CAJ | 학술논문

目的：探讨心理干预对高血压患者焦虑抑郁情绪的影响。方法选取我院自2011年6月～2012年6月收治的高血压患者100例，将上半年收治的50例患者作为对照组，下半年收治的50例患者作为观察组。两组患者均接受降压药物治疗，观察组在此基础上加以心理干预，对照组不进行心理干预治疗。随访3个月后采用抑郁自评量表(SDS)和焦虑自评量表(SAS)对两组患者干预前后的患者焦虑抑郁状况进行评价，并比较干预前后血压的变化情况。结果治疗后观察组的收缩压和舒张压下降较对照组明显，观察组治疗后焦虑、抑郁评分分别为（45.4±5.7）分、（43.6±5.4）分，对照组分别为（66.6±5.9）分、（69.3±4.8）分，观察组较对照组明显降低；观察组焦虑、抑郁情绪缓解率分别为90.0%、92.0%，较对照组高，P＜0.05，具有统计学意义。结论心理干预可提高药物对高血压的降压效果，且对高血压患者焦虑抑郁状况也具有很好的缓解作用。
목적：탐토심리간예대고혈압환자초필억욱정서적영향。방법선취아원자2011년6월～2012년6월수치적고혈압환자100례，장상반년수치적50례환자작위대조조，하반년수치적50례환자작위관찰조。량조환자균접수강압약물치료，관찰조재차기출상가이심리간예，대조조불진행심리간예치료。수방3개월후채용억욱자평량표(SDS)화초필자평량표(SAS)대량조환자간예전후적환자초필억욱상황진행평개，병비교간예전후혈압적변화정황。결과치료후관찰조적수축압화서장압하강교대조조명현，관찰조치료후초필、억욱평분분별위（45.4±5.7）분、（43.6±5.4）분，대조조분별위（66.6±5.9）분、（69.3±4.8）분，관찰조교대조조명현강저；관찰조초필、억욱정서완해솔분별위90.0%、92.0%，교대조조고，P＜0.05，구유통계학의의。결론심리간예가제고약물대고혈압적강압효과，차대고혈압환자초필억욱상황야구유흔호적완해작용。
Objective To study the influence of psychological intervention to anxiety and depression of patients with hypertension. Method 100 cases of patients with hypertension who received the treatment in our hospital from June 2011 to June 2012 were selected. 50 patients who were hospitalized during the first half were included into the control group, while another 50 patients who were hospitalized during the second half year were included into the observation group. Two groups of patients were both treated with antihypertensive drugs; patients in the observation group also received psychological intervention, while patients in the control group did not receive psychological intervention treatment. Patients were visited by following up for 3 months, and then for patients in the two groups before and after the intervention, self-rating depression scale (SDS) and the self-rating anxiety scale (SAS) were used to evaluate their anxiety and depression as well as that the change of blood pressure were also compared. Result After the treatment, the declines of systolic pressure and diastolic pressure for patients in the observation group were more obvious that those of patients in the control group;the anxiety score and the depression score after treatment for patients in the observation group was (45.4±5.7) and (43.6±5.4) respectively, while that of the control group was (66.6±5.9) and (69.3±4.8) respectively, which could find that the score of the observation group was lower significantly than that of the control group; the emotional response rates of anxiety and depression for patient in the observation group were 90.0% and 92.0% respectively, both higher than that of the control group, P < 0.05, which were of statistical significance. Conclusion Psychological intervention can improve the antihypertensive effect of drugs for hypertensive, and also has a very good relaxation effect on emotions of anxiety and depression for patients with hypertension.