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豁达放松治疗对中青年高血压病患者心身症状的影响

The study of improvement of young and middle-aged hypertensive psychological and physical status by magnanimous-relaxed therapy

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【作者】 杨润涛黄雪薇张泽鸿张卫钱琳庞锐

【Author】 YANG Run-tao☆,HUANG Xue-wei,ZHANG Ze-hong,ZHANG Wei,QIAN Lin,PANG Rui.☆Clinical Medical College,Guangdong Pharmaceutical University,Guangzhou 510310,China

【机构】 广东药学院临床医学院精神与医学心理学教研室广东药学院附属第一医院心血管内科

【摘要】 目的研究豁达放松治疗改善中青年高血压病患者心身症状的效果。方法按照入组标准将90例中青年高血压病患者匹配分为干预组和对照组(按目前高血压病临床常规治疗),使用豁达放松治疗对干预组进行3个月治疗,治疗前后采用EPQ-RSC、MCMQ和高血压心身问卷进行测评,并测量血压值。结果干预组治疗后EPQ-RSC的P分和N分(2.20±1.12,3.09±1.65)比治疗前(2.47±1.10,4.20±2.54)显著降低(P<0.01);两组患者治疗后P分和N分差异有统计学意义(P<0.05);MCMQ的面对因子得分(21.20±2.06)比治疗前(20.33±2.24)显著提高(P<0.01);高血压心身问卷的社会功能、心理功能、生活习惯和躯体功能因子得分(10.40±2.59、26.49±6.19、18.27±5.77、16.42±5.01)比治疗前(12.93±5.06、29.73±7.26、18.87±5.98、18.20±6.04)显著降低(P<0.01);两组患者治疗后社会功能和心理功能得分差异有统计学意义(P<0.05);干预组治疗后收缩压和舒张压(130.58±7.90,74.84±9.34)比治疗前(133.02±8.84,80.07±9.69)显著降低(P<0.01);两组患者治疗后舒张压差异有统计学意义(P<0.05)。结论豁达放松治疗能有效改善中青年高血压患者心身症状。

【Abstract】 Objective To study the improvement of young and middle-aged hypertensive psychological and physical status by magnanimous-relaxed therapy(MRT).Methods According to the inclusion criteria,90 young and middle-aged hypertensive patients were matched and grouped into treatment group and control group.Patients in treatment group were treated with MRT for 3 months.Before and after the intervention,EPQ-RSC,MCMQ and Hypertension Psychological and Physical Questionnaire were evaluated and blood pressure were measured.Results The scores in P(2.20±1.12) and N(3.09±1.65) of EPQ-RSC in the treatment group were significantly lower than those(2.47±1.10 and 4.20±2.54,respectively) before intervention(P<0.01).There was also significant differences in both P and N between the two groups after intervention(P<0.05).The score in Confrontation(21.20±2.06) of MCMQ in the treatment group was significantly higher than that(20.33±2.24) before intervention(P<0.01).The scores in social function,mental function,habits and physical function(10.40±2.59,26.49±6.19,18.27±5.77,and 16.42±5.01,respectively) of Hypertension Psychological and physical Questionnaire in the treatment group were significantly lower than those(12.93±5.06,29.73±7.26,18.87±5.98,and 18.20±6.04,respectively) before intervention(P<0.01).There were significant differences in social function and mental function between two groups after intervention(P<0.05).The SBP(130.58±7.90) of the treatment group after intervention was significantly lower than that(133.02±8.84) before intervention(P<0.01),so was the DBP(74.84±9.34 vs 80.07±9.69,P<0.01).There was also significant difference in DBP between the two groups after intervention(P<0.05).Conclusion MRT can effectively improve psychological and physical status of young and middle-aged hypertensive.

【基金】 广东省科技计划项目(编号:2009B030801344)
  • 【文献出处】 广东医学 ,Guangdong Medical Journal , 编辑部邮箱 ,2013年08期
  • 【分类号】R544.1
  • 【被引频次】10
  • 【下载频次】111
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