海南医学
海南醫學
해남의학
HAINAN MEDICAL JOURNAL
2014年
8期
1175-1176,1177
,共3页
认知干预%原发性高血压%抑郁%焦虑
認知榦預%原髮性高血壓%抑鬱%焦慮
인지간예%원발성고혈압%억욱%초필
Cognitive intervention%Hypertension%Depression%Anxiety
目的:探讨认知干预对原发性高血压患者焦虑和抑郁状态的影响,以期更有效的控制患者的血压。方法采取病例对照方法,对我院收治的60例伴有焦虑和抑郁症状的门诊及住院原发性高血压患者随机分为干预组和对照组各30例。对照组采取常规药物治疗和护理,干预组在此基础上实施以健康教育为主的认知干预,进行3个月的追踪研究。运用SAS和SDS量表对两组患者进行评分并进行比较。结果经过为期3个月治疗后,对照组患者SAS评分为(41.51±9.62)分,SDS评分为(43.72±11.51)分;干预组患者SAS评分为(38.50±7.89)分,SDS评分为(40.18±8.25)分。治疗后对照组患者收缩压为(152.57±13.29) mmHg,舒张压为(88.95±8.07) mmHg;研究组患者收缩压为(144.78±11.03) mmHg,舒张压为(84.67±8.49) mmHg。两组患者SAS和SDS评分及血压控制情况差异均具有统计学意义(P<0.05)。结论实施全面认知干预可有效缓解原发性高血压患者抑郁、焦虑等情绪影响,消除不良心理障碍,有助于更好的控制患者血压,提高临床治疗效果。
目的:探討認知榦預對原髮性高血壓患者焦慮和抑鬱狀態的影響,以期更有效的控製患者的血壓。方法採取病例對照方法,對我院收治的60例伴有焦慮和抑鬱癥狀的門診及住院原髮性高血壓患者隨機分為榦預組和對照組各30例。對照組採取常規藥物治療和護理,榦預組在此基礎上實施以健康教育為主的認知榦預,進行3箇月的追蹤研究。運用SAS和SDS量錶對兩組患者進行評分併進行比較。結果經過為期3箇月治療後,對照組患者SAS評分為(41.51±9.62)分,SDS評分為(43.72±11.51)分;榦預組患者SAS評分為(38.50±7.89)分,SDS評分為(40.18±8.25)分。治療後對照組患者收縮壓為(152.57±13.29) mmHg,舒張壓為(88.95±8.07) mmHg;研究組患者收縮壓為(144.78±11.03) mmHg,舒張壓為(84.67±8.49) mmHg。兩組患者SAS和SDS評分及血壓控製情況差異均具有統計學意義(P<0.05)。結論實施全麵認知榦預可有效緩解原髮性高血壓患者抑鬱、焦慮等情緒影響,消除不良心理障礙,有助于更好的控製患者血壓,提高臨床治療效果。
목적:탐토인지간예대원발성고혈압환자초필화억욱상태적영향,이기경유효적공제환자적혈압。방법채취병례대조방법,대아원수치적60례반유초필화억욱증상적문진급주원원발성고혈압환자수궤분위간예조화대조조각30례。대조조채취상규약물치료화호리,간예조재차기출상실시이건강교육위주적인지간예,진행3개월적추종연구。운용SAS화SDS량표대량조환자진행평분병진행비교。결과경과위기3개월치료후,대조조환자SAS평분위(41.51±9.62)분,SDS평분위(43.72±11.51)분;간예조환자SAS평분위(38.50±7.89)분,SDS평분위(40.18±8.25)분。치료후대조조환자수축압위(152.57±13.29) mmHg,서장압위(88.95±8.07) mmHg;연구조환자수축압위(144.78±11.03) mmHg,서장압위(84.67±8.49) mmHg。량조환자SAS화SDS평분급혈압공제정황차이균구유통계학의의(P<0.05)。결론실시전면인지간예가유효완해원발성고혈압환자억욱、초필등정서영향,소제불양심리장애,유조우경호적공제환자혈압,제고림상치료효과。
Objective To investigate the effect of cognitive intervention on anxiety and depression in pa-tients with essential hypertension and then to effectively control blood pressure. Methods 60 patients with essential hypertension were randomized to the intervention group and control group, with 30 cases in each group. Control group taking conventional drug and care, the intervention group on the basis of the implementation of health education based cognitive intervention for three months. The SAS and SDS scales of two groups were compared. Results Three months after treatment, SAS score and SDS score in the control group were (41.51±9.62) points and (43.72±11.51) points, re-spectively, and in intervention group were (38.50±7.89) points, and (40.18±8.25) points, respectively. After treat-ment, systolic and diastolic blood pressure in the control group were (152.57 ± 13.29) mmHg and (88.95 ± 8.07) mmHg, respectively; in intervention group were (144.78 ± 11.03) mmHg,and (84.67 ± 8.49) mmHg, respectively. SAS and SDS scores and blood pressure control had statistically significant differences between two groups (P<0.05). Conclusion Implementation of comprehensive cognitive intervention can effectively alleviate depression and anxiety in patients with essential hypertension, and hence can effectively control blood pressure.