认知行为干预高血压患者社区康复的对照研究

目的研究探讨高血压患者心理卫生状况;观察认知行为治疗高血压患者的心理卫生康复状况。方法采用SCL-90、SAS、SDS对高血压患者进行心理评定;采用认知行为治疗、自我行为放松训练方法对高血压患者进行心理康复。结果高血压患者的SCL-90各因子及SAS得分均显著高于正常人群组(P<0.05);人际关系、敌对因子和SDS得分两者无统计学差异(P>0.05);高血压患者通过心理干预后,患者的躯体、强迫、抑郁、敌对、焦虑以及SAS得分较干预前有统计学差异(P<0.05);高血压患者通过心理干预后血压较干预前有显著降低(P<0.05)。结论高血压患者通过认知疗法与心理放松疗法干预后,患者的心理卫生状况有显著改善,对降低血压有一定效果。

Contrast Study of Community-based Rehabilitation of Chronic Hypertension Patients by Cognitive Behavioral Intervention

Objective To study mental health status of patients with chronic hypertension, and observe the mental health and rehabilitation status of patients with chronic hypertension by cognitive behavior therapy. Methods SCL-90, SAS, SDS were adopted in the psychological assessment of patients with chronic hypertension. Cognitive behavioral therapy and self-behavior relaxation training methods were employed in psychological rehabilitation for patients with chronic hypertension. Results Hypertension patient’s SCL-90 factor scores such as physical, obsession, depression, anxiety, panic and psychotic and SAS scores were significantly higher than those of the normal group (P<0.05). No significant differences were found in interpersonal relationship, hostility and SDS scores (P>0.05). Through psychological intervention in patients with chronic hypertension after rehabilitation, the patients’ scores of body, compulsion, depression, anxiety, and SAS were significantly better than that of high blood pressure before intervention (P<0.05). The blood pressure in hypertensive patients after rehabilitation using psychological intervention was significantly lower before the intervention (P < 0.05). Conclusion Through relaxation therapy, cognitive therapy and psychological intervention, the mental health status of patients with chronic high blood pressure improved significantly; after intervention of psychological rehabilitation, the patients had relative lower blood pressure.