老年高血压患者118例,根据随机数表法分为观察组(n=60)和对照组(n=58)。两组均接受常规治疗,观察组加予双心模式干预,通过共情技术实施一对一融会心理卫生知识的综合健康教育。比较8周后两组的广泛焦虑问卷7项(GAD-7)、患者健康问卷9项(PHQ-9)、中文版Morisky服药依从性量表(MMAS-8)、健康调查简表(SF-36)中生理领域(PCS)与心理领域(MCS)的评分和血压控制率。结果 干预前,两组的GAD-7、PHQ-9、MMAS-8、PCS和MCS评分比较,差异无统计学意义(P> 0.05)。干预后,观察组的GAD-7、PHQ-9评分均低于对照组,差异有统计学意义(P <0.05),MMAS-8、PCS、MCS评分和血压控制率均高于对照组,差异有统计学意义(P <0.05)。结论 在无临床并发症的病程早期,通过共情技术实施一对一融会心理卫生知识的综合健康教育有利于老年高血压合并焦虑抑郁情绪患者缓解情绪障碍,改善服药依从性和生活质量,提高血压控制率,可作为县域医共体早期双心模式干预老年高血压患者焦虑抑郁情绪的方法。Objective To investigate the method of intervention of anxiety and depression in elderly hypertensive patients by early psycho-cardiology mode of county medical community.Methods A total of 118 elderly hypertensive patients with anxiety and depression in the early stage of the disease without clinical complications admitted to and treated in the outpatient clinic of Jinjiang Municipal Hospital in Fujian and it’s medical community from June 2019 to March 2021 were selected.According to the random number table method,they were divided into the observation group(n=60)and the control group(n=58).Both groups were treated with conventional therapy,and the observation group was treated with psycho-cardiology mode intervention additionally,and comprehensive health education with one-on-one integration of mental health knowledge was implemented through empathy.After 8 weeks,the scores of generalized anxiety disorder 7-item(GAD-7),patients health questionnaire 9-item(PHQ-9),Chinese version Morisky medication adherence scales 8-item(MMAS-8),the scores of physical component summary(PCS)and mental component summary(MCS)in the short form health survey(SF-36)and blood pressure control rate were compared between the two groups.Results Before intervention,there were no statistically significant differences in GAD-7,PHQ-9,MMAS-8,PCS and MCS scores between the two groups(P>0.05).After intervention,GAD-7 and PHQ-9 scores in the observation group were both lower than those in the control group,with statistically significant differences(P<0.05),while MMAS-8,PCS and MCS scores and blood pressure control rate were all higher than those in the control group,with statistically significant differences(P<0.05).Conclusion In the early stage of the disease course without clinical complications,the comprehensive health education of one-to-one integration of mental health knowledge through empathy can help elderly hypertensive patients with anxiety and depression to relieve their emotional disorder,improve their medication compliance and qual

关 键 词：高血压 老年 焦虑 抑郁 双心医学 

分 类 号：R544.1[医药卫生—心血管疾病]