基于Delphi法综合干预治疗原发性高血压患者的临床研究  

Comprehensive intervention in the treatment of essential hypertension:Based on Delphi method

作　　者：张松 李园园 孙侃[1] 杜波苒 王春亮 来于[1] 常冰 王强[1] 谢田[1] ZHANG Song;LI Yuanyuan;SUN Kan;DU Boran;WANG Chunliang;LAI Yu;CHANG Bing;WANG Qiang;XIE Tian(Third Department of Cardiology,Shijiazhuang Hospital of Traditional Chinese Medicine,Shijiazhuang,Hebei 050051;Two Department of Geriatric diseases,Shijiazhuang Hospital of Traditional Chinese Medicine,Shijiazhuang,Hebei 050051)

机构地区：[1]河北省石家庄市中医院心病三科,河北石家庄050051 [2]河北省石家庄市中医院老年病二科,河北石家庄050051

出　　处：《河北中医》2023年第10期1651-1654,1658,共5页Hebei Journal of Traditional Chinese Medicine

基　　金：河北省中医药管理局2020年度中医药类科研计划课题(编号:2020340)。

摘　　要：目的观察基于Delphi法的综合干预原发性高血压的临床疗效。方法选取2020年1月至2022年2月收治原发性高血压患者120例,按照随机数字表法分为2组,2组均予常规药物治疗,对照组60例予常规健康宣教干预,治疗组60例予基于Delphi法的综合干预措施。2组均干预治疗6个月后,比较2组治疗前后血压[包括舒张压(DBP)及收缩压(SBP)]水平、自我效能感量表(GSES)评分、急性生理学与慢性健康状况评分系统Ⅱ(APACHEⅡ)评分、症状自评量表(SCL-90)评分、简易生活质量调查表(SF-36)(包括情感职能、生理机能及躯体疼痛)评分、简易智能精神状态检查量表(MMSE)评分、汉密尔顿焦虑量表(HAMA)评分及汉密尔顿抑郁量表(HAMD)评分变化情况,比较2组治疗满意度情况。结果与本组治疗前比较,2组治疗后血压SBP及DBP水平均降低(P<0.05),且治疗组治疗后血压SBP及DBP水平均低于对照组(P<0.05)。与本组治疗前比较,2组治疗后GSES评分均升高(P<0.05),APACHEⅡ评分及SCL-90评分均降低(P<0.05),且治疗组治疗后GSES评分均高于对照组(P<0.05),APACHEⅡ评分及SCL-90评分均低于对照组(P<0.05)。与本组治疗前比较,2组治疗后SF-36情感职能、生理机能及躯体疼痛评分均升高(P<0.05),且治疗组治疗后SF-36情感职能、生理机能及躯体疼痛评分均高于对照组(P<0.05)。与本组治疗前比较,2组治疗后MMSE评分均升高(P<0.05),HAMD评分及HAMA评分均降低(P<0.05),且治疗组治疗后MMSE评分高于对照组(P<0.05),HAMD评分及HAMA评分均低于对照组(P<0.05)。治疗组总满意率96.67%(58/60),对照组总满意率78.33%(47/60),治疗组总满意率高于对照组(P<0.05)。结论基于Delphi法综合干预原发性高血压患者临床疗效确切,可有效控制患者血压,改善自我效能,改善患者健康状况,消除不良情绪,提升生活质量,且患者满意度高。Objective To explore the effect of comprehensive intervention based on Delphi method on essential hypertension.Methods From January 2020 to February 2022,totally 120 patients with essential hypertension were randomly grouped.All patients received routine drug treatment.The control group(n=60)received routine intervention,and the treatment group(n=60)received comprehensive intervention measures based on Delphi method.The intervention was performed for 6 months.The blood pressure levels including diastolic blood pressure(DBP)and systolic blood pressure(SBP),general self-efficacy scale(GSES)scores,and Acute Physiology and Chronic Health Evaluation II(APACHE II)scores,Symptom Checklist-90(SCL-90)scale score,Short Form Health Survey(SF-36)score including emotional role,physical function and physical pain,Mini-Mental State Examination(MMSE)score,Hamilton Anxiety Rating Scale(HAMA)score and Hamilton Depression Rating Scale(HAMD)score were included as comparisons,and treatment satisfaction of the two groups was assessed.Results The levels of SBP and DBP in both groups were significantly reduced after treatment(P<0.05),and this reduction was more obvious in the treatment group(P<0.05).Significant increased GSES scores(P<0.05)and decreased APACHEⅡand SCL-90 scores(P<0.05)were detected in the both groups,and the differences were significant in GSES scores(P<0.05),and APACHEⅡand SCL-90 scores(P<0.05)between the treatment group and the control group.The SF-36 scores in both groups increased significantly after treatment(P<0.05),and the increase were more pronounced in the treatment group than in the control group(P<0.05).Significant increased in MMSE scores(P<0.05)and decreased in HAMD and HAMA scores(P<0.05)were found in the both groups,and the treatment group was superior to the control group for MMSE score(P<0.05),and HAMD and HAMA score(P<0.05).The total satisfaction rate in the treatment group was significantly higher than that of the control group(96.67%[58/60]vs 78.33%[47/60],P<0.05).Conclusion For patients with es

关 键 词：原发性高血压 DELPHI法 临床试验 

分 类 号：R544.11[医药卫生—心血管疾病]