心理干预对高血压患者降压效果的影响及评价

目的 探讨心理干预对高血压患者降压效果及心理状态的影响.方法 选取2013年3月至12月门诊高血压患者100例,根据患者就诊登记顺序分为干预组（n=50,单号）和对照组（n=50,双号）,两组患者均给予常规药物治疗,干预组同时采取认知行为疗法进行心理干预.采用“症状自评量表（ScL-90）”对两组患者干预后的效果进行评价.结果 干预组患者血压临床控制有效率优于对照组（P＜0.05）,差异有显著性.高血压患者存在不同程度的心理障碍,在进行认知行为心理干预的同时给予药物治疗,治疗效果明显好于单纯药物治疗.结论 对高血压患者采取认知行为疗法,能够明显缩短降压治疗时间,显著改善治疗质量和患者的认知水平,可以有效地解决患者的心理障碍;心理状态改善的高血压患者就诊率下降,血压较前更平稳,而且可以减轻照料者的负担.

Effects and Evaluation of the Psychological Intervention on Hypertensive Eppeet for Patients with Hypertension

OBJECTIVE To explore the effect of psychological intervention on hypertensive effect and mental state of patients with hypertension. METHODS 100 patients with essential hypertension who were treated in the outpatient department of the hospital from March 2013 to December 2013 were selected and divided into experimental group（n=50） and control group（n=50 even numbers）, according to their medical registration order. The patients in the two groups received routine drug therapy, and the patients in the experimental group were treated with psychological intervention by means of cognitive behavior therapy（CBT）. Symptom checklist 90 （ScL-90） was used to evaluate the effects in the two groups before and after intervention. Results： The total effective rate of hypertensive effect in experimental group was superior to that in control group（P〈0.05）. Hypertensive patients had psychological barriers in various degrees, so the treatment effect of psychological intervention as well as drug therapy was obviously better than the single drug treatment. Conclusion： Treating hypertensive patients with psychological intervention could effectively shorten the duration of antihypertensive treatment, improve the quality of treatment and the patients＇ cognitive performance, and remove their psychological barrier. The patients with improved psychological state had more stable blood pressure and visted hospital less than before, and the burden of caregiver was relieved.