心理干预对老年高血压患者焦虑情绪及血压的影响

目的探讨心理干预对老年高血压患者焦虑情绪及血压的影响。方法66例老年高血压伴有明显焦虑情绪的患者被随机分为心理干预组34例和对照组32例，两组均接受常规降压药物治疗，其中心理干预组给予常规降压治疗的同时增加心理疏导及健康教育，并分别于入院时及治疗12周时对两组患者的血压变化及汉密尔顿焦虑量表（HAMA）分值进行评价。结果心理干预组患者血压控制的效果优于对照组（P〈0．05）；心理干预组HAMA分值的改善也显著优于对照组（P〈0．05）。结论对老年高血压伴有明显焦虑情绪的患者在常规降压治疗的同时，给予积极的心理干预措施，不仅能消除患者心理障碍，促进康复，改善患者对治疗的态度和依从性，还能明显提高血压控制率，改善患者HAMA分值，提高临床疗效。

Mental intervention on anxiety and blood pressure in the aged hypertensive patients

Objective To determine the mental intervention on anxiety and blood pressure in the aged hypertensive patients. Methods 66 elderly patients with hypertension and anxiety disorder were randomly divided into 2 groups. The patients of the mental intervention group （n=34） were received combined blood pressure control and mental intervention. The patients of control group（n= 32） were received blood pressure control only. The blood pressure and Hamilton anxie- ty scale （HAMA） were assessed immediately after hospitalization and 12 weeks after treatment. Results The blood pressure control rate in mental intervention group was significantly improved more than that in control group（P〈0.05）. The Hamilton anxiety scale （HAMA） in mental intervention group was significantly improved more than that in control group（P〈0.05）. Conclusion Mental intervention for the aged patients with hypertension and anxiety disorder could e- liminate their psychological obstacle, improve their attitude toward treatment, enhance the medication compliance and blood pressure control rate and improve the Hamilton anxiety scale also significantly.